Causes and Patterns of Tooth Extraction among the Patients Attending a Dental Hospital in Peshawar, Pakistan

Muhammad Ilyas; Jawad Ahmad Kundi; Sara Khan; Ambreen .; Sumaira Amin; Tehmina Shah

doi:10.37762/jgmds.3-01.42

Authors

Muhammad Ilyas, Dr. Sardar Begum Dental College, Peshawar
Jawad Ahmad Kundi, Dr. Sardar Begum Dental College, Peshawar
Sara Khan, Dr. Sardar Begum Dental College, Peshawar
Ambreen ., Dr. Sardar Begum Dental College, Peshawar
Sumaira Amin, Dr. Sardar Begum Dental College, Peshawar
Tehmina Shah, Dr. Sardar Begum Dental College, Peshawar

DOI:

https://doi.org/10.37762/jgmds.3-01.42

Keywords:

Tooth extraction, Caries, Periodontal disease, First molar

Abstract

OBJECTIVE
The aim of this study was to determine the primary reasons for tooth extraction and the type of tooth involved in extraction.
METHODOLOGY
A cross-sectional study was conducted after the approval of the ethical committee of the hospital at the Department of Oral and Maxillofacial Surgery, Sardar Begum Dental Hospital from July 2015 to December 2015. A total of n=4230 permanent tooth extractions were included with female n=2532 and male n=1698. The primary reasons for tooth extraction specified were caries, periodontal diseases, prosthetic and orthodontic purposes, impaction and trauma. The data was analyzed using SPSS-22. Descriptive statistics was applied for causes and frequency of tooth extraction. Chi-square tests were performed using p ≤0.05 significance level to determine if any significant difference existed among the genders.
RESULTS
The mean age presentation was 39.6±15.9 years and the age range 13-70 years. The female patient predominate n=2532 (59.85%) the male patients n=1698 (40.12%). Caries was the dominant cause of extraction in both subjects n=2652 (62.70%), followed by periodontal disease n=930 (22.00%), prosthetic purpose n=366 (8.70%), orthodontic purpose n=156 (3.70%) while cause of extraction due to trauma n=30 (0.70%) was the least one in both subjects. In female the dominant arch is mandibular arch n=1404 (55.45%) than maxillary arch n=1128 (44.55%) while in male maxillary arch n=906(53.36%) predominate the mandibular arch n=792 (46.64%). First permanent molars n=936(11.07% ) were the most common tooth type involved in tooth extraction in both genders [upper: n=408 (9.64%), lower: n=528 (12.50%)]. Upper central incisor n=120 (2.84%) is the least common tooth involved in tooth extraction. The chi-square test illustrates that there is no significant difference exist among both subjects (chi-square=0.9797, p=0.323).
CONCLUSION
Caries is the dominant cause of extraction and the most frequent teeth involved in extraction is lower first molar.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Ong G, Yeo JF, Bhole S. A survey of reasons for extraction of permanentteeth in Singapore. Community Dent Oral Epidemiol. Apr 1996;24(2):124-7 DOI: https://doi.org/10.1111/j.1600-0528.1996.tb00828.x

Morenike OF, Olayinka DO, Temitope AE et al. Pattern of Dental Extraction in Children in a Nigerian Tertiary Hospital. J Contemp Dent Pract. May 2005 ;6(2):80-90 DOI: https://doi.org/10.5005/jcdp-6-2-80

Zadik Y, Sandler V, Bechor R, Salehrabi R. Analysis of factors related to extraction of endodontically treated teeth. Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2008 Nov;106(5):e31-5 DOI: https://doi.org/10.1016/j.tripleo.2008.06.017

Adeyemo WL, Oderinu HO, Oluseye SB, Taiwo OA, Akinwande JA. Indications for extraction of permanent teeth in a Nigerian teaching hospital: a 16-year follow-up study. Nig Q J Hosp Med. 2008; 18(3):128-32 DOI: https://doi.org/10.4314/nqjhm.v18i3.45013

Al-Shammari KF, Al-Ansari JM, Al-MelhMA, Al-Khabbaz AK. Reasons for tooth extraction in Kuwait. Med PrincPract 2006; 15:417–22 DOI: https://doi.org/10.1159/000095486

Chen SC, Chueh LH, Hsiao CK, Wu HP, Chiang CP. First untoward events and reasons for tooth extraction after nonsurgical endodontic treatment in Taiwan. J Endod 2008;34: 671–674 DOI: https://doi.org/10.1016/j.joen.2008.03.016

