Uniarch Treatment of a Horizontally Impacted Mandibular Third Molar Using Long-Arm Buccal Tube, Uprighting Spring, and Miniscrew Implant: A Case Report
This article reports a case in which a horizontally impacted wisdom tooth was orthodontically uprighted to replace a missing molar. Through mandibular single-arch treatment utilizing a long-arm buccal tube, uprighting auxiliary spring, and miniscrew implant, the impacted wisdom tooth was successfully uprighted and mesialized to substitute for the missing molar, effectively restoring occlusal function in the edentulous area. Written informed consent was obtained from the patient, and the treatment protocol was approved by the institutional ethics committee.
References
[1]
Apessos, I., Lillis, T., Voulgaris, A., Archontogeorgis, K., Steiropoulos, P. and Dabarakis, N. (2024) Effect of Third Molar Surgery on Sleep Health Parameters of Young Adults: An Observational Study. Medicina, 60, Article No. 858. https://doi.org/10.3390/medicina60060858
[2]
Ghaeminia, H., Nienhuijs, M.E., Toedtling, V., Perry, J., Tummers, M., Hoppenreijs, T.J., et al. (2020) Surgical Removal versus Retention for the Management of Asymptomatic Disease-Free Impacted Wisdom Teeth. Cochrane Database of Systematic Reviews, 2020, CD003879. https://doi.org/10.1002/14651858.cd003879.pub5
[3]
AlHobail, S.Q., Baseer, M.A., Ingle, N.A., Assery, M.K., AlSanea, J.A. and AlMugeiren, O.M. (2019) Evaluation Distal Caries of the Second Molars in the Presence of Third Molars among Saudi Patients. Journal of International Society of Preventive and Community Dentistry, 9, 505-512. https://doi.org/10.4103/jispcd.jispcd_19_19
[4]
Morita, Y., Koga, Y., Nguyen, T.A. and Yoshida, N. (2020) Biomechanical Considerations for Uprighting Impacted Mandibular Molars. Korean Journal of Orthodontics, 50, 268-277. https://doi.org/10.4041/kjod.2020.50.4.268
[5]
Laskin, D.M. and Abubaker, A.O. (2009) Oral and Maxillofacial Surgery Clinics of North America. Current Controversies in Maxillofacial Trauma. Preface. Oral and Maxillofacial Surgery Clinics of North America, 21, ix. https://doi.org/10.1016/j.coms.2009.01.001
[6]
Mello, F.W., Melo, G., Kammer, P.V., Speight, P.M. and Rivero, E.R.C. (2019) Prevalence of Odontogenic Cysts and Tumors Associated with Impacted Third Molars: A Systematic Review and Meta-Analysis. Journal of Cranio-Maxillofacial Surgery, 47, 996-1002. https://doi.org/10.1016/j.jcms.2019.03.026
[7]
Ventä, I., Vehkalahti, M.M., Huumonen, S. and Suominen, A.L. (2017) Signs of Disease Occur in the Majority of Third Molars in an Adult Population. International Journal of Oral and Maxillofacial Surgery, 46, 1635-1640. https://doi.org/10.1016/j.ijom.2017.06.023
[8]
Staderini, E., Patini, R., Guglielmi, F., Camodeca, A. and Gallenzi, P. (2019) How to Manage Impacted Third Molars: Germectomy or Delayed Removal? A Systematic Literature Review. Medicina, 55, Article No. 79. https://doi.org/10.3390/medicina55030079
[9]
Tasanapanont, J., Wattanachai, T., Apisariyakul, J., Pothacharoen, P., Ongchai, S., Kongtawelert, P., et al. (2017) Biochemical and Clinical Assessments of Segmental Maxillary Posterior Tooth Intrusion. International Journal of Dentistry, 2017, Article ID: 2689642. https://doi.org/10.1155/2017/2689642
[10]
Badr, H., Lee, S., Park, H., Ohe, J., Kang, Y. and Ahn, H. (2020) Camouflage Treatment of Posterior Bite Collapse in a Patient with Skeletal Asymmetry by Using Posterior Maxillary Segmental Osteotomy. Korean Journal of Orthodontics, 50, 278-289. https://doi.org/10.4041/kjod.2020.50.4.278
[11]
Li, J., Si, J., Xue, C. and Xu, H. (2024) Seeking Orderness Out of the Orderless Movements: An Up-to-Date Review of the Biomechanics in Clear Aligners. Progress in Orthodontics, 25, Article No. 44. https://doi.org/10.1186/s40510-024-00543-1
[12]
Wu, H., Li, C., Dong, L., Li, X., Li, X., Huang, W., et al. (2025) Biomechanical Analysis on Mandibular Anterior Teeth during Unilateral Mandibular Molar Protraction with Different Movement Patterns: A Finite Element Analysis. BMC Oral Health, 25, Article No. 845. https://doi.org/10.1186/s12903-025-06256-z
[13]
Clark, J.R. and Evans, R.D. (2001) Functional Occlusion: I. A Review. Journal of Orthodontics, 28, 76-81. https://doi.org/10.1093/ortho/28.1.76
