Management of an Impacted Mandibular Premolar - Case Report

Introduction: Impacted teeth can have a negative impact on the development of the dental arch and can cause problems in the positioning of other teeth, maintaining proper oral hygiene and disrupting the patient's aesthetics. The cause of impaction can be caused by malposition of the tooth or insufficient space for its placement. Impaction of the mandibular second premolar is a relatively rare occurrence. Lower second premolars account for approximately 24% of impactions. In this case report the management and the outcome of the surgical treatment is represented.
Case report: A 16-year-old girl was referred by an orthodontist to an oral surgery clinic for consultation regarding possible extraction of a 45 tooth. The panoramic x ray and CBCT showed contact with the root of 44 and possible resorption of the same tooth. During the planned surgical intervention, we found that there is no resorption of 44 and we decided that tooth 45 should be extracted. The first premolar remained in the dental arch.
Conclusion: Well-planned treatment and proper approach during oral surgery is crucial in the management of impacted premolars.
Key words: impacted premolar, CBCT diagnosis, impacted tooth surgery