In adolescents and young people, the first permanent molar has the longest functioning period, comparatively with the other permanent teeth from the molar-premolar region, the actual epidemiological studies evidencing their highest vulnerability to fissural or proximal caries. In the absence of well-established strategies aimed at maintaining these molars on their arches, their precocious extraction is ussually performed, which induces severe occlusal-articulary disequilibria, alteration of the temporo-mandibulary articulation and favorization of various periodontal diseases. Materials and method.
The objective of the present study was to evaluate the odontal status and the level of carious affection and, by the complications thus induced, of the extent of affection of the first permanent molar in young people with ages between 16-20 years, as based on the clinical diagnosis criteria of the dental caries, alongwith the evaluation of its activity according to Nyvad indices. Results. The obtained results show that application of such an evaluation method assures a more complete and correct analysis of the affection extent of the odontal status of the first permanent molar, alongwith racing even the incipient lesions and – consequently – their non-invasive subsequent treatment. Conclusions. A precocious caries diagnosis and, implicitly, a correct evaluation of its activity, represent essential steps for a correct establishment of the main – either invasive or non-invasive – treatment requirements, through remineralization, as part of the carious disease managment, which is perfectly valid for the first permanent molar, as well.
- first permanent molar