Management of bilaterally impacted mandibular second and third molars

Background. The authors present an interdisciplinary approach to treating b ilateral impaction of mandibular second molars.; Case Description. A 22-year-old man had a bilateral deep horizontal impacti on of his mandibular second molars. The mandibular third molars lay above a nd parallel to the second molars. After an orthodontic assessment, the auth ors decided to distally upright the third molars, remove them and then orth odontically reposition the second molars if they were not ankylosed, This c ombined orthodontic-surgical approach was successful. Clinical Implications. This case illustrates the importance of strong coope ration among various specialists to establish the optimal comprehensive tre atment plan.