Self-stabilizing approach to surgical uprighting of the mandibular second molar

Terry, Bill C.; Hegtvedt, Arden K.

doi:10.1016/0030-4220(93)90420-9

Cited by 14 publications

(16 citation statements)

References 11 publications

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“…Several investigators have advocated for removal of the adjacent third molar at the time of second molar uprighting. 3,5,13 In the present series, the third molar was removed only if it was an impediment to uprighting of the second molar, and this happened in 50% of cases. The authors prefer to maintain the third molar when possible because the presence of this tooth often creates a wedge effect against the second molar to improve the immediate postoperative stability of the uprighted position, and the third molar can be used as a future replacement if the second molar ultimately requires extraction.…”

Section: Discussionmentioning

confidence: 88%

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Surgical Uprighting Is a Successful Procedure for Management of Impacted Mandibular Second Molars

Padwa

Dang

Resnick

2017

Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 88%

“…These results are consistent with published failure rates ranging from 0 to 4.5%. 3,5,7,8,13 In a series of 22 surgically uprighted second molars by Pogrel, 3 36.4% developed pulpal calcification and were nonvital on electric pulp testing postoperatively. None of these teeth were symptomatic.…”

Section: Discussionmentioning

confidence: 99%

Surgical Uprighting Is a Successful Procedure for Management of Impacted Mandibular Second Molars

Padwa

Dang

Resnick

2017

Journal of Oral and Maxillofacial Surgery

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“…It is clear how important an early diagnosis of the eruptive problem is. This is because once the roots of the second non-erupted molar have completed their development, the chances of a conservative intervention decrease considerably [ 13 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Operculectomy in the Treatment of 145 Cases with Unerupted Second Molars: A Retrospective Case–Control Study

et al. 2020

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The aim of this study is to assess whether operculectomy in patients with retained second molars eases spontaneous tooth eruption in respect to untreated controls. Two hundred and twenty-two patients with delayed eruption of at least one second molar were selected from the archives of the Department of Orthodontics, Milan, Italy. Eighty-eight patients, 40 males and 48 females (mean age 14.8 ± 1.3 years), met the inclusion criteria. Records were then divided into case and control groups. The case group consisted of patients that underwent removal of the overlaying mucosa over second molars (i.e., operculectomy) and the control group consisted of subjects who retained their operculum over an unerupted second molar and were followed for one year without performing any treatment. A total of 145 impacted second molars were considered (75 cases, 70 controls). A risk ratio with 95% confidence interval was used to compare the prevalence of eruption in the two groups. Spontaneous eruption occurred in 93.3% of cases in the operculectomy group (70/75), while in the control group, 10% teeth erupted spontaneously (7/70). Spontaneous eruption in the upper arch occurred in 95.2% of cases among treated patients (40 out of 42), while in the lower arch, spontaneous eruption occurred in 90.9% of cases (30 out of 33). Spontaneous eruption of the upper second molars in the control group occurred in 8.5% of cases (3 out of 35), while in the lower arch, it occurred in 8.5% (3 out of 35). Operculectomy can ease the spontaneous eruption of retained second molars and reduce the chances of inclusion.

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“…Movement of the apices is kept at minimal to reduce complication of pulpal necrosis [34]. On the mesial side of MM2 bone may need to be removed to accomplish this movement [46]. The surgeon will often feel the tooth "snap" into the osseous trough as the tooth is firmly wedged into its new position [46].…”

Section: Clinical Managementmentioning

confidence: 99%

Surgical uprighting of impacted mandibular second molar: a narrative review

Sangha¹,

Sangha

Hanna³

et al. 2021

J Oral Med Oral Surg

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Early diagnosis of impacted mandibular second molar (MM2) is critical since treatment at a later stage can be complicated. It often requires a multidisciplinary approach. Surgical uprighting of impacted MM2 appears to be a safe, effective, and a reliable alternative to conventional orthodontic mechanics with minimal risk of morbidity or pulpo-periodontal problems. Timely diagnosis is critical and factors affecting treatment outcomes must be assessed for a successful outcome. Although surgical uprighting or repositioning is the most commonly prescribed option for MM2 management, there isn't a review of literature that discusses the etiology, assessment, and surgical management of impacted MM2 with an emphasis on surgical uprighting technique and comparing various factors that affect the outcome.

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Self-stabilizing approach to surgical uprighting of the mandibular second molar

Cited by 14 publications

References 11 publications

Surgical Uprighting Is a Successful Procedure for Management of Impacted Mandibular Second Molars

Surgical Uprighting Is a Successful Procedure for Management of Impacted Mandibular Second Molars

Efficacy of Operculectomy in the Treatment of 145 Cases with Unerupted Second Molars: A Retrospective Case–Control Study

Surgical uprighting of impacted mandibular second molar: a narrative review

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