IP Indian Journal of Orthodontics and Dentofacial Research (IJODR) open access, peer-reviewed quarterly journal publishing since 2015 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better more...
Author Details :
Volume : 7, Issue : 1, Year : 2021
Article Page : 68-76
Background: The first permanent molar (FPM) is the most caries prone tooth in the permanent dentition. Sometimes early extraction of badly decayed first permanent molars must be considered because of their poor long-term prognosis. This is a complex problem, and there is no consensus in the literature for the treatment management of these children. That is why the pediatric dentist and the orthodontist must work as a team and consider many factors before determining the appropriate treatment method.
Case Report: The aim of this clinical report is to present a complex interdisciplinary treatment approach for an 11-year-old girl with history of early childhood caries and multiple restorations on her permanent upper front teeth and 4 non-restorable first permanent molars.
Conclusion: The compromised teeth were extracted and new stable positions of the second permanent molars were achieved. The future eruption of the third molars will allow this patient to have fully functional dentition with 28 teeth.
Clinical significance: This case illustrates that extraction of all 4 FPM and a careful planed orthodontic treatment can be beneficial to the oral health of young patients if it is done well. Extraction of first permanent molars at a young age is a difficult decision. Therefore, it is recommended that a team of pediatric dentist and an orthodontist plan the treatment together as soon as possible after detection of a compromised FPM.
Keywords: Extraction, First permanent molars, Interdisciplinary treatment, Orthodontic treatment.
How to cite : Angelova L M, Hristov K M, Orthodontic treatment after extraction of non-restorable first permanent molars in early permanent dentition: A case report. IP Indian J Orthod Dentofacial Res 2021;7(1):68-76
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