Objective: To evaluate cross-sectionally the frequency of tooth extraction, and the reasons for extraction, by age and gender in children and adolescents who attended an oral and dental health training and research hospital. Material and Methods: Pediatric patients aged between 3 and 14 years who attended the pediatric dentistry clinic of our hospital were examined between November 2021-February 2022. The age, gender and reasons for tooth extraction of the patients who were diagnosed for extractions were documented after clinical intraoral examinations were conducted and panoramic films had been taken. In addition, the presence of previous early tooth loss and mesial tipping of the adjacent teeth were recorded from the radiographs. Descriptive statistics were used for the results. Results: Of the 3,074 (mean age: 8.3) children who agreed to participate in the study, at least 953 required extraction of at least one tooth (31%). A total of 1,461 teeth were extracted from these 953 children. While caries, followed by physiological mobility were the main reasons for extraction in primary teeth, for permanent teeth the main reasons were caries and molar incisor hypomineralization. Conclusion: The study found that dental caries was the most common reason for indication for extraction. Despite all the modern advances in dentistry, caries continues to be the main reason for teeth extraction amongst children today. Given the possible negative consequences of the premature loss of primary and permanent teeth, it is important to provide access and advice about the main causes of extraction through the use of oral hygiene training and awareness programs.
Keywords: Dental caries; malocclusion; tooth extraction; tooth loss
Amaç: Bu çalışmanın amacı, bir ağız ve diş sağlığı merkezine başvuran çocuklardaki diş çekim sıklığının ve nedenlerinin yaş ve cinsiyete göre dağılımını kesitsel olarak değerlendirmektir. Gereç ve Yöntemler: Kasım 2021-Şubat 2022 tarihleri arasındaki 3 aylık süreçte çocuk diş hekimliği polikliniğine rutin muayene ve tedavi amacıyla başvuran hastaların (3-14 yaş arası) intraoral muayeneleri yapılmış ve panoramik radyografları alınmıştır. Değerlendirmeler sonucunda, dişlerine çekim endikasyonu konan çocukların diş çekim sebepleri, yaş ve cinsiyetleri kaydