The Journal of the American Dental Association
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J Am Dent Assoc, Vol 130, No 8, 1190-1194.
© 1999 American Dental Association
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CLINICAL PRACTICE

CASE REPORT

MANAGEMENT OF BILATERALLY IMPACTED MANDIBULAR SECOND AND THIRD MOLARS



GIULIO ALESSANDRI BONETTI, M.D., D.D.S., GIAN ANDREA PELLICCIONI, M.D., D.D.S. and LUIGI CHECCHI, M.D., D.D.S.

Background. The authors present an interdisciplinary approach to treating bilateral impaction of mandibular second molars.

Case Description. A 22-year-old man had a bilateral deep horizontal impaction of his mandibular second molars. The mandibular third molars lay above and parallel to the second molars. After an orthodontic assessment, the authors decided to distally upright the third molars, remove them and then orthodontically reposition the second molars if they were not ankylosed. This combined orthodontic-surgical approach was successful.

Clinical Implications. This case illustrates the importance of strong cooperation among various specialists to establish the optimal comprehensive treatment plan.






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