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

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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.
International Medical Research and Development Corporation
Title: Management of Impacted Lower Second Molar with Extra Alveolar Tads: A Case Report
Description:
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.

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