It is very sad for the patient (and the dentist) when first molar teeth have to be extracted. These teeth are extremely important to ensure a proper bite when the child is older. However there are certain times when extraction is better than keeping the tooth.
I normally suggest that prior to extractions, it is best to consult the orthodontist for an opinion too. This is because once the teeth are extracted, the orthodontist may need to plan for the second molar teeth eruption and also to treat any issues with crowding or bite problems earlier on. The orthodontist may also need to assess your child’s jaw bone growth.
Good luck!