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SHORT COMMUNICATION Table of Contents   
Year : 2010  |  Volume : 21  |  Issue : 2  |  Page : 309-310
Bilateral lower second molar impaction in teenagers: An emergent problem?


1 Post Graduation Program Araçatuba Dental School. UNESP- Univ Estadual Paulista, Hospital Israelita Albert Einstein and UNINOVE Dental School, São Paulo, Brazil
2 Department of Oral and Maxillofacial Surgery, Hospital Geral de Vila Penteado SUS/SP., Sao Paulo, Brazil
3 Department of Oral and Maxillofacial Surgery, Air Force Hospital, Sao Paulo, Brazil
4 Department of Pedodontics, School of Dentistry, Universidade, de Sao Paulo, Sao Paulo, Brazil

Correspondence Address:
Elio H Shinohara
Post Graduation Program Araçatuba Dental School. UNESP- Univ Estadual Paulista, Hospital Israelita Albert Einstein and UNINOVE Dental School, São Paulo
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9290.66631

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The frequency of simultaneously impacted second and third molars in teenagers is increasing and becoming a common occurrence in adolescent oral surgery practice. The traditional treatment is the removal of the third molar by conventional access but repositioning of the surgical flap to the distal face of the first molar can predispose to complications such as pericoronitis and delayed healing of the attached gingiva. We present a case in which we use the germectomy approach to remove the impacted third molar for the eruption of the second molar through a vestibular incision. This incision offers excellent bone exposure and exit route for the third molar without disturbing the gingiva attached architecture on the distal face of the first molar providing good healing environment.


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