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Children’s dental treatment requirements of first permanent molars with poor prognosis

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Abstract

Objectives

This retrospective study aimed to (i) survey the correlation between decayed, missing, filled teeth (DMFT), and presence of first permanent molars (FPMs) with poor prognosis and (ii) evaluate the treatment requirements.

Materials and methods

Seven hundred seventy-three children with fully erupted FPMs were included in this study. DMFT for the permanent dentition, FPMs, and Global DMFT were evaluated based on clinical and radiographic evaluation. The ratio of deep dentin caries (DDC) and apical lesion presence among FPMs, including treatment requirements, were analysed. Spearman rank correlation coefficient and t tests were used for statistical analysis.

Results

The caries prevalence was found at 61.4%, where the mean DMFT was calculated as 1.89 ± 2.15. There was a positive correlation between DMFT values and age (rs = 0.27). On the other hand, there was a negative correlation between global DMFT values and age (rs =  − 0.29). Regarding treatment needs of FPM with poor prognosis, 12.03% of the teeth needed pulpectomy, 8.93% pulpotomy, 8.93% pulp capping, and 5.3% extraction. Having higher DMFT values was correlated significantly (p < 0.01) with the presence of DDC (rs = 0.50) and apical lesion (rs = 0.34). Susceptibility to DDC and apical lesions was significantly higher at mandible than maxilla (p < 0.01). The correlation was significant between DMFT values and apical lesion presence (p < 0.01).

Conclusion

The ratio of FPMs with poor prognosis was found high in the study group. Treatment requirements of FPMs increased with age, and pulp interventions often took part in the majority. This study successfully concluded that higher DMFT values were correlated with the presence of DDC and apical lesion.

Clinical relevance

FPMs with poor prognosis demonstrate a risk factor for apical lesion presence.

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Fig. 1

Adapted from Young et al. [65]

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Acknowledgements

We thank our patients who participated in the study.

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Authors and Affiliations

  1. Department of Pediatric Dentistry, School of Dentistry, Altınbaş University, 34147, Istanbul, Turkey

    Aliye Tuğçe Gürcan

  2. Department of Pedodontics, School of Dentistry, Istanbul Medipol University, Istanbul, Turkey

    Merve Bayram

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  1. Aliye Tuğçe Gürcan
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Contributions

ATG conceptualized the manuscript. ATG carried out methodology, MB carried out data analysis. ATG drafted the manuscript, MB edited the manuscript. All authors subsequently revised the drafts. All authors read and approved the final manuscript.

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Correspondence to Aliye Tuğçe Gürcan.

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Ethics committee approval was received for this study from the Ethics Committee of Istanbul Medipol University (REF: 10840098–604.01.01-E.5449).

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Informed consent was obtained from all parents of participants included in the study.

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The authors declare no competing interest.

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Gürcan, A.T., Bayram, M. Children’s dental treatment requirements of first permanent molars with poor prognosis. Clin Oral Invest 26, 803–812 (2022). https://doi.org/10.1007/s00784-021-04059-4

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