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Interceptive extractions for first permanent molars: a clinical protocol

Ashley, P; Noar, J; (2019) Interceptive extractions for first permanent molars: a clinical protocol. British Dental Journal , 227 pp. 192-195. 10.1038/s41415-019-0561-7. Green open access

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Abstract

Treatment planning for compromised first permanent molars (FPM) can be difficult. In this paper, we present a clinical protocol to support decision-making. Interceptive loss of an FPM should be considered: where the restoration required to repair the compromised FPM is likely to be large; if the FPM is compromised because of molar-incisor hypomineralisation (MIH); where orthodontics requiring loss of tooth units is planned; or if third permanent molars (TPM) are present. Planning requires careful assessment of the prognosis of the FPM and 8-10 years is the ideal age to do this. If the prognosis is uncertain, the decision of whether or not to extract can be influenced by the presence or absence of the TPM. If the decision to extract the FPM is made, timing is dependent on whether or not extractions will be required as part of orthodontic treatment.

Type: Article
Title: Interceptive extractions for first permanent molars: a clinical protocol
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41415-019-0561-7
Publisher version: https://doi.org/10.1038/s41415-019-0561-7
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute > EDI Craniofacial and Development Sci
URI: https://discovery.ucl.ac.uk/id/eprint/10081221
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