Management of impacted mandibular second premolars

Abstract

An impacted tooth is a tooth that fails to erupt completely and is embedded in the alveolar bone due to a physical barrier in the form of bone and adjacent teeth. Mandibular second premolars rank third in frequency of tooth impaction. This article describes the management of impaction treatment of mandibular second premolars by surgical procedures. An 18-year-old male came to RSGMP Unhas with complaints of incomplete eruption of the right back tooth RB. History of pain about 5 months before and no complaints of swelling. There was no history of drug/food allergy and history of systemic disease was denied. Extra oral exa-mination, there was no abnormality with normal mouth opening. Intra oral examination, found partial eruption of tooth 45, palpation pain (-), hyperemia (-), calculus (+) and moderate OH. The treatment performed was odontectomy of tooth 45 under local anaesthesia. It was concluded that odontectomy was performed by creating a flap and reducing some of the bone surround-ing the tooth. The position of the impacted second premolar adjacent to the foramen mentale and the roots of neighbouring teeth is one of the factors that must be considered in performing surgery.