PMC4090560_01
Intraoral operative photograph showing second molar partly covered with pericoronal flap partly.
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Clinically, the right mandibular second molar was partly visible (Figure 1).
Intraoral periapical radiograph showing permanent mandibular second molar locked beneath first permanent molar.
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The roots of the second mandibular molar were immature with an open apex (Figure 2) and no resorption facets were detected on the first molar.
Excision of the pericoronal flap with diode laser.
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Under topical anaesthesia the mucosa or the pericoronal flap overlying the second molar was excised, using a diode laser (Figure 3).
Elastic separator placed interproximally.
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Patient was called for review after 3 days (Figure 4).
Intraoral periapical radiograph after 3 days with elastic placed.
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Mild distal movement of the molar was observed (Figure 5).
Posttreatment photograph with permanent mandibular second molar erupted.
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On the second recall visit, elastics were removed as the tooth was upright and free to erupt (Figures 6 and 7).
Posttreatment intraoral periapical radiograph showing erupted permanent mandibular second molar erupted.
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On the second recall visit, elastics were removed as the tooth was upright and free to erupt (Figures 6 and 7).