First Permanent Molars: The Necessity of Prophylactic Care in Childhood

Introduction : The first permanent molar plays a key role in determining and maintaining vertical facial dimensions, as well as in the digestion of food. This tooth is also essential for the aesthetic aspects of the maxillofacial region. Studies have established that the first permanent molar is among the teeth most frequently affected by caries. Aim: The aim of this study is to emphasize the necessity of prophylactic care for first permanent molars in children, by taking into consideration their functional significance in mixed and permanent dentition. Materials and Methods: Children aged 9 to 10 years participated in the study. An inquiry, epidemiological indicators for caries, and clinical indices for evaluating gingival tissue were used. Results: Patients with periodontitis affecting the first permanent molar and a high risk of caries require prolonged complex therapy. For children with asymptomatic pulpitis of the first permanent molar and moderate caries risk, a biological method of treatment is applicable. Conclusion: The lack of primary prophylaxis for first permanent molars is associated with the need for secondary and tertiary prophylaxis later.