Management of Severe Pre-eruptive Caries in First Permanent Molar: A Case Report

Abstract

Introduction: The study aimed to discuss the diagnosis and treatment of a six years old boy with severe pre-eruptive caries with preservation of pulp vitality after surgical exposure in the permanent mandibular molar. Pre-eruptive intra coronal caries are often an accidental lesion as a radiolucent finding in the coronal dentin of a tooth which did not erupted into the oral space. However, treatment modality is still not reported systematically. Case Presentation: The preventive approach effectively preserved the tooth vitality with no symptoms, while normal root development is processing during follow-up sessions. Conclusions: Accurate radiographic examination in visit and follow up sessions is fundamental for proper detection and intervention in pre-eruptive caries lesions.