Temporary and permanent teeth erupt on arches with a certain sequentially. Often, the hygiene of temporary units is neglected because it is known that they are baby teeth that will be replaced at some point.

Proper management of these teeth, should they get damaged, can prevent long-term dental complications and problems.

In this article, we will discuss the management of the 6-year-old molar, including the diagnosis, treatment and prevention of conditions of this tooth.

Caring for temporary teeth is beneficial for the health of permanent teeth and to remove any cause of discomfort or pain for the little patient.

Complications that can occur with temporary teeth include:

  • Early decay – the attack of acids found in foods, especially sweet and sticky ones initiate the carious processes in children. Through coronal destruction and dentine damage, pain occurs which will prevent the child from eating properly and carrying out age-specific activities.

  • Pulpal complications – carious processes that advance to the root of the tooth, seed it bacterially and thus, through the dental apex, diffuse to the permanent teeth, which lie immediately below the temporary ones.

  • Premature loss of dental units – due to trauma or extensive carious processes in surface and depth, temporary teeth will be an indication for extraction.

If the bud of the permanent tooth is not fully formed and its age of eruption is not adequate, the place on the arch remains empty. Over time, through the migration of the teeth that limit the edentulous gap, the space for the permanent tooth will be occupied and its eruption will not be possible. This is how dental inclusions, malposition or root resorption occur, due to the tooth no longer having the necessary space for eruption.

The six-year-old molar is the first of the series of molars to erupt at the level of the arches. Its name indicates the age at which eruption occurs. It is an early age and many parents do not realize that it is a permanent tooth and not a temporary one.

Because of this, confusion often arises and treatment of carious lesions at this level is delayed.


The six-year-old molar has some features that make it more difficult to detect carious lesions:

  • It has a posterior location in the dental arches – in the incisors, any abnormality of position, shape or carious process are detected early due to visibility during all functional acts. On the other hand, the six-year molar is a tooth located more posteriorly, at the level of the lateral areas of the arches. Thus, its visibility is diminished.

The child’s oral cavity has a reduced size, consistent with age. Because of these characteristics, the six-year-old molar is frequently neglected in the case of lesions that do not produce painful symptoms.

  • The occlusal surface has numerous fossae and grooves, with a complex morphology. As a consequence of this characteristic, food retention is favored, with secondary development of carious lesions. Also, this sharp relief may hide carious lesions, which will develop unhindered, advancing towards the dentine depth.

  • Fragile enamel structure – in the early years after the teeth erupt on the arch, the enamel is not fully mineralized, so susceptibility to acid attack is increased.


Diagnosis of 6-year molar disease can be made by clinical and radiographic examination.

Some of the common conditions of this tooth are dental caries, enamel hypoplasia, dental fractures or dental pulp disease. Therefore, it is important for parents and the dentist to monitor the child’s dental health and seek medical attention when symptoms such as pain, sensitivity or tooth discoloration occur.

Treatment In română e scris gresit Tartament

The treatment decision for the six-year-old molar is a complex and widely debated one.

The tooth affected by pathological processes can be preserved, extracted or its remnant on the arch can be temporized.

The decision will depend on the conditions in the oral cavity and the degree of destruction of the tooth.

The 6-year-old molar is an important tooth in the child’s oral cavity, which can influence the later development of the permanent dentition.

Treatment of the 6-year-old molar can vary depending on the type and severity of the condition.

In the case of tooth decay, treatment may consist of removing the decay and filling the tooth with a filling material. In the case of dental fractures, treatment may consist of repairing the tooth or extracting it, depending on the severity of the lesion.

In the case of dental pulp disease, treatment may consist of removing the affected tissue and performing root canal treatment.


Prevention of 6-year-old molar disease is important for maintaining your child’s dental health.

It is therefore recommended that parents encourage their child to practice regular oral hygiene, including brushing and flossing, avoid sugary foods and drinks, and visit the dentist regularly for dental examinations and cleanings.

Conclusion In română e scris gresit Conculzie

In conclusion, proper management of the 6-year-old molar can prevent long-term dental complications and problems. Early diagnosis and treatment of conditions of this tooth are important for maintaining your child’s dental health. In addition, prevention of 6-year-old molar disease through regular oral hygiene and healthy eating can reduce the risk of dental disease and promote a healthy oral cavity in the long term.

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