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Mandibular second premolars – the wandering minstrel

From Volume 6, Issue 2, April 2013 | Pages 38-43

Authors

Sirisha Ponduri

BDS, MFDS RCS(Eng), DDS, MOrth RCS(Ed), FDS(Orth) RCS(Ed)

Consultant Orthodontist, Queen Alexandra Hospital, Portsmouth, St Mary's Hospital, Isle of Wight and the Spires Cleft Centre, Salisbury, UK

Articles by Sirisha Ponduri

Abstract

This paper presents a series of five cases in which the mandibular second premolars have taken a different path from normal development. The current literature has been reviewed and the management of these teeth described.

Clinical Relevance: It is essential that, as clinicians, we are equipped with the knowledge to be able to make sound clinical judgements based on the evidence available. This paper discusses the aetiology, management and risks to be considered when presented with ectopic or malpositioned mandibular second premolars.

Article

Mandibular second premolars usually erupt between 11 and 12 years of age. They are described as being highly variable in the timing of eruption and developmental position. The most prevalent malposition reported is distal inclination.1 Usually, this disto-angular position corrects as the developing tooth erupts.2 They are one of the last mandibular permanent teeth to erupt and often demonstrate significantly retarded development, especially when at least one permanent tooth is absent.3,4 Owing to its relatively late stage of development, it can become displaced or impacted in crowded arches. Nearly 2% of European population samples have one or both mandibular premolars developmentally absent.5

There are a number of possible outcomes associated with unerupted mandibular second premolars. This paper presents a series of five cases in which the tooth or teeth have taken a different path. The literature has been reviewed and the management of these teeth described.

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