Journal of Conservative Dentistry
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Year : 2012  |  Volume : 15  |  Issue : 2  |  Page : 187-190

Management of congenitally missing second premolars in a growing child

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
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Source of Support: None, Conflict of Interest: None

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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