درمان مولرهاي اول دايمي به شدت تخريب شده با پيش آگهي ضعيف بلندمدت در كودكان : خارج كردن يا نگهداشتن

Treatment of severely decayed first permanent molars with poor long term prognosis in children: to extract or to restore?

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 CI II or CI III malocclusion, consultation with orthodontists is necessary.