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Scripta Scientifica Medicinae Dentalis

MANDIBULAR SECOND MOLAR IMPACTION - LITERATURE REVIEW AND CASE REPORTS

Deyan Neychev, Ivan Chenchev, Dimitar Atanasov

Abstract

Aim: To assess the incidence of mandibular second molar impaction and the treatment methods for this condition.

Materials and Methods: A retrospective review of the cases of patients diagnosed with impaction of mandibular molars at the Department of Oral Surgery of the Faculty of Dental Medicine - Plovdiv during the past 11 years was performed.
Results: 962 patients with impaction of mandibular molars were operated on in the analyzed period. This diagnosis is relatively rare in second mandibular molars and represents 0.94% of all cases. Most often, diagnosis is based on clinical evidence of missing molars and on panoramic radiographs. In the cases described by us, only surgical treatment was used.

Conclusion: The treatment of this condition is a challenge which requires an individual approach to each case and an assessment to determine what treatment approach is to be used - surgical or orthodontic.


Keywords

Mandibular second molar impaction, Surgical treatment

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References

Dachi SF, Howell FV. A survey of 3,874 routine full-month radiographs. II. A study of impacted teeth. Oral Surg Oral Med Oral Pathol. 1961;14:1165-9. doi: 10.1016/0030-4220(61)90204-3

Bondemark L, Tsiopa J. Prevalence of ectopic eruption, impaction, retention and agenesis of the permanent second molar. Angle Orthod. 2007;77(5):773-8. doi: 10.2319/072506-306.1

Tsukamoto G, Makino T, Kikuchi T, Kishimoto K, Nishiyama A, Sasaki A, et al. A comparative study of odontogenic keratocysts associated with and not associated with an impacted mandibular third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002; 94(2): 272-5. doi: 10.1067/moe.2002.126888

Vedtofte H, Andreasen JO, Kjaer I. Arrested eruption of the permanent lower second molar. Eur J Orthod. 1999; 21(1): 31-40. doi: 10.1093/ejo/21.1.31

Cassetta M, Altieri F, Di Mambro A, Galluccio G, Barbato E. Impaction of permanent mandibular second molar: A retrospective study. Med Oral Patol Oral Cir Bucal. 2013; 18(4):564-8. doi: 10.4317/medoral.18869

Oliver RG, Richmond S, Hunter B. Submerged permanent molars: four case reports. Br Dent J.1986;160(4):128-30.

Andreasen JO, Kurol J. The impacted first and second molar. In: Andreasen JO, Petersen JK, editors. Textbook and color atlas of tooth impactions. Copenhagen: Munksgaard; 1977. 197-218.

Raghoebar GM, Boering G, Jansen HW, Vissink A. Secondary retention of permanent molars: a histologic study. J Oral Pathol Med. 1989 ;18(8): 427-31. doi: 10.1111/j.1600-0714.1989.tb01338.x

Johnson JV, Quirk GP. Surgical repositioning of impacted mandibular second molar teeth. Am J Orthod Dentofac Orthop. 1987;91(3): 242-51. doi: 10.1016/0889-5406(87)90454-9

Varpio M, Wellfelt B. Disturbed eruption of the lower second molar: clinical appearance, prevalence, and etiology. ASDC J Dent Child. 1988; 55(2):114-8.

Valmaseda-Castellon E, De-la-Rosa-Gay C, Gay-Escoda C. Eruption disturbances of the first and second permanent molars: results of treatment in 43 cases. Am J Orthod Dentofacial Orthop. 1999; 116(6): 651-8. doi: 10.1016/S0889-5406(99)70200-3

Arvystas M.G.: Familial generalized delayed eruption of the dentition with short stature. Oral Surg Oral Med Oral Pathol. 1976; 41(2):235-43. doi: 10.1016/0030-4220(76)90235-8

Tipton RE, Gorlin RJ. Growth retardation, alopecia, pseudo-anodontia, and optic atrophy - the GAPO syndrome:report of a patient and review of the literature. Am J Med Genet. 1984; 19(2): 209-16. doi: 10.1002/ajmg.1320190202

Gorlin RJ, Goltz RW. Multiple nevoid basal-cell epithelioma, jaw cysts and bifid rib: a syndrome. N Engl J Med. 1960; 262: 908-12. doi: 10.1056/NEJM196005052621803

Shapira Y, Borell G, Nahlieli O, Kuftinec MM. Uprighting mesially impacted mandibular permanent second molars. Angle Orthod. 1998; 68(2): 173-8.

Jung YH, Cho BH. Prevalence of missing and impacted third molars in adults aged 25 years and above. Imaging Sci Dent. 2013; 43(4): 219-25. doi: 10.5624/isd.2013.43.4.219

Magnusson C, Kjellberg H. Impaction and retention of second molars: diagnosis, treatment and outcome. A retrospective follow-up study. Angle Orthod. 2009; 79(3): 422-7. doi: 10.2319/021908-97.1

Frank CA. Treatment options for impacted teeth. J Am Dent Assoc. 2000; 131(5): 623-32. 10.14219/jada.archive.2000.0236

McAboy CP, Grumet JT, Siegel EB, Iacopino AM. Surgical uprighting and repositioning of severely impacted mandibular second molars. J Am Dent Assoc. 2003 ;134(11):1459-62. 10.14219/jada.archive.2003.0074

Sawicka M, Racka-Pilszak B, Rosnowska-Mazurkiewicz A. Uprighting Partially Impacted Permanent Second Molars. Angle Orthod. 2007; 77( 1): 148-54. doi: 10.2319/010206-461R.1

Atanasov D. Oral Surgery. Plovdiv: Taf print; 2011.

Shpack N, Finkelstein T, Lai YH, Kuftinec MM, Vardimon A, Shapira Y. Mandibular Permanent Second Molar Impaction Treatment options and outcome. Open J Dent Oral Med. 2013;1(1): 9-14. doi: 10.13189/ojdom.2013.010103

García-Calderón M, Torres-Lagares D, González-Martín M, Gutiérrez-Pérez JL. Rescue surgery (surgical repositioning) of impacted lower second molars. Med Oral Patol Oral Cir Bucal 2005;10(5):448-53.




DOI: http://dx.doi.org/10.14748/ssmd.v3i1.2186

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About The Authors

Deyan Neychev
Medical University of Plovdiv, Faculty of Dental Medicine, Department of Oral Surgery
Bulgaria

Ivan Chenchev
Medical University of Plovdiv, Faculty of Dental Medicine, Department of Oral Surgery
Bulgaria

Dimitar Atanasov
Medical University of Plovdiv, Faculty of Dental Medicine, Department of Oral Surgery
Bulgaria

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