Management of Tipped and Impacted Mandibular Second Molars

Management of Tipped and Impacted Mandibular Second Molars

This is a 12Y11M old girl with mesial tipping of left and right mandibular second molars. The chief compliant was crowding of the teeth. The clinical examination revealed crowding of lower anterior teeth, 13, 23 block out and 47, 37 mesial tipping. The diagnosis was Angle Class I malocclusion with lower anterior crowding and 37, 47 mesial tipping. The treatment plan was four 1st premolars extraction. The treatment goal was to align anterior teeth and upright 37, 47. Two different uprighting spring were applied, one was a hand-bending lever arm appliance on the right second molar, and the other was a prefabricated upright spring on the left second molar. Total treatment duration was 4 months for the 37 and 47 uprighting. Correction of the mesial tipped mandibular molars is important for better oral hygiene care, improving occlusion and chewing function, and facilitating the prosthodontic rehabilitation. The aim of this case report was to interpret etiology of the tipped mandibular molars, and to enumerate the treatment options for uprighting of the mesial tipped mandibular molars.