Pulp treatment for young first permanent molars: To treat or to extract?
Article first published online: 23 NOV 2012
2012 © John Wiley & Sons A/S
Volume 23, Issue 1, pages 34–40, September 2010
How to Cite
Chen, J.-W. and Leggitt, V. L. (2010), Pulp treatment for young first permanent molars: To treat or to extract?. Endodontic Topics, 23: 34–40. doi: 10.1111/etp.12002
- Issue published online: 23 NOV 2012
- Article first published online: 23 NOV 2012
- Manuscript Accepted: 12 MAR 2012
- Manuscript Received: 28 NOV 2011
For the young patient population, the first permanent molar (FPM) has an extremely high caries rate. Pulp treatment for such severely decayed teeth may be required. As of today, there is no thorough literature review or systematic review that can guide the clinician when making decisions about extraction with second permanent molar (SPM) substitution, or endodontic treatment of a carious FPM. The purpose of this article is to consider the various options for treatment and to look at the cost-benefit picture with respect to their long-term outcomes. A guideline for comparing options such as orthodontic, endodontic, and restorative procedures is presented. It is further suggested that a large study be conducted to gain information in this important area to more precisely guide practitioners in treatment selection.