Compromised first permanent molars: an orthodontic perspective

The first permanent molar (FPM) is commonly subject to significant compromise which may arise due to caries or endodontic complication, or from developmental anomalies such as hypoplasia. Compromised teeth with questionable prognosis may result in short and long‐term clinical dilemmas. This review a...

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Bibliographic Details
Published in:Australian dental journal 2010-03, Vol.55 (1), p.2-14
Main Authors: Ong, DC‐V, Bleakley, JE
Format: Article
Language:English
Subjects:
Biological and medical sciences
Compromised
Dentistry
Facial bones, jaws, teeth, parodontium: diseases, semeiology
first permanent molar
Humans
Malocclusion - therapy
Medical sciences
Molar - pathology
Non tumoral diseases
orthodontic
Orthodontics, Corrective
Otorhinolaryngology. Stomatology
Serial Extraction
Tooth Diseases - therapy
Tooth Extraction
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Description
Summary:The first permanent molar (FPM) is commonly subject to significant compromise which may arise due to caries or endodontic complication, or from developmental anomalies such as hypoplasia. Compromised teeth with questionable prognosis may result in short and long‐term clinical dilemmas. This review article highlights the factors that require careful consideration when a compromised FPM is detected and the importance of timely FPM extraction. Several clinical cases are described in detail to discuss possible treatment options from the orthodontic perspective.
ISSN:0045-0421
1834-7819
DOI:10.1111/j.1834-7819.2009.01176.x