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The surgical-orthodontic management of combined impacted maxillary second and third molars

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Abstract

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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On request.

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Authors and Affiliations

  1. Southend University Hospital, Mid Essex Hospital Trust, Prittlewell Chase, Westcliff-on-Sea, SS0 0RY, Essex, UK

    Matthew Butler, Neelam Rathod, Thamesh Kerai, Anam Raza & Kandasamy Ganesan

Authors
  1. Matthew Butler
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  2. Neelam Rathod
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  3. Thamesh Kerai
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  4. Anam Raza
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  5. Kandasamy Ganesan
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Correspondence to Matthew Butler.

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Butler, M., Rathod, N., Kerai, T. et al. The surgical-orthodontic management of combined impacted maxillary second and third molars. Oral Maxillofac Surg 26, 469–475 (2022). https://doi.org/10.1007/s10006-021-01011-4

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  • DOI: https://doi.org/10.1007/s10006-021-01011-4

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