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:: Volume 23, Number 4 (Winter 2006) ::
J Dent Sch GYEAR__, 23(4): 628-635 Back to browse issues page
Treatment of severely decayed first permanent molars with poor long term prognosis in children: to extract or to restore?
Corresponding Author: Dr. Massoud Fallahinejad Ghajari *, Dr. Shiva Razavi
Associate Prof. , ma_fa_36@yahoo.com
Abstract:   (8580 Views)
Background & Aiim: First permanent molars play key role in the dentition. Because of deep occlusal fissures from one hand, and the neglect of their presence in the mouth by child and parents from the other hand, they are affected by cariogenic agents more than any other tooth, which results in extensive caries, followed by extensive fillings with recurrent caries in some cases, and sometimes, their conditions are so that causes pulpal involvement or abscess, and make the treatment difficult. These condition cause a poor prognosis for first permanent molar and put into consideration their restoration or extraction.

This article with the aid of available references, assesses the details of the possible conditions involved in decision on restoration or extraction of first permanent molar with poor term long prognosis. In general, the ideal time for extraction is between the ages of 8.5 – 10.5 years old and from developmental aspect, beginning of the beginning root formation of second permanent molar and Cl I occlusion with mild crowding. In the cases of Cl II or Cl III malocclusion, consultation with orthodontists is necessary.

J Dent Sch 2006 23(4): 16 

Keywords: First permanent molar, Poor prognosis, Extraction
Full-Text [PDF 162 kb]   (1168 Downloads)    
Type of Study: Reviewed Article | Subject: Special
Received: 2006/09/6
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Fallahinejad Ghajari M, Razavi S. Treatment of severely decayed first permanent molars with poor long term prognosis in children: to extract or to restore?. J Dent Sch. 2006; 23 (4) :628-635
URL: http://jds.sbmu.ac.ir/article-1-38-en.html
Volume 23, Number 4 (Winter 2006) Back to browse issues page
مجله دانشکده دندانپزشکی دانشگاه علوم پزشکی شهید بهشتی Shahid Beheshti University Dental Journal
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