toofache32 said:Endo or extract #20. Maybe take out the lower 3rds to give the 2nds a chance to erupt. The uppers can probably be left alone to give them a chance to erupt a little more, because #1 and 16 are way up there.
Taking out the lower 2nd molars along with the 3rds would be bad because you are setting them up for a mandible fracture assuming you leave them with a lingual cortex and inferior basal bone only. At least taking out the lower 3rds would give the 2nds a chance to move up a little. They may have to eventually come out anyway if they don't erupt.
Are the upper laterals missing? No wonder OMFSRES is so funny looking...it's genetic.
If implant is an option for the lower then I would keep upper 2nds. I second on everything else listed.DcS said:Exract 1, 2, 15, 16, 17, 18, 31, 32. It's fairly obvious you have to extract lower 2nds and 3rds so why keep upper 2nds when they are impacted slightly and even if they did erupt they will oppose nothing (supererupt over time etc).
Finally if he's that motivated 4 2nd molar implants.
Excellent answer.omfsres said:Here's the real answer: Incarcerated = extract #20. Leave the rest of that $hit alone. There's no need to cost the state money required for the OR, the plates and screws and follow up visits. Take a pano once yearly. I don't care if it is my dad.