Yu Haojie, Chen Cheng, Shan Qin, Wang Yaoqiong, Tian Mengxin, Wang Qingjing
Oral Health Prev Dent. 2025 Aug 8;23:435-446. doi: 10.3290/j.ohpd.c_2175.
To evaluate restorative strategies for compromised first permanent molars in pediatric patients, with emphasis on determining the optimal timing for intervention.
A comprehensive literature search was conducted across four electronic databases: PubMed, ScienceDirect, Scopus, and Web of Science. Among the 127 retrieved articles, 42 studies that met the predefined inclusion criteria were incorporated into the analysis.
Restoration of compromised first permanent molars can be accomplished through both direct and indirect techniques. Standardized protocols for the management of severely compromised first permanent molars are still lacking.
The principal determinants guiding treatment encompass patient cooperation, defect severity, dental developmental stage, pulp status and passive eruption.
High-quality research is required to establish evidence-based guidelines for the restoration of compromised molars in the pediatric population.
评估小儿患者中受损第一恒磨牙的修复策略，重点是确定最佳干预时机。
在四个电子数据库（PubMed、ScienceDirect、Scopus和Web of Science）中进行了全面的文献检索。在检索到的127篇文章中，42项符合预定义纳入标准的研究被纳入分析。
受损第一恒磨牙的修复可通过直接和间接技术完成。目前仍缺乏针对严重受损第一恒磨牙的标准化治疗方案。
指导治疗的主要决定因素包括患者合作情况、缺损严重程度、牙齿发育阶段、牙髓状况和被动萌出。
需要高质量的研究来建立基于证据的小儿人群受损磨牙修复指南。
