Kouame Patrice Attogbain1*, Amantchi Daniel1, Kouyate Vazoumana1, Guiguembe Patrice2, N’guessan-Atse Koboh Sylvie2
In certain clinical circumstances, the evolution accident concerns the second mandibular molar (M2) because the eruption of this one coincides with the coronary maturation of the germ of the wisdom tooth (WT) which is completed around 12 years. The objective of this presentation of clinical cases is to argue the various therapeutic options and their implementation according to the clinic, the radiography and the age of the patient. It will be either clinical monitoring or annual X-ray of the evolution and eruption of M2 in children under 12 years old or from a germectomy of the WT at the coronary maturation stage if this germ constitutes an obstacle to the eruption of the second molar in the child after 12 years. The surgical technique will preserve the integrity of M2 or on the contrary will uncover it with the development of a bone window and the discovery of the crown of the tooth. In adults, the tooth having lost its eruptive capacities, the classic extraction of M1 and M2 will be followed by dental re-implantation of M1 or M2 if the orthodontic means are difficult to implement. The results obtained, which are the functional placement of the second molar on the arch, constitute the success of this surgical therapy.
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