Reasons for Tooth Extractions and Related Risk Factors in Adult Patients: A Cohort Study

Abstract

Background: The aim of this study was to evaluate oral status, the reasons for tooth extractions and related risk factors in adult patients attending a hospital dental practice. Methods: 120 consecutive patients ranging from 23 to 91 years in age (mean age of 63.3 ± 15.8) having a total of 554 teeth extracted were included. Surveys about general health status were conducted and potential risk factors such as smoking, diabetes and age were investigated. Results: a total of 1795 teeth were missing after extraction procedures and the mean number of remaining teeth after the extraction process was 16.8 ± 9.1 per patient. Caries (52.2%) was the most common reason for extraction along with periodontal disease (35.7%). Males were more prone to extractions, with 394 of the teeth extracted out of the total of 554 (71.1%). Male sex (β = 2.89; 95% CI 1.26, 4.53; p = 0.001) and smoking habit (β = 2.95; 95% CI 1.12, 4.79; p = 0.002) were related to a higher number of teeth extracted. Age (β = −0.24; 95% CI −0.31, −0.16; p < 0.001) and diabetes (β = −4.47; 95% CI −7.61, −1.33; p = 0.006) were related to a higher number of missing teeth at evaluation time. Moreover, periodontal disease was more common as a reason of extraction among diabetic patients than among non-diabetic ones (p = 0.04). Conclusions: caries and periodontal disease were the most common causes of extraction in a relatively old study population: further screening strategies might be required for the early interception of caries and periodontal disease.

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

“…Dental caries, however, was the main cause of tooth extraction in patients aged 50 years and younger, a similar finding was reported by several studies and attributed it to irregular dental visits, fail to comply with oral hygiene instructions, and high sugar intake. 8 , 10 , 17 …”

“…Passarelli et al have reported that diabetes and smoking habits have a direct association with tooth loss. 8 On the other hand, Kawahara et al have reported that there was no clear correlation between systemic diseases, such as diabetes, and tooth loss. 15 …”

“…Additionally, first and second molars erupt in the oral cavity at a relatively young age making them more prone to dental caries and periodontal attacks. 8 , 9 …”

“…Few studies explored the association between socio-demographic and medical factors with tooth loss. 8 , 10 , 17 Therefore, the aims of this study were to explore the reasons for tooth extraction and investigate the potential correlations between tooth loss and several variables including age, gender, education level, and other risk factors, such as diabetes and smoking habit.…”

Oral Prevention and Management of Oral Healthcare

“…Lollobrigida M [ 18 ] shows that such approaches often determine some implant surface alterations with detrimental effects on re-osseointegration and as air powder abrasion with glycine powder, and 3 W diode laser had the lowest impact on surface physicochemical properties. In order to evaluate oral status, reasons for tooth extractions and related risk factors from the study of Passarelli PC [ 19 ], it has emerged that caries and periodontal disease were the most common causes of extraction in the adult population; therefore, screening strategies might be required for the early interception of caries and periodontal disease and decrease the number of tooth extraction. Knowledge of prevention is also important among teachers because schools are the second houses of children and, from the study of Uzarevic Z [ 20 ], it was found that future primary school teachers have a lack of knowledge for immediate reply to tooth avulsion, leaving poor chances for a successful prognosis of tooth replantation.…”