Maxillary first permanent molar impaction. A conservative treatment approach
Susana Maria Deon Rizzatto MSc / Luciane Macedo de Menezes PhD, MSc / Marcus Vinicius
Neiva Nunes do Rego MSc /Guilherme Thiesen MSc / Vanessa Pereira de Araujo /
Maria Perpétua Mota Freitas MSc

The objective of this clinical case is to suggest a treatment approach for impaction of the maxillary first permanent molars. This approach allows access to the partially erupted tooth for orthodontic bonding and utilization of loops for distalization. An important detail is the non inclusion of the primary second molar in the orthodontic mechanics, in order to reduce the risk of early loss and preserve this tooth until exfoliation.