Surgical Uprighting of Lower Second Molars

Orthodontic correction of impacted lower second molars is challenging due to the limited access. Both nonsurgical and surgical treatment options have been reported. If the impacted molar is submerged deep below the soft tissue, surgical uprighting provides a safe and efficient solution with minimal tooth morbidity and a good long-term prognosis. Although the technique is most commonly applied to mesially angulated lower second molars, it can be used on other impacted teeth that have limited access or have failed to respond to standard bracket-and-chain methods.