INTERDISCIPLINARY APPROACH IN THE THERAPY OF IMPACTED SECOND AND THIRD MOLARS
Abstract
Simultaneous impactions of second and third permanent molars are a very rare clinical situation with different therapeutic approaches. Impaction of mandibular second molar sometimes can be challenging and frustrating for orthodontics and oral surgeons. Treatment depends on degree of tooth inclination and position of the third molars. Early diagnosis and good treatment for mandibular molar impaction is recommended between age 11 and 14, 27, 28, 29 when root formation is not yet complete. Conservative treatments of second mandibular molar impaction are successful in about 50% of cases. The treatment of impacted second molars (maxillary and mandibular) may be extraction of the second molar to permit the third molar to replace it, surgical exposure, orthodontic traction, surgical luxation and orthodontic traction, restoration, transplantation or no treatment.
This paper reports unusual cases of unilateral mandibular and maxillary second and third molar impaction diagnosed radiographically followed by orthodontic treatment.
Key words:impaction, molars, orthodontic treatmentÂ
References
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17. Johnson,J.V., G.D.Quirk. Surgical repositioning of impacted second molar teeth. Am J Orthod Dentofac Orthop. 1987;91:242-51.
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23.Andreasen J.O.,J.K.Petersen, D.M.Laskin.Textbook and Color Atlas of Tooth Impactions.Copenhagen,DenmarkMunksgaard.1997;199-208.
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26. Frazier-Browers, S.A.,D.Simmons,J.T.Wright,W.R.Proffit, .L. Ackerman.Primary failyre of eruption and PTHI1r: the importanse of a genetic diagnosis for orthodontic treatment planning.Am J Orthod Dentofacial Orthop. 2010;137:60.
27. Bondemark,L. J.Tsiopa. Prevalence of ectopic eruption,impaction,retention and agenesis of the permanent second molar.Angle Orthod 2007;77:773-8.
28. Kurol,J. Impacted and ankylosed teeth: why,when, and how to intervene.Am J Orthod Dentofacial Orthop. 2006;129:86-90.
29. Magnusson,C. H.Kjellberg. Impaction and retention of second molars: diagnosis,treatment and outcome. Angle Orthod. 2009;79:422-7.
30. Orton-Gibbs,S.,V.Crow, H.S.Orton. Eruption of third permanent molars after the extraction of second permanent molars. Part1: Assessment of third molar position and size.Am J Orthod Dentofac Orthop. 2001;119:226-38.
2. Jensen B.L., Kreiborg S. Development of the dentition in cleidocranial dysplasia. J. Oral Pathol. Med. 1990;19:89-93.
3. Raghoebar G.M., Boering G.,Vissink A., Stegenga B. Eruption disturbances of permanent molars: A review. J. Oral Pathol. Med. 1991;20: 159-166.
4. Aitasalo, K., R. Lehtinen, E. Oksala. An orthopantomographic study of prevalence of impacted teeth. Int J oral Surg. 1972;1:117-20.
5. Majourau,A. L. A. Norton. Uprighting impacted second molars with segmented springs. Am J Orthod Dentofacial Orthop. 1995;107:235-8.
6. Varpio, M. Disturbed eruption of the lower second molar: clinical appearance, prevalence and etiology. J Dent Child. 1988; 55:114-8.
7. Shapira, Y., G. Borell, O. Nahlieli, M. M. Kuftinec. Uprighting mesially impacted mandibular permanent second molars. Angle Orthod. 1998;68:173-8.
8. Kokich, V. G. D. P. Mathews. Surgical and orthodontic menagment of impacted teeth. Dent Clin North Am. 1993;37:198-201.
9. Garcia-Calderon M.,Torres-Lagares D., Gonzalez-Martin M., Gutierez-Perez J. L. Rescue surgery (surgical repositioning of impacted lower second molars. Med. Oral Patol. Cir. Bucal. 2005;10:448-53.
10. Johnson J.V.,Quirk G. P. Surgical repositioning of impacted mandibular second molar teeth. Am. J. Orthod. Dentofac. Orthop.1987;91:242-51.
