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The surgical-orthodontic management of combined impacted maxillary second and third molars
Matthew Butler1, Neelam Rathod2, Thamesh Kerai2
1Southend University Hospital, Mid Essex Hospital Trust, Prittlewell Chase, Westcliff-on-Sea, SS0 0RY, Essex, UK. matthew.butler9@nhs.net.
Background:
A correlation between impacted maxillary third molars on the eruption potential of the maxillary second molar has been identified. There is little published evidence available in the literature regarding a treatment modality for this presentation. AIMS : The aim of this case series is to propose a joint surgical and orthodontic approach for the management of such cases. METHOD : A retrospective search of all patients treated for impacted second and third maxillary molars from 2014 to 2020 revealed 24 cases. Surgical planning was facilitated with the use of a CBCT to help orientate the teeth in 3-D and assess any associated pathology to nearby structures. Twenty-three cases were treated via surgical removal of the impacted third molar and subsequently monitored for spontaneous maxillary second molar eruption.
Conclusion:
All treated cases showed complete or partial spontaneous eruption followed by orthodontic repositioning if required.
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