Guidelines for extractions of First permanent molars in children: To treat or to extract

Abstract

This study was documentary research aimed to studied guidelines for extractions of First permanent molars(FPM) in children and most suitable for the area of ​​community hospital without orthodontist. It was studied in children since the First permanent molars(FPM) erupted into the oral cavity at the age of 6-7 years and was in the mixed dentition stage. Data collection by reviewing literature from local and international journals and the books . Data analysis into topics 1) Development of the first permanent molar. 2) Importance of the first permanent molar. 3) Guidelines for extractions of the first  permanent molar 4) Ideal timing of the first permanent molar extraction. 5) Consequences. The results were as guideline for extractions of First permanent molar in children for general dentist and other specialty dentist, 1) Ideal timeing for extraction in upper arch approximately age 10.5 years and lower arch approximately age 8-9 years with radiography is required to show the second permanent molar development.2)Balancing and Compensating extraction can only be performed in children with type 1 occlusion. For other types of occlusion, refer to the orthodontist. But if you can't do it, you should tell the consequences or give parents additional advice on how to manage the space after tooth extraction