The purpose of this study was to establish the tooth extraction needs of deciduous teeth, as well as their relationship with age and gender. This study was designed as a descriptive-analytic retrospectively. Only 529 children met our criterion, which was drawn from children's dental records at the USU Dental Hospital in 2019-2020. The Pearson Chisquare Test was utilized for the analysis. The descriptive statistics were carried out using SPSS (version 21.0) with a pvalue of <0.05 significance. The data revealed that the most frequent age range of visitors was 6-10 years (84.12%). The second left mandibular primary molar was commonly extracted, followed by the first molar, maxillary central incisor, first and second maxillary molars, maxillary lateral incisor, and mandibular incisors. The most prevalent reason for extraction (41.76%) is the presence of dental roots. There was a significant link between deciduous teeth extraction needs and age (p 0.05), but not between gender (p > 0.05). In this study, 1772 teeth have been extracted, and it is projected that early tooth loss will occur at young ages, with primary molars being the most commonly extracted due to dental caries. Age was an important factor in this sociodemographic study.