Management of Impacted Lower Second Molar with Extra Alveolar Tads: A Case Report

Abstract

The aim of this case report is to present an orthodontic technique combined with skeletal anchorage (TADs) in the retromolar region to pull out a right horizontally impacted mandibular second molar (MM2) beneath the third molar (MM3). This treatment approach was performed by extracting the adjacent MM3 lying over the MM2. A miniscrew was inserted in the retromolar region. It required minimal surgical exposure—mucosal incision, crown uncovering, and attaching a bondable button for uprighting MM2 with an elastic chain. Disimpaction was done for several days without any side effects.

Keywords

• impacted mandibular second molar
• temporary anchorage device
• fixed appliance