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This case describes the root resorption of a maxillary first molar due to an impacted maxillary second premolar tooth. The impacted second premolar tooth was surgically removed leaving a compromised first molar tooth. CPD/Clinical Relevance: This case demonstrates the importance of thorough assessment of impacted teeth prior to planned orthodontic extraction. It shows that unerupted maxillary premolar teeth have the potential to damage the permanent molar teeth by resorbing the roots. It is especially important to consider this as a potential complication when extracting teeth for orthodontic purposes.

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