Management of unilaterally impacted multiple posterior teeth: a case report.

Abstract

Introduction: The impaction of permanent teeth poses a challenge to orthodontists, especially when posterior teeth are involved. Multiple impacted posterior teeth without associated with systemic conditions/syndromes is an uncommon clinical occurrence which leads to a posterior open bite and severely compromised function.

Aim: The present article reports the clinical management of an impacted maxillary second premolar, mandibular premolars and mandibular first and second molars on the right side.

Method: The premolars were guided into occlusion by orthodontic traction. Disimpaction and uprighting of the mandibular first molar were achieved using a Begg uprighting spring while a T-loop was used to correct the second molar. Absolute anchorage in the form of miniscrews was not required as anchorage demands were minimal. The total treatment time was 24 months.

Results: Orthodontic mechanics resolved a demanding clinical problem and eliminated the need for prosthetic replacements. An acceptable occlusion with a Class I molar relationship, normal function and a healthy periodontium were achieved.

Conclusion: The results indicated the benefits of uprighting multiple impacted teeth through orthodontic treatment.