Hello,
I have a 1950s M-fit 50/2.8 Elmar (I think it's a later one as it has a combined feet/metres scale) which had dust under the first element. It took me a while to figure out how to remove it. The trick is that there are *two* rings on the front that need to come off. The first one is a plastic "friction" one, so you need to press down on it quite hard and turn it to remove. I used a small circle of foam (cut from the bottom of an old mouse mat), made sure it was clean and placed that over the ring and front element for protection. Then I used a plastic bottle cap the same diameter as the ring, pressed down hard and turned. Mine needed a bit of effort, but it did come off okay.
The second ring is a metal one that's actually holding the front element in place. It has a couple of notches opposite each other for screwing in and out. I think you're supposed to use a special "double-pointed" screwdriver to get these things out (which I don't have). I ended up strapping a couple of micro screwdrivers together, and the combined width of their handles luckily meant the two points were the correct distance apart to fit into the two notches. Then I *very carefully* applied pressure until the ring came loose. This is obviously a bit of a dodgy stage as a slip could easily lead to a gouged front element...
Once the second ring was off, I gently upended the lens onto a clean lens cloth, so the front element could fall out. If I remember, it's quite a thick bit of glass. There may have been a thin metal ring (a spacer?) under it as well -- it's a while since I did this! But, anyway, with the front element out I was able to clean off the dust and reassemble it quite easily.
I don't know if all these lenses are constructed the same, but that's how mine worked anyway. Hope this information helps, and if you do have a go, be careful!
Cheers,
Ian