Ramal TADs for traction and up righting impacted mandibular 2nd and 3rd molars in a 16 year old female patient with Skeletal Class III maxillomandibular relationship: A Unique and rare case report

• Author Details:   
• Parag Vishnu Gangurde
• Harsh Ashok Mishra
• Hitesh Ramdas Sawant ^*
• Ashwini Priyam
• Nityanand Shankar Shetty
• Shashank Sharad Gaikwad

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16 year old female patient having Skeletal Class III maxillomandibular relationship reported with anterior crossbite and impacted 37 and 38. The proximity of roots of 37 and 38 to Inferior alveolar nerve necessitated need for uprighting 37 and 38 and bringing them into occlusion. The decision to defer from extraction of these aforementioned teeth was to prevent any iatrogenic damage to the patient post extraction. Ramal TADs served absolute anchorage for traction and uprighting of these impacted teeth. This case report presents as a myriad of challenges encompassing skeletal class III with impacted 37 and 38 to be uprighted. Thorough planning and meticulous execution of the treatment mechanics helped establish correction of anterior cross bite and sound occlusion with 37 and 38 respectively.

Keywords: Ramal TADs, traction, anterior cross bite, impacted mandibular 2^nd molar, Impacted mandibular 3^rd molar.