Q & A with Dr. JJ - 2
Channel: Jarod W. Johnson D.D.S.
Date: 26/01/2023

Should we remove permanent first molars even if there isn't a third molar?

A colleague reached out to me asking my thoughts on this case.  Severely broken down hypoplastic first molars with the absence of third molars (at this time).  Typically I will look at the long term prognosis of the tooth.  The only three prognosis that will hold up in court are 1) favorable 2) unfavorable 3) questionable.

If I feel the prognosis of the first molar is favorable we will save the tooth.  In this case the prognosis is unfavorable.  So I have no hesitation on removing the maxillary first permanent molars.  It will save the child from extensive endodontic therapy, a crown, and future maintenance of a sick tooth.

Have a question for me?  Send me a DM.  What are your thoughts on this case?  Am I wrong?