Reasons for extraction in permanent dentition a study in a tertiary care setting in Pakistan

ABSTRACT

The aim of this study was to investigate the primary reasons for simple extraction of permanent teeth In Dental Section of a tertiary care hospital and to identify the most frequently extracted teeth. The patients selected for this study were identified by reviewing dental notes from medical records of patients who had undergone dental extraction at Dental clinic, at The Aga Khan University Hospital, Karachi. Total of 124 charts were reviewed retrospectively. Data regarding the age, gender, co morbid conditions, date of extraction, number and type of tooth extracted and the cause of exodontia were recorded in a proforma. Descriptive analysis was done using SPSS version13.0. A total of 147 teeth extracted from 77 patients were included for analysis. Out of 77 patients, 56%were females and 44% were males. Average age was 49.7 + 16 years. [11-83 years]. Reasons for extraction were 42.2% extractions were due to caries, 30.6% were extracted for periodontal reasons, 6.1%for orthodontic reasons, 10.2% for mixed reasons, 6.1% for failed endodontics, 4.1% on account of tooth fracture and 0.7% for pre-prosthetic reasons Maxillary second molars were the most frequently extracted teeth. More posterior teeth were extracted due to caries while periodontitis was the main reason for extraction in the anterior teeth. Caries was found to be the primary reason for exodontia of permanent teeth in all age groups, followed by periodontitis and orthodontic reasons. Maxillarymolars were the most frequently extracted teeth