Advances in knowledge and practice benefiting the health and management of first permanent molars in children.

First permanent molars (FPMs) remain the most affected teeth by dental conditions in childhood. Maintaining the health of FPMs should be prioritised by dental professionals. However, if subjected to unfavourable circumstances, FPMs can become compromised and impact the child negatively. In this article, we highlight current thinking and provide practical tips to prevent FPMs from becoming compromised. The importance of including the young person in decision-making and the influence different dental conditions might have on management of FPMs are discussed. Finally, the impact and treatment options available for FPMs should they become compromised are explored, focusing on the main question of whether to restore or extract these teeth.