Pediatric Dentists often face the difficult problem of restoring compromised or malformed first permanent molars in young, developing patients. In some situations, the question is whether to restore or extract.

Learning Objectives:

Define the different malformations and recognize the compromised nature of a first permanent molar when it occurs.
Discuss the factors that determine the extraction decision, including the different methods of restorations, the long term prognosis, and the cost / benefit of restoration vs. extraction.
Demonstrate in clinical detail the extraction approach in Class I, II, III malocclusion cases as well as management of complications.

Young Tze Kuah

Appearances