Technique to manage simultaneously impacted mandibular second and third molars in adolescent patients.

Simultaneously impacted mandibular second and third molars in adolescent patients with arch space deficiency are an uncommon occurrence that may be encountered in clinical practice. Dealing with this issue is problematic, both in respect to surgical removal and orthodontic treatment. With respect to orthodontic treatment, controversy exists as to which molar tooth to save and which to extract. Each option has its merits and drawbacks. This article addresses our approach to this issue and presents an effective technique to apically reposition the gingival in the posterior segment to enable subsequent bracket bonding and orthodontic treatment in such patients.