Introduction: The first permanent molar plays a key role in determining and maintaining vertical facial dimensions, as well as in the digestion of food. This tooth is also essential for the aesthetic aspects of the maxillofacial region. Studies have established that the first permanent molar is among the teeth most frequently affected by caries.
Aim: The aim of this study is to emphasize the necessity of prophylactic care for first permanent molars in children, by taking into consideration their functional significance in mixed and permanent dentition.
Materials and Methods: Children aged 9 to 10 years participated in the study. An inquiry, epidemiological indicators for caries, and clinical indices for evaluating gingival tissue were used.
Results: Patients with periodontitis affecting the first permanent molar and a high risk of caries require prolonged complex therapy. For children with asymptomatic pulpitis of the first permanent molar and moderate caries risk, a biological method of treatment is applicable.
Conclusion: The lack of primary prophylaxis for first permanent molars is associated with the need for secondary and tertiary prophylaxis later.
Agrawal SK, Bhagat T, Shrestha A. Dental Caries in Permanent First Molar and Its Association with Carious Primary Second Molar among 6-11-Year-Old School Children in Sunsari, Nepal. Int J Dent. 2023 Mar 21;2023:9192167. doi: 10.1155/2023/9192167.
Alisha Gadhia, Tom Pepper. Oral Surgery, Extraction of Teeth. Last Update: June 1, 2023.
Amal H. Abuaffan, Samah Hayder, Aml A. Hussen, Tibyan A. Ibrahim. Prevalence of Dental Caries of the First Permanent Molars among 6-14 Years Old Sudanese Children. Indian Journal of Dental Education Volume 11 Number 1, January - March 2018. DOI: https://dx.doi.org/10.21088/ijde.0974.6099.11118.2
Bin Cai, Xiao-Guang Zhao. Molar and Incisor Positioning to Achieve Occlusal and Esthetic Objectives. Chapter 10. Pocket Dentistry.
C. Ç. Ertuğrul, H. Özbey, A. İ. Gün. Early extraction of the first permanent molars: a five-year follow-up study. European Journal of Paediatric Dentistry vol. 23/2-2022. P. 111-115; DOI: 10.23804/EJPD.2022.23.02.04.
Chapter 5/ Morphology of Permanent Molars. P. 120-163.
Chaves JC, Santos TR, Marsillac MWS, Alexandria A, Fidalgo TKS. Assessment of dental caries and intervention in the first permanent molars of Brazilian children. Pesqui Bras Odontopediatria Clín Integr. 2021; 21:e0010. https://doi.org/10.1590/pboci.2021.152
Chouchene F, Masmoudi F, Baaziz A, Maatouk F, Ghedira H. Clinical status and assessment of caries on first permanent molars in a group of 6- to 13-year-old Tunisian school children. Clin Exp Dent Res. 2023 Feb;9(1):240-248. doi: 10.1002/cre2.676. Epub 2022 Oct 20.
Dhaimy, S., Bedida, L., Merini, H.E., & Benkiran, I. (2019). External and Internal Root Canal Anatomy of the First and Second Permanent Maxillary Molars. Human Teeth - Key Skills and Clinical Illustrations.
Frazão P. Emergence of the first permanent molar in 5-6-year-old children: implications from a longitudinal analysis for occlusal caries prevention. Rev Bras Epidemiol. 2011 Jun;14(2):338-46. English, Portuguese. doi: 10.1590/s1415-790x2011000200014.
https://www.anatomystandard.com/ossa-et-juncturae/cranium/dentes-permanentes.html
Jetpurwala AM. A Commentary on the First Permanent Molar in Children and its Importance. RRJ Dent Sci. 2023;11:003.
Lakhani S, Noble F, Rodd H, Cobourne MT. Management of children with poor prognosis first permanent molars: an interdisciplinary approach is the key. Br Dent J. 2023 May;234(10):731-736. doi: 10.1038/s41415-023-5816-7. Epub 2023 May 26.
Liu M, Xu X, Song Q, Zhang H, Zhang F and Lai G (2022) Caries prevalence of the first permanent molar and associated factors among second-grade students in Xiangyun of Yunnan, China: A cross-sectional study. Front. Pediatr. 10:946176. doi: 10.3389/fped.2022.946176.
Nayab H, Shinwari NA, Alikozai N, Sekandari A, Sahebi S, et al. (2024) The Prevalence Of Dental Caries In 1st Permanent Molar Teeth Among Teenage Boys And Girls At FMIC Hospital, Kabul, Afghanistan: An Observational Study. J Comm Med and Pub Health Rep 5(07) https://doi.org/10.38207/JCMPHR/2024/APR05070249
Nazir, A., Asghar, F., Akram, S., Haider, E., Rana, S. A., Khan, M. A., & Kashif, M. Factors Associated with Frequency of the First Permanent Molar Caries in Young Children of Multan District, Pakistan. J Dent Indones. 2019;26(2): 70-74
Nelson S, Ash M. Wheeler's Dental anatomy, physiology and occlusion. 9th ed. Elsevier, 2010, p.1.
Noueiri BE, Aboujaoude S. Treatments Performed on First Permanent Molars in a Sample of Lebanese Children: A Five-Year Retrospective Analysis. Mater Sociomed. 2022 Sep;34(3):211-215. doi: 10.5455/msm.2022.34.211-215.
Pizzo, G.; Matranga, D.; Maniscalco, L.; Buttacavoli, F.; Campus, G.; Giuliana, G. Caries Severity, Decayed First Permanent Molars and Associated Factors in 6–7 Years Old Schoolchildren Living in Palermo (Southern Italy). J. Clin. Med. 2023, 12, 4343. https://doi.org/10.3390/jcm12134343
Prevention and Management of Dental Caries in Children. Scottish Dental Clinical Effectiveness Programme. ISBN: 9781905829323. First published 2010. Second Edition published 2018.
Que L, Jia M, You Z, Jiang LC, Yang CG, Quaresma AAD, das Neves EMAA. Prevalence of dental caries in the first permanent molar and associated risk factors among sixth-grade students in São Tomé Island. BMC Oral Health. 2021 Sep 28;21(1):483. doi: 10.1186/s12903-021-01846-z.
Rasmia Huew, Majda Elfseyie, Rogaia Alaskandrani, Saied Elsenussi, Sukaina Elsheibani. A comparative study on dental caries incidence of the first permanent molars between two age groups children in Benghazi, Libya. Int J Appl Dent Sci 2020;6(3):227-231. DOI: https://doi.org/10.22271/oral.2020.v6.i3d.958.
Stoica, S.N.; Nimigean, V.; Vîrlan, M.J.R.; Nimigean, V.R. The Pathology of the First Permanent Molar during the Mixed Dentition Stage—Review. Appl. Sci. 2023, 13, 483. https://doi.org/10.3390/app13010483.
Thapaliya B, Gautam S, Chaudhari SM, Shrestha D, Paudel S, Lamichhane P, Chaudhary GK. Prevalence of dental caries on permanent first molars among children of age group 6-14 years. Journal of Chitwan Medical College.2023;13(46):87-89.
Urvasizoglu, G.; Bas, A.; Sarac, F.; Celikel, P.; Sengul, F.; Derelioglu, S. Assessment of Permanent First Molars in Children Aged 7 to 10 Years Old. Children 2023, 10, 61. https://doi.org/10.3390/children10010061.
Zamzam R. and Kouchaji C. (2021) Management of Early Loss of first Permanent Molar in Adolescent. Clinical Medical Reviews and Reports 3(5); DOI:10.31579/2690-8794/077.