11. Evans R. Incidence of lower second permanent molar impaction.Br. J. Orthod.1998;15:199-203.
12. Pindborg J.J.Pathology of the Dental Hard Tissues. Munksgaard;Copenhagen, Denmark:1970.pp.225-55.
13. Shafer W.G., Hine M.K., Leavy B.M.A Textbook of Oral Pathology. 4th ed. Saunders; Philadelphia, PA, USA: pp.66-69.
14. McAboy, C.P., J.T. Grumet,E.B. Siegel, A.M.Iacopino.Surgical uprighting and repositioning of severely impacted mandibular second molars. J Am Dent Assos. 2003;134:1459-62.
15. Ferrazzini,G. Uprighting of a deeply impacted mandibular second molar. Am J Orthod Dentofac Orthop. 1989;96:168-71.
16. Peskin, S. T.M. Graber. Surgical repositioning of teeth. J Am Dent Assos 1970;80:1320-6.
17. Johnson,J.V., G.D.Quirk. Surgical repositioning of impacted second molar teeth. Am J Orthod Dentofac Orthop. 1987;91:242-51.
18. Pogrel, M.A. The surgical uprighting of mandibular second molars. Am J Orthod Dentofacial Orthop. 1995;108:180-3.
19.Shipper, G, G. Thomadakis. Bone regeneration after surgical repositioning of impacted mandibular second molars: a case report. Dent Traumatol.2003;19:109-14.
20.Fieldhouse, J. C. Shields. Surgical uprighting of an impacted mandibular second molar. Dent Update. 1997;24:320-2.
21. Apfel,H.Transplantation ef unerupted third molar tooth. J Oral Surg. 1956;9:96.
22. Kayser A.F. Shortened dental arches and oral function. J. Oral Rehabil. 1981;8:457-62.
23.Andreasen J.O.,J.K.Petersen, D.M.Laskin.Textbook and Color Atlas of Tooth Impactions.Copenhagen,DenmarkMunksgaard.1997;199-208.
24. Suri,L.,E.Gagari, H.Vastardis. Delayed tooth eruption:pathogenesis,diagnosis,and treatment. A literature review.Am J Orthod Dentofacial Orthop. 2004;126:432-45.
25. Frazeir-Bowers,S.A.Simmons,K.Koehler, J.Zhou. Genetic analysis of familial non-syndromic primary failure of eruption.Orthod Craniofac Res.2009;12:74-81.
26. Frazier-Browers, S.A.,D.Simmons,J.T.Wright,W.R.Proffit, .L. Ackerman.Primary failyre of eruption and PTHI1r: the importanse of a genetic diagnosis for orthodontic treatment planning.Am J Orthod Dentofacial Orthop. 2010;137:60.
27. Bondemark,L. J.Tsiopa. Prevalence of ectopic eruption,impaction,retention and agenesis of the permanent second molar.Angle Orthod 2007;77:773-8.
28. Kurol,J. Impacted and ankylosed teeth: why,when, and how to intervene.Am J Orthod Dentofacial Orthop. 2006;129:86-90.
29. Magnusson,C. H.Kjellberg. Impaction and retention of second molars: diagnosis,treatment and outcome. Angle Orthod. 2009;79:422-7.
30. Orton-Gibbs,S.,V.Crow, H.S.Orton. Eruption of third permanent molars after the extraction of second permanent molars. Part1: Assessment of third molar position and size.Am J Orthod Dentofac Orthop. 2001;119:226-38.
Published
2019-06-06
How to Cite
GERASIMOVA, Sofija et al.
INTERDISCIPLINARY APPROACH IN THE THERAPY OF IMPACTED SECOND AND THIRD MOLARS.
Journal of Morphological Sciences, [S.l.], v. 2, n. 1, p. 37-42, june 2019.
ISSN 2545-4706.
Available at: <https://jms.mk/jms/article/view/52>. Date accessed: 22 dec. 2024.
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