Tooth impaction is a dental anomaly which is defined as cessation of eruption of tooth. It is caused by a physical barrier in the eruption path or abnormal position of the tooth. Impaction of permanent second molar is not a common condition. Early detection and treatment of impaction reduces the risk of complications associated with this condition. There are several treatment options for impacted tooth which depends on the degree of tooth inclination as well as the required tooth movement. The present case report presents a case of 14-year-old male patient with mesially impacted permanent second molar. The case presents the surgical and orthodontic management with orthodontic extrusion and uprighting of concerned impacted tooth.

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