Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, United Kingdom.
Centre for Craniofacial & Regenerative Biology, Department of Orthodontics, Faculty of Dental, Oral & Craniofacial Sciences, King´s College London, London, United Kingdom.
Br Dent J. 2023 May;234(10):731-736. doi: 10.1038/s41415-023-5816-7. Epub 2023 May 26.
Although there have been continuous improvements in child oral health over recent decades, first permanent molars (FPMs) remain susceptible to early caries and can often be affected by hypomineralisation. We highlight current thinking in caries management and the restoration of hypomineralised FPMs, while also discussing enforced loss of these teeth within the context of interceptive extractions or extractions as part of orthodontic treatment. Compromised FPMs can negatively impact on quality of life for a child and present significant management challenges for the dental team. Although a high-quality evidence base is lacking for the different treatment options, early diagnosis and multidisciplinary treatment planning are key to achieving the best outcomes.
尽管近几十年来儿童口腔健康状况不断改善，但第一恒磨牙（FPM）仍易发生早期龋病，并且经常受到矿化不足的影响。我们强调了目前在龋病管理和矿化不足的 FPM 修复方面的思考，同时也讨论了在预防性拔牙或正畸治疗中拔牙的情况下这些牙齿的强制缺失。受损的 FPM 会对儿童的生活质量产生负面影响，并对牙科团队提出重大管理挑战。尽管不同治疗方案的高质量证据基础不足，但早期诊断和多学科治疗计划是实现最佳治疗效果的关键。
