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

Miranda Sejdiu Abazi, Arben Abazi, Saranda Sejdiu Sadiku

International Journal of Biomedicine. 2023;13(3):169-171.
DOI: 10.21103/Article13(3)_CR3
Originally published September 5, 2023


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.

impacted mandibular second molar • temporary anchorage device • fixed appliance
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Received June 21, 2023.
Accepted July 28, 2023.
©2023 International Medical Research and Development Corporation.