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CC BY 4.0 · Eur J Dent 2022; 16(03): 465-477
DOI: 10.1055/s-0041-1739443
Review Article

Surgical Management of Impacted Lower Second Molars: A Comprehensive Review

Diane Isabel Selvido 
1   Clinical Science Department, International College of Dentistry, Walailak University, Bangkok, Thailand
,
Nattharin Wongsirichat 
2   Department of Preventive Dentistry, Division of Orthodontics, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
,
Pratanporn Arirachakaran 
1   Clinical Science Department, International College of Dentistry, Walailak University, Bangkok, Thailand
,
Dinesh Rokaya 
1   Clinical Science Department, International College of Dentistry, Walailak University, Bangkok, Thailand
,
Natthamet Wongsirichat 
1   Clinical Science Department, International College of Dentistry, Walailak University, Bangkok, Thailand
› Author Affiliations Funding None.
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Abstract

Impacted lower second molars (ILM2) are rarely reported in the literature, but various studies have been done for its treatment. Apart from solely orthodontic approaches, different surgical management techniques were reported to have successful outcomes. Surgical intervention of ILM2 can help expose the tooth for further orthodontic purposes, simplifying complex treatment methods, and reducing treatment time. This review illustrates the comprehensive evaluation and updated methods of surgical uprighting, repositioning, and transplantation of ILM2 with future directions for better understanding and treatment planning in the clinical setting. The successful outcome of surgical intervention depends on case selection, root development of ILM2, careful surgical manipulation, and adherence to sound biological principles.

Keywords

impacted lower second molars - molar impaction - lower third molars - surgical uprighting - surgery - extraction - impaction - second molars


Publication History

Article published online:
11 January 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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