Surgical Management of Bilateral Ectopic Mandibular Second Premolars

Impaction of mandibular second premolars is a relatively common pathology following the impaction of third molars and maxillary canines. However, ectopic displacement let alone bilateral migration of mandibular second premolars is very uncommon. In this case report, a 16-year-old female patient with bilateral intraosseous distal migration of mandibular second premolars -below the impacted third molars- is presented. Management was surgical removal of lower wisdom teeth and the ectopic second premolars bilaterally to avoid a possible cyst formation from the enlarged follicular spaces. Keywords: distal migration, ectopic tooth, mandibular second premolar