{"title":"儿童第一恒磨牙受损的修复策略：挑战和最佳时机。","authors":"Haojie Yu, Cheng Chen, Qin Shan, Yaoqiong Wang, Mengxin Tian, Qingjing Wang","doi":"10.3290/j.ohpd.c_2175","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate restorative strategies for compromised first permanent molars in pediatric patients, with emphasis on determining the optimal timing for intervention.</p><p><strong>Materials and methods: </strong>A comprehensive literature search was conducted across four electronic databases: PubMed, ScienceDirect, Scopus, and Web of Science. Among the 127 retrieved articles, 42 studies that met the predefined inclusion criteria were incorporated into the analysis.</p><p><strong>Results: </strong>Restoration of compromised first permanent molars can be accomplished through both direct and indirect techniques. Standardized protocols for the management of severely compromised first permanent molars are still lacking.</p><p><strong>Conclusions: </strong>The principal determinants guiding treatment encompass patient cooperation, defect severity, dental developmental stage, pulp status and passive eruption.</p><p><strong>Clinical relevance: </strong>High-quality research is required to establish evidence-based guidelines for the restoration of compromised molars in the pediatric population.</p>","PeriodicalId":19696,"journal":{"name":"Oral health & preventive dentistry","volume":"23 ","pages":"435-446"},"PeriodicalIF":1.4000,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355041/pdf/","citationCount":"0","resultStr":"{\"title\":\"Strategies for Restoration of Compromised First Permanent Molars in Children: Challenges and Optimal Timing.\",\"authors\":\"Haojie Yu, Cheng Chen, Qin Shan, Yaoqiong Wang, Mengxin Tian, Qingjing Wang\",\"doi\":\"10.3290/j.ohpd.c_2175\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To evaluate restorative strategies for compromised first permanent molars in pediatric patients, with emphasis on determining the optimal timing for intervention.</p><p><strong>Materials and methods: </strong>A comprehensive literature search was conducted across four electronic databases: PubMed, ScienceDirect, Scopus, and Web of Science. Among the 127 retrieved articles, 42 studies that met the predefined inclusion criteria were incorporated into the analysis.</p><p><strong>Results: </strong>Restoration of compromised first permanent molars can be accomplished through both direct and indirect techniques. Standardized protocols for the management of severely compromised first permanent molars are still lacking.</p><p><strong>Conclusions: </strong>The principal determinants guiding treatment encompass patient cooperation, defect severity, dental developmental stage, pulp status and passive eruption.</p><p><strong>Clinical relevance: </strong>High-quality research is required to establish evidence-based guidelines for the restoration of compromised molars in the pediatric population.</p>\",\"PeriodicalId\":19696,\"journal\":{\"name\":\"Oral health & preventive dentistry\",\"volume\":\"23 \",\"pages\":\"435-446\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-08-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355041/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Oral health & preventive dentistry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3290/j.ohpd.c_2175\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral health & preventive dentistry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3290/j.ohpd.c_2175","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
摘要
目的：评估儿童患者第一恒磨牙受损的修复策略，重点是确定最佳干预时机。材料和方法：在PubMed、ScienceDirect、Scopus和Web of Science四个电子数据库中进行了全面的文献检索。在检索到的127篇文章中，有42篇符合预定义的纳入标准的研究被纳入分析。结果：第一恒磨牙受损的直接修复和间接修复均可完成。目前尚缺乏第一恒磨牙严重受损的标准化治疗方案。结论：指导治疗的主要决定因素包括患者配合、缺损严重程度、牙体发育阶段、牙髓状态和被动萌出。临床相关性：需要高质量的研究来建立以证据为基础的指导方针，以修复儿童群体受损的磨牙。
Strategies for Restoration of Compromised First Permanent Molars in Children: Challenges and Optimal Timing.
Purpose: To evaluate restorative strategies for compromised first permanent molars in pediatric patients, with emphasis on determining the optimal timing for intervention.
Materials and methods: A comprehensive literature search was conducted across four electronic databases: PubMed, ScienceDirect, Scopus, and Web of Science. Among the 127 retrieved articles, 42 studies that met the predefined inclusion criteria were incorporated into the analysis.
Results: Restoration of compromised first permanent molars can be accomplished through both direct and indirect techniques. Standardized protocols for the management of severely compromised first permanent molars are still lacking.
Conclusions: The principal determinants guiding treatment encompass patient cooperation, defect severity, dental developmental stage, pulp status and passive eruption.
Clinical relevance: High-quality research is required to establish evidence-based guidelines for the restoration of compromised molars in the pediatric population.
期刊介绍：
Clinicians, general practitioners, teachers, researchers, and public health administrators will find this journal an indispensable source of essential, timely information about scientific progress in the fields of oral health and the prevention of caries, periodontal diseases, oral mucosal diseases, and dental trauma. Central topics, including oral hygiene, oral epidemiology, oral health promotion, and public health issues, are covered in peer-reviewed articles such as clinical and basic science research reports; reviews; invited focus articles, commentaries, and guest editorials; and symposium, workshop, and conference proceedings.
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