BILATERAL CONGENITALLY MISSING SECOND PREMOLARS IN A GROWING FEMALE PATIENT

Abstract

Purpose- The aim of the current hypothesis is to contemporary a rare case report of congenitally missing bilateral mandibular second premolars in an adolescent patient and describe its management. The second premolars have the utmost incidence of congenital absence, after the third molars. The delinquent resides not in the prevalence of congenitally missing premolars but in the assortment of a management plan that will yield the best outcomes over the prolong period of time. The currenteducation reports a case of a 12-year-old female growing patient with bilaterally congenitally missing second permanent mandibular premolars with supplementary crowding of teeth. The case has been managed using a multi‑specialty methods, in which both deciduous mandibular second molars were sectioned and the distal half retained. The retained half was prepared to receive a full coverage restoration which was contoured as a premolar. The space created was then utilized to correct the crowding by fixed orthodontics. A two year follow up shows retained distal half of the deciduous mandibular second molar with correction of crowding and space closure.