Before
![Image](http://i77.photobucket.com/albums/j60/mjbusch/IMG_20161008_154417.jpg)
![Image](http://i77.photobucket.com/albums/j60/mjbusch/IMG_20161008_154227_1.jpg)
Here are some links for why they need to be aligned.
Unfortunately, given the many therapeutic difficulties posed by second molars, many doctors opt to take the easy
way out and simply ignore them. Personally, since my philosophy of orthodontics was shaped by the teachings of
Charles Tweed, I feel strong twinges of guilt whenever I am tempted to forget about the second molars. The dictum
I heard in Tweed's Tucson course resonates in my mind every time I do an initial exam: You have to consider all 32
teeth. At the ABO preparatory courses I have attended with my graduate students, the board examiners always
report that more ABO failures can be attributed to poor second molar management than to troubles with any other
tooth.
https://www.jco-online.com/archive/arti ... clenum=243
Do you put braces on the second molars? A lot of orthodontists do not align the second molars. It is critical to the
“bite” or occlusion that they be aligned.
http://www.drdonaseely.com/our-office/h ... ntist.aspx
Many practitioners will bond 2nd molars only if deemed necessary when there is a gross malalignment or rotation
affecting the 2nd molar in relation to the 1st molars – often not from the start – and will not bond them otherwise.
However, with a higher percentage of adult patients seeking orthodontics, we often encounter issues such as
inappropriate buccolingual alignment, mesiodistal tip and axial alignment, incorrect root torque, and marginal ridge
discrepancies with the adjacent first molars. All these issues necessitate correction in order to be able to achieve
optimal results.
https://orthonotes.wordpress.com/2015/0 ... t-to-bond/
Lateral incisors and second molars most often lack adequate alignment
https://www.americanboardortho.com/medi ... nation.pdf
https://books.google.com/books?id=0WIHF ... bo&f=false
One method is to take and pass the American Board of Orthodontics (ABO) phase III examination. Those of you
who have accomplished this milestone realize how much you learn about the general quality of your treatment
results when you start searching for cases that will qualify. Some clinicians wish they would have banded or
bracketed those maxillary second molars so that the alignment and occlusal contacts would be perfect. Others
wonder how they could have missed the mar-ginal ridge discrepancies between the molars and the premolars.
http://www.howtomanuals.net/how-good-are-you.html