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Disking the newest adjoining maxillary 2nd first molar playing with a good 169 L carbide bur in the high-speed may also alleviate the impaction out of the new permanent replacement 31. The brand new delicate steel cable break up approach try produced from the Levitas inside 1964. It actually was apparently used as the other techniques such as elastic separators was perhaps not introduced yet. Yet not, the fresh softness of the cord are its chief downside and you may written problem from the passage between the second primary molar and the ectopic very first permanent molar 32,33.

Multiple fixed otherwise removable equipment are utilized regarding the distal tipping approach 7,30. Some writers put such devices as well as surgical exposure of your own basic long lasting molar to possess best option of key connection thirty six. The research has centered more about the brand new ectopic emergence away from very first long lasting molars and you will a lot fewer research has claimed the new prevalence away from ectopic second permanent molars 5.

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