Second molar extration 


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- Photos courtesy of Studio Bazzucchi - www.rxroots.com

From: studio bazzucchi
Sent: Friday, March 30, 2001 5:25 PM
Subject: Second molar extraction

One of my patient, 39 years old has a class II molar on the left side an a
class I molar on the right. (it is not a functional shift)
On the left the second molar (27) has a rooth canal treatment with a crown,
and the hird molar is includedwith a vary nicy parallelism with the first
molar. what do you think as a treatment plan the extraction of the second molar,
distalization of the first molar and let the third erupt.
what type of problem do you see in this treatment plan.




From: dr.reder
Sent: Friday, April 06, 2001 20 53
Subject:Second molar extraction

>what do you think as a treatment plan the extraction of the second molar,
>distalization of the first molar and let the third erupt.

i doubt that, at age 39, the upper left third molar has any erruptive
potential and may, in fact, be ankylosed.

From: Mike Keim
Sent: Thursday, April 05, 2001 08 38

Only having a pan to go on isn't enough; but, I do have one observation I
would like to make.  Is it the lower arch that is deviated to the left
causing the class II molar?  It also appears that the lower midline may be
shifted to the left.  It could be that you have a second and a third molar
on the lower left instead of a first and second.  That would explain the
asymmetry and it appears consistant with the root form of the lower molars.
That does not help you with your question of a treatment plan but is
something to consider the in the whole scheme of things.

Michael Keim,  Fargo, ND



From: Paul M. Thomas
Sent: Wednesday, April 04, 2001 16 27
Subject:Second molar extraction

Studio,

Do you really think the third molar would erupt at age 39?  I suspect the
odds of that occurring are very low.  More likely that the patient will have
a fistula to the third molar once the second molar is removed.  If so, this
will be a hygiene problem which is likely to indicate removal of the third
molar.

Also...in the future when scanning and saving films, I'd suggest limiting
the max dimension to something in the 450 - 500 pixels so the image will
display without having to open it in photoshop or other such programs.

Paul M. Thomas, DMD, MS
Adjunct Associate Professor
Orthodontics and Oral and
Maxillofacial Surgery
UNC School of Dentistry
Chapel Hill, NC