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Case DentalDate

Treatment of Permanent Molar Decay in an 8-Year-Old Child

An 8-year-old patient came to our clinic with complaints of brief pain when eating sweets in the lower jaw area. Upon clinical examination and diagnostics, we identified decay in the first permanent lower molar (tooth 36) — one of the key chewing teeth, which usually erupts around the age of 6 and plays a vital role in forming the bite.

Dr. Anastasiia Mordanova
Dr. Anastasiia Mordanova

Pediatric dentist/ General Dentist

Why is this important?

Permanent molars erupt early but do not get replaced — they are “for life.” That’s why protecting them and treating any issues in time is crucial. In children, cavities tend to progress faster than in adults due to the structure of the enamel and challenges with maintaining proper hygiene.

Diagnosis

Treatment Steps

  1. Anesthesia – gentle and effective local anesthesia was used, appropriate for the child’s age.
  2. Rubber dam isolation – to protect the tooth from saliva and bacteria during treatment.
  3. Removal of decayed tissue – carefully done to preserve as much healthy tooth structure as possible.
  4. Filling – a modern composite material was used, mimicking the natural anatomy of the tooth and resistant to chewing forces.
  5. Finishing and polishing – to create smooth transitions, prevent plaque buildup, and restore proper bite function.
  6. Parental guidance – provided with instructions on oral care, diet, and preventive measures.

Prevention

To protect the remaining permanent molars, we recommended: