Mandibular second molar impaction is an uncommon finding in clinical practice, affecting roughly 0.03% of individuals. When both sides are involved, the condition becomes even more complex, posing difficulties in diagnosis and management. Correcting the position of these teeth is essential to re-establish a balanced occlusion, protect the surrounding periodontal tissues, and create a favorable environment for future prosthetic rehabilitation. This case report illustrates a simple yet effective biomechanical approach that allows simultaneous uprighting and distal movement of impacted mandibular second molars using a specially fabricated spring. The appliance delivers light, continuous forces that gently guide the teeth into alignment while minimizing anchorage loss. By eliminating the need for temporary anchorage devices or surgical intervention, this method offers a comfortable and conservative treatment alternative, particularly suitable for younger patients. The present report demonstrates how careful planning and a minimalist design can lead to successful clinical outcomes—reminding us that, in orthodontics, genuine innovation often lies in simplicity.

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Mandibular Molar Uprighting and Distalizing Spring

  • Hurkadle Jyothikiran,
  • Miliya Parveen,
  • Saumya Upadhyay,
  • Ganiga Channaiah Shivakumar,
  • Marco Di Blasio,
  • Diana Russo,
  • Vincenzo Ronsivalle,
  • Gabriele Cervino,
  • Giuseppe Minervini

摘要

Mandibular second molar impaction is an uncommon finding in clinical practice, affecting roughly 0.03% of individuals. When both sides are involved, the condition becomes even more complex, posing difficulties in diagnosis and management. Correcting the position of these teeth is essential to re-establish a balanced occlusion, protect the surrounding periodontal tissues, and create a favorable environment for future prosthetic rehabilitation. This case report illustrates a simple yet effective biomechanical approach that allows simultaneous uprighting and distal movement of impacted mandibular second molars using a specially fabricated spring. The appliance delivers light, continuous forces that gently guide the teeth into alignment while minimizing anchorage loss. By eliminating the need for temporary anchorage devices or surgical intervention, this method offers a comfortable and conservative treatment alternative, particularly suitable for younger patients. The present report demonstrates how careful planning and a minimalist design can lead to successful clinical outcomes—reminding us that, in orthodontics, genuine innovation often lies in simplicity.