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<p>Impacted mandibular molars often caused by locking of the adjacent teeth, lack of space and many other reasons. Surgical extraction used to be the first choice in treating the severely impacted molars. In this article, firstly a horizontally impacted mandibular first molar and a mandibular second molar were diagnosed radiographically. By surgical crown exposure, combined with elastic traction, the teeth can be pulled occlusally into proper position. However, a thorough observation to control the position of the impacted molars during traction is still necessary.</p>