prevalence of orodental pain in peshawar - a study

The aim of this retrospective study was to assess the frequency of orodental pain and to determine various age groups and gender of the patients who visited various dental clinics in Peshawar, Pakistan. A cross sectional study on 3000 dental patients of age 15 to 75 years complaining of pain in orodental region during a period of one year [1st March 2008 to 28th February 2009] was carried out. The patients suffered from somatic [85.83%, 2575/3000], neuropathic [5.03%, 151/3000] and from psychogenic pain [9.13%, 274/3000]. The ratios of males to females in patients with somatic, neuropathic and psychogenic pain were calculated as 1025:1550 or 1:1.5, 76:75 or 1:1 and 99:175 or 1.7:1 respectively. The patients falling in somatic pain groups suffered from pulpal pain [1901/3000, 63.36%], periodontal [379/3000, 12.63%], mucogingival [85/3000, 2.83%], TMJ [95/3000, 3.16%], post extraction [33/3000, 1.10%], erupting teeth [55/3000, 1.83%] and others [27/3000, 0.90%]. The group falling in category of others included pain from alveolitis, cellulitis, osteomylitis, bruxism, odontogenic cysts, cracked tooth syndrome and maxillary sinusitis. Most of the patients consulted for somatic pain. Females with psychogenic and males with somatic pain were dominant. The most prominent age group complaining of orodental pain was 56-65 years [660/3000, 22%] followed by 36-45 years [650/3000, 21.66%]. Patients with pulpal pain were the most frequent followed by periodontal pain

Causes of tooth extraction in oral surgery an analysis of 400 patients reporting to Khyber college of dentistry

Tooth loss has been one of the major problems faced by the people around the world. Although a preventable disease at early stages, caries still remains one of the prime etiological factors of extraction of teeth. The aim of the present study was to find out the main causes and contributing factors to tooth loss. A representative sample of 400 patients attending the Department of Oral Surgery Khyber College of Dentistry Peshawar was selected. The collected information was documented on a specially designed proforma. In this study 400 patients were recruited. Out of these 204 were male and 196 were female patients. The average age group of extraction was found to be third decade of life [28.75%] while caries [63.25%] was the primary cause of tooth loss. Majority of the patients in this study were poor [46%]. Oral hygiene was not good as 40.75% of the patient did not clean their teeth at all while sweet consumption was also notably frequent. Dental caries is a preventable disease at early stages. Patient education is needed to change attitude from extraction to preservation of teeth as tooth loss is very alarming in young population