@article{article_1616457, title={A Pedodontic Approach to Second Premolar Agenesis in Children}, journal={Journal of Advanced Research in Health Sciences}, volume={8}, pages={123–131}, year={2025}, DOI={10.26650/JARHS2025-1616457}, author={Keskin, Mine and Kasımoğlu, Yelda}, keywords={Hypodontia, congenital missing teeth, second premolar}, abstract={Tooth agenesis is a very common craniofacial malformation in humans. Second molar agenesis is the most common condition after third molar agenesis. Second premolars play an important role in maintaining occlusion, and their absence may cause various problems. Various treatment alternatives are applied in the presence of retained deciduous second molars and congenital second premolar agenesis: Preservation and restorative treatment of the deciduous second molar, spontaneous space closure by extraction of the deciduous second molar before the eruption of the first molar, space closure with controlled slicing and hemisection of the deciduous second molar, orthodontic space closure following extraction of the deciduous second molar, autotransplantation, implant replacement, conventional fixed bridge and resinbonded bridge. It is critical to choose the treatment plan that will give the best results in the long term. During treatment planning, various factors such as the condition of the deciduous second molar, the age of the patient, the space requirement for correction of the malocclusion, the facial profile, the patient’s treatment preference and the duration of treatment should be taken into consideration. In this review, treatment planning for second premolar agenesis will be analysed, focusing on various strategies to ensure optimal oral health and function.}, number={2}, publisher={Istanbul University}