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[Strategic orthodontic treatment for multiple mesioangular impacted molars: a case report].
Jiaqi Zhan1,2,3, Jiaqi Zhang1,2,3, Wenjie Fan1,2,3
1Dept. of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Summary
Mesially impacted second molars can cause external root resorption in adjacent teeth. This case study shows successful orthodontic and surgical treatment to realign teeth and prevent further root damage.
Area of Science:
- Dentofacial anomalies
- Orthodontics
- Oral surgery
Background:
- Tooth impaction is a common developmental anomaly, frequently affecting third molars.
- Second molar impaction is less common but can lead to significant complications.
- External root resorption is a potential adverse outcome of impacted teeth.
Purpose of the Study:
- To present a case of mesially impacted second molars causing external root resorption in first molars.
- To describe the combined orthodontic and surgical management of this condition.
- To evaluate the treatment outcomes in terms of dental alignment, occlusal function, and mitigation of complications.
Main Methods:
- A case report of a male adolescent with mesially impacted second molars.
- Simultaneous orthodontic and surgical treatment approach.
- Assessment of dental alignment, occlusal function, and root resorption post-treatment.
Main Results:
- Successful dental alignment and restoration of occlusal function were achieved.
- The combined treatment effectively mitigated the adverse effects of external root resorption.
- The patient experienced positive long-term outcomes without significant complications.
Conclusions:
- Combined orthodontic and surgical treatment is effective for managing impacted second molars.
- Early intervention can prevent or minimize complications like external root resorption.
- This approach improves patient outcomes and oral health.

