Sabuncuoglu Fidan Alakuş, Sencimen Metin, Gülses Aydin
GATA Dental Sciences Center, Orthodontics Department, Etlik, Ankara, Turkey.
Quintessence Int. 2010 Oct;41(9):725-9.
A 16-year-old girl was referred for surgical-orthodontic treatment with the chief complaint of an unerupted mandibular left second molar. With the exception of this molar, the patient had a fully erupted permanent dentition. A panoramic radiograph showed a horizontally impacted mandibular left second molar beneath a mesially impacted third molar. A surgical approach was used to upright and reposition the impacted second molar. When a molar is severely impacted, surgical uprighting may provide a viable option when other treatment modalities are contraindicated. This case shows an example of successful use of a surgical approach for uprighting and repositioning an impacted molar. The impacted molar was moved into its proper position with surgical exposure, after which it showed good stability.
一名16岁女孩因下颌左侧第二磨牙未萌出而被转诊接受外科正畸治疗。除了这颗磨牙外，患者恒牙已全部萌出。全景X线片显示，下颌左侧第二磨牙水平阻生，位于近中阻生的第三磨牙下方。采用手术方法将阻生的第二磨牙直立并重新定位。当磨牙严重阻生且其他治疗方式禁忌时，手术直立可能是一种可行的选择。本病例展示了成功使用手术方法直立和重新定位阻生磨牙的示例。通过手术暴露将阻生磨牙移动到合适位置，之后其显示出良好的稳定性。
