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Updated: Sep 12, 2025
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Published on: April 13, 2022
Strategies for Restoration of Compromised First Permanent Molars in Children: Challenges and Optimal Timing
Purpose:
To evaluate restorative strategies for compromised first permanent molars in pediatric patients, with emphasis on determining the optimal timing for intervention.
Materials And Methods:
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.
Results:
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.
Conclusions:
The principal determinants guiding treatment encompass patient cooperation, defect severity, dental developmental stage, pulp status and passive eruption.
Clinical Relevance:
High-quality research is required to establish evidence-based guidelines for the restoration of compromised molars in the pediatric population.
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