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Restorative dentistry clinical decision-making for hypodontia: retained primary molars

Abstract

Primary molar teeth that are retained beyond their exfoliation pose a clinical decision-making challenge for dental teams. The retention of these teeth may be due to absence of a permanent successor. As a result, careful planning is required to determine if retention or extraction is necessary. This article aims to discuss the prevalence of retained primary molars, assessment and treatment planning considerations, from both orthodontic and restorative perspectives.

Key points

  • Describes prevalence of retained primary molars and assessment parameters of these teeth.

  • Explains considerations for retaining primary molars and methods of utilisation.

  • Explains considerations for extraction of primary molars and consequences if retained, such as infraocclusion.

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Nimit J. Patel, Hannah P. Beddis, Harmeet K. Dhaliwal, Kathryn Durey and Cian Lowney all contributed equally.

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Correspondence to Nimit J. Patel.

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J. Patel, N., P. Beddis, H., K. Dhaliwal, H. et al. Restorative dentistry clinical decision-making for hypodontia: retained primary molars. Br Dent J 235, 477–482 (2023). https://doi.org/10.1038/s41415-023-6318-3

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