Second molar extractions: A review

In this exhaustive review, a number of parameters related to maxillary and mandibular second molar-extractions are discussed. The parameters reviewed include the timing of extractions and the effect of extractions on third molar eruption, posterior interdigitation, and incisor imbrication. The advantages and limitations of this procedure are outlined. The available information strongly suggests that the extraction of second molars relieves crowding in the posterior part of the arch, causes faster eruption of third molars, and diminishes the number of unerupted and/or impacted third molars. Consideration of the decrease in the number of impacted third molars after second molar extraction should be balanced with the fact that the extracted teeth are usually sound and are unimpacted. In addition, the third molars that do erupt frequently are poorly angulated and/or in poor contact with the first molars. This will necessitate an additional “late” period of fixed-appliance therapy to bring these teeth into good occlusion.