Therapy concept for Surgical Uprighting of the Impacted Second Mandibular Molar

Impaction of permanent teeth is a relatively common occurrence and can involve any tooth in the dental arch. Impacted mandibular second molars are less frequently encountered, but when they occur they may present a challenging treatment procedure for the orthodontist and oral surgeon, they may require auxiliary appliances. Generally the definitive treatment of these Impactions is carried out at the age of 11-to 14- years old range. These impaction ma by associated with a third molar impaction. The possibilities of second molar impaction treatments is surgical removal of second molar and allowing third molar to erupt, transplantation of third molar to the second molar space, surgical repositioning of second molar with or without third molar extraction. The most promising results was seen in cases of repositioned second molar. The timing of treatment and the biomechanics involved determine the success Purpose of this article to describe the surgical repositioning of second molar with third molar extraction