Abstract

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. All treated cases showed complete or partial spontaneous eruption followed by orthodontic repositioning if required.

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