Abstract
Decision-making in the Management of Badly Decayed First Permanent Molars in Children and Adolescents
Highlights
The first permanent molar (FPM) is important for the development of normal occlusion
The vast majority of the respondents recommended a more conservative treatment such as a protective liner, and indirect pulp capping, for the first clinical scenario
Vitality and exposure of the pulp, are considered additional clinical factors that affect the process of decision making for the management of badly decayed FMP
Summary
The first permanent molar (FPM) is important for the development of normal occlusion. It erupts early into the oral cavity with little nutrition as it is still maturing, and so it is subjected to decay more often than the rest of the teeth [1]. While in the United States (1980s) 50–60% of the FPM occlusal surfaces were decayed or restored by the age of 11–12 years. Whereas in Saudi Arabia, studies have revealed that the point prevalence of dental caries in FPM was recorded to be 66.4% with an average DMFT of 2.74 ± 1.18 concurrent with the finding that the prevalence increases consistently as age increased [6,7,8]
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