Chestnutt IG, Binnie VI, Taylor MM. Reasons for tooth extraction in Scotland. J Dent 2000; 28: 295–297 DOI: https://doi.org/10.1016/S0300-5712(99)00069-X

Razak IA, Jaafer N, Matnor G. The causes of tooth mortality of permanent teeth in a Malaysian population. J Irish Dent Assoc 1989;35:39-41

Mehta FS, Sanjara MK, Shroff BC. Analysis of periodontal disease as a cause of tooth loss. J Indian Dent Assoc 1960;32:71-6

Haddad I, Haddadin K, Jebrin S, Ma’Ani M, Yassin O. Reasons for extraction of permanent teeth in Jordan. Int Dent J 1999; 49: 343–46 DOI: https://doi.org/10.1111/j.1875-595X.1999.tb00535.x

Matthews DC, Smith CG, HanscomSL.Tooth loss in periodontal patients. J Can Dent Assoc 2001; 67: 207–10

Angelillo IF, Nobile CG, Pavia M. Survey of reasons for extraction of permanent teeth in Italy. Community Dent Oral Epidemiol 1996; 24: 336–40 DOI: https://doi.org/10.1111/j.1600-0528.1996.tb00872.x

Ong G, Yeo JF, Bhole S. A survey of reasons for extraction of permanent teeth in Singapore. Community Dent Oral Epidemiol 1996; 24: 124–7 DOI: https://doi.org/10.1111/j.1600-0528.1996.tb00828.x

Al-Emran S. Prevelance of tooth lossin Saudi Arabia School children: An Epidemiological Study Of Saudi Male Children. S Dent J 1990; 2: 137-40

Fure S, Zickert I. Incidence of tooth loss and dental caries in 60-, 70- and 80-year-old Swedish individuals. Community Dent Oral Epidemiol 1997; 25: 137–42 DOI: https://doi.org/10.1111/j.1600-0528.1997.tb00911.x

Agerholm DM, Sidi AD. Reasons given for extraction of permanent teeth by general dental practitioners in England and Wales. Br Dent J 1988; 164: 345–8 DOI: https://doi.org/10.1038/sj.bdj.4806451

Klock KS, Haugejorden O. Primary reasons for extraction of permanent tooth inNorway: Changes from 1968-1988. Community Dent Oral Epidemiol 1991;19:336-41 DOI: https://doi.org/10.1111/j.1600-0528.1991.tb00183.x

Corbet EF, Davies WI. Reasons given for tooth extraction in Hong Kong. Community Dent Health. 1991;8:121-30

Naz F. Reasons for tooth extraction in permanent dentition: A study in a tertiary care setting in Pakistan. Oct-Dec 2011;20(4):235-38

Nasreen Tand Haq M E.Factors of tooth extraction among adult patients attending in exodontia department of Dhaka Dental College and Hospital. Ban J Orthod and DentofacOrthop, Oct 2011;2 (1): 7-10 DOI: https://doi.org/10.3329/bjodfo.v2i1.15996

Gossadi YI , Nahari HH, KinaniHM,AbdelwahabSI,Boreak NM, Abidi NH et al. Reasons For Permanent Teeth Extraction In Jizan Region Of Saudi Arabia. IOSR-JDMS. Jan-2015; 14(1)-VII:86-89. DOI: 10.9790/0853-14178689

McCaul LK, Jenkins WM, Kay EJ. Reasons for extraction of permanent teeth in Scotland-a 15 year follow up. J Dent 2001; 29: 401-07 DOI: https://doi.org/10.1016/S0300-5712(01)00036-7

Haseeb M, Ali K, Munir MF. Causes of extraction in tertiary care hospital in Pakistan. J Pak Med Assoc august 2012 ;62 (8): 812-15

Kashif M, Mehmood K, Ayub T, Aslam M. Reasons and Patterns of Tooth Extraction in a Tertiary Care Hospital- A Cross Sectional Prospective Survey. J LiaquatUni Med Health SciSEP-DEC 2014; 13(3):125-29

Jafarian M, Etebarian A. Reasons for Extraction of Permanent Teeth in General Dental Practices in Tehran, Iran. Med PrincPract 2013;22:239–44.DOI: 10.1159/000345979 DOI: https://doi.org/10.1159/000345979