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Dentist’s knowledge on management of first permanent molar with poor prognosis in children

Harun, Nor Asilah and Mohd Padzli, Nurul Fatnin Wahida and Zakaria, Nurul Syahirah (2022) Dentist’s knowledge on management of first permanent molar with poor prognosis in children. In: Compendium of Dental Sciences Research. Kulliyyah of Dentistry, pp. 35-46.

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Abstract

The first permanent molars (FPM) has been identified as the permanent dentition tooth with the highest caries risk and a high prevalence of caries in children. The treatment would be conservative restoration. But when the tooth has become badly carious, unrestorable or non-vital in a developing dentition, it gives a significant challenge to decide whether to save the tooth by doing endodontic therapy or extracting the tooth. Orthodontically, the FPM is rarely the tooth of choice for extraction. However, in an ideal situation, the extraction of FPM will be followed by an eruption of a second permanent molar (SPM) to replace FPM, and the third molar will erupt to complete the dentition. Thus, this study aimed to assess the dentist’s knowledge regarding the management of poor FPM, their treatment choice and the reasons behind their choices. A cross-sectional sample of 17 dentists completed a selfadministered questionnaire covering; knowledge and practice of management of FPM with poor prognosis. Majority of them did not fully understand compensating and balancing extraction and the ideal timing for extracting FPMs. 64.7% believed in saving non-vital FPM in developing dentition rather than extracting them. However, 70% choose extraction to manage unrestorable and badly caries FPM. This indicated that most of the dentists who participated in this study were not aware of the enforced extraction of the FPM and the guideline of management of FPM with poor diagnosis.

Item Type: Book Chapter
Uncontrolled Keywords: dentist, enforced extraction, first permanent molar, poor prognosis tooth
Subjects: R Medicine > RK Dentistry > RK318 Oral and Dental Medicine. Pathology. Diseases-Therapeutics-General Works
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Dentistry > Department of Paediatric Dentistry and Dental Public Health
Depositing User: Dr Nor Asilah Harun
Date Deposited: 02 Dec 2022 11:30
Last Modified: 02 Dec 2022 11:30
URI: http://irep.iium.edu.my/id/eprint/101397

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