| CASE REPORT |
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| Year : 2012 | Volume
: 15
| Issue : 2 | Page : 187-190 |
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Management of congenitally missing second premolars in a growing child
Padmanabh Jha1, Mesha Jha2
1 Department of Conservative Dentistry and Endodontics, Subharti Dental College, Meerut, Uttar Pradesh, India
2 Demonstrator, Subharti Dental College, Meerut, Uttar Pradesh, India
Correspondence Address:
Padmanabh Jha
Department of Conservative dentistry and Endodontics, Subharti Dental College, Subhartipuram, National Highway 58, Delhi Haridwar Byepass, Meerut - 250 002, Uttar Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-0707.94577
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The second premolars have the highest incidence of congenital absence, after the third molars. The problem resides not in the prevalence of congenitally missing premolars but in the selection of a treatment plan that will yield the best results over the long term. The present study reports a case of a 14 year old female patient with bilaterally congenitally missing second mandibular premolars with associated crowding of teeth. The case has been managed using a multi-speciality approach, in which both deciduous mandibular second molars were sectioned and the distal half retained. The retained half was prepared to receive a full coverage restoration which was contoured as a premolar. The space created was then utilized to correct the crowding by fixed orthodontics. A two year follow up shows retained distal half of the deciduous mandibular second molar with correction of crowding and space closure. |
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