Orthodontic Treatment of Second Premolar Impaction : A Case Report

Abstract

Second premolar impaction is one of the most frequently impacted tooth. In selecting an appropriate treatmentoption, several factors should be considered. Unerupted premolar can be treated by either surgical removal or exteriorization. This paper report an 11 year old girl with chief complaint of second premolar impaction, severe crowding and protruded upper anterior teeth. Clinical examination revealed that maxillary and mandibular left second premolar were impacted. A conventional orthdontic fixed appliance was used to create space for second premolar eruption. Once adequate space was create, the second premolar erupted spontaneously without applying any force. Spacemaintaining is the key to successful of these case. Improved occlusion, smile, facial esthetics and improved psycho-social confidence were achieved.