CASE REPORT Fig. 29 Fig. 32 Fig. 33 Fig. 30 Fig. 31 Case 3 Involving the Distalization of Impacted Second Permanent Molar Patient is a 15 year old female, intel-lectually delayed with multiple dental issues with partial cooperative behavioral issues who did not allow for a more conventional orthodontic approach. Partially impacted permanent second molar, visible clinical crown after Dr. EE had finalized a gingivectomy Fig. 34 uncovering part of the tooth to allow placement of an orthodontic power button.(Fig. 28) Radiographic image of mesial impaction of perma-nent second molar. (Fig. 29) 34 Winter 2016 JAOS