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Case 2

Multiple Problems

Presentation:

  • Impaction of lower second premolars (LR5 LL5).
  • All first molars to be extracted as very decayed/broken down.
  • All wisdom teeth presented but impacted due to lack of space.
  • Congenitally missing one lower incisor.

Treatment:

  • Surgical exposure of LR5 LL5 and placement of attachments.

Fixed appliances:

  • (A) To bring LR5 LL5 through.
  • (B) Close all spaces and eliminate need for 4 implants.
  • (C) Space provided for natural eruption of all wisdom teeth into function.
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