First permanent Molars Managemet among Children

Abstract

Tooth loss is a major oral health problem in a population worldwide. There are many reasons for first permanent teeth extractions, such as dental decay, periodontal disease, prosthetic consideration, traumatic injury, orthodontic consideration, failure of endodontic treatment and teeth impaction. The aim of this study is to  determine the first permanent molar extraction and endodontic treatment  that was conducted for  the upper and lower arch of both gender aged  between  (6- 13) years old. The study was performed using the records of all patients who had visited one of the authors at the Paediatric Dentistry Department of Alma’amoon Specialised Dental Centre during the period from 2020 to 2022. The study sample will determine the patient who had endodontic treatment or extracted permanent first molars.  Age range 6 to 13 years. The data collected from the patients’ records were statistically tested using descriptive statistics. About 1732 children aged 6-13 years old, included in this study, all of them attended the health centre complaining of their first permanent molar. 821 of them were treated by either extraction or root canal treatment. Extraction and root canal treatment in the age group (10-13), female and lower jaw is higher than in the age group (6-9), male and upper jaw, respectively. Most children with serious problems in the first permanent molar may be related to neglected periodic dental visits, fear, and anxiety of the child from dental injections, or the guardians not knowing about the eruption of the permanent molar at all. Elevated chance of first permanent molar teeth pulp involvement