We present a case of a young male who was referred to our clinic becau
se of a deep caries on the first lower left molar. The patient refused
conservative treatment, and the caries progressed. After 2 years the
first lower left molar had to be extracted. During standard x-ray proc
edures, a deeply impacted second lower left premolar was diagnosed. Th
e boy was followed by our staff, and surgery was performed at proper t
ime to enable eruption of the second lower left premolar. Orthodontic
treatment allowed us to bring the element in a suitable position to pl
ace a provisional Maryland bridge. At a later stage the missing elemen
t (first lower left molar) will be replaced by an osteointegrated impl
ant.