Reasons for Extraction of Permanent Teeth in a University Dental Clinic Setting

Abstract

Purpose This study aimed to explore the reasons for tooth extraction and investigated the potential correlations between tooth loss and several variables including age, gender, education level, and other risk factors, such as diabetes and smoking habit. Patients and Methods The study retrospectively analyzed 1811 dental records of patients who underwent extraction procedure of at least one tooth. Patients’ variables included: age, gender, level of education, diabetes, and smoking habit. Reasons for extraction were recorded as follows: caries, periodontal disease, endodontic treatment complications, orthodontic treatment, impactions, trauma, pre-prosthetic, and others (esthetic reasons, tooth malposition, or unspecified reasons). Statistical analysis The significance of variables was analyzed by Chi square test, P < 0.05. The variances in the mean number of extracted teeth per patient were investigated using ANOVA. Pearson correlation test was used to test the strength of the association among the tested variables, P < 0.01. Results Out of 1811 reviewed patients’ records, 2654 extracted teeth were identified. Males had a higher number of extracted teeth, 1447 (54.5%), than females, 1207 (45.5%). Males had more extractions due to periodontal disease, while females had more extractions for orthodontic and pre-prosthetic reasons. The highest mean of extracted teeth was identified among the 51-year-old and above age groups (3.73 ± 0.53 teeth) where periodontal disease was shown to have a significant association ( P < 0.05). Diabetic patients showed a significant association with periodontal diseases, while smokers showed a significant association with caries. Both diabetics and smokers had moderate correlation (0.055 and 0.04, respectively). Conclusion Caries, periodontal disease, and endodontic complications were the most common causes of tooth extraction. In addition, this study indicated that age, diabetes, and smoking habits were found to be suitable forecasters for permanent tooth loss as these variables displayed significant statistical association.

Prevalence of Missing First Permanent Molars in a Selected Population in a University Dental Clinic Setting: A Retrospective Radiographic Study

“…Studies exploring the reasons for missing teeth found that dental caries and periodontal disease are the main reasons for tooth mortality, with the former being the more prevalent reason among subjects younger than 40 years of age and the latter in those aged 40 years and above. 4 , 15 Studies conducted on the Saudi population reported that caries was the most common cause of tooth loss, which corroborates with the present study. 13 , 20 Consistent with the literature, this study found that caries was the dominant reason for early loss of all the FPM (100%), and there was no loss of teeth due to periodontal disease or other reasons.…”

“… 2 , 3 First permanent molars (FPMs) are among the earliest erupting permanent teeth in the oral cavity and have been observed as most caries-prone teeth in the mixed dentition. 4 In addition, these teeth are more vulnerable to hypomineralization and periodontal diseases 5 and may result in early tooth loss due to unmet treatment needs. Moreover, FPMs play a crucial part in the development of occlusion and arch integrity, and early loss of these teeth may affect spatial relation, which could significantly affect the symmetry of dentition.…”

The validity of self-reported number of teeth and edentulousness among Norwegian older adults, the HUNT Study

“…Number of remaining natural teeth is a widely used indicator for oral health as the predominant cause of tooth loss is oral diseases, i.e., caries and periodontitis [ 1 , 2 ]. This indicator is used in epidemiological studies both to investigate oral health [ 3 ] and to explore possible associations between oral conditions and other diseases [ 4 – 6 ].…”

<p><strong>Karakteristik pasien dan diagnosis pencabutan gigi pada pasien di klinik eksodonsia RSGM Universitas Padjadjaran</p><strong><em>Characteristics patient and indications of tooth extraction of patients at the exodontia clinic Padjadjaran University Dental Hospital</em><strong>

“…1,9,15 Pemahaman mengenai alasan-alasan pencabutan gigi merupakan hal penting untuk meningkatkan kesehatan gigi dan rongga mulut. 2,16 Ketersediaan data mengenai alasan atau indikasi pencabutan gigi di Indonesia masih terbatas.…”