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Article: Volume 15 Number 3 Page 149 - July 2022

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  Orthodontic Update 59: 149-151

Orthodontics:  When Doing Nothing is an Option: Self-correction of an Impacted Mandibular Second Premolar

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Abstract: This case presents a rare example of self-correction of a deeply impacted mandibular second premolar (LR5) in a medically fit 14-year-old male patient, referred in 2017 regarding a retained deciduous lower right second molar (LRe). CBCT imaging highlighted that the origin of the ID canal was in direct contact with the inferior buccal aspect of the LR5 root apex. The decision was made to monitor the patient in 2 years. In the meantime, the dentist extracted the retained LRe as it was seen to be erupting on routine bitewing imaging. At his review appointment, the LR5 had spontaneously erupted.

Clinical relevance: To highlight the potential benefit of monitoring eruption in the event that high-risk surgery is the alternative option and involving the patient in the decision making.

Author notes: Glenda Aruede, BDS(Lond), MSc(Primary Dental Care), MJDF RCS(Eng), Clinical Fellow in Oral and Maxillofacial Surgery; Nasreen Yaqoob, BDS(Wales), MFDS(Eng), MScD(Wales), MOrth(Edin), FDS(Orth) RCS, Consultant Orthodontist; Keith Smart, BDS, FFD RCS(Ire), Oral Surgery Consultant; Oral and Maxillofacial Department, Prince Charles Hospital, Merthyr Tydfil, Wales. email: glenda.aruede@nhs.net

Objective: The reader should understand that although self-correction of impacted teeth is rare, doing nothing can be an option.

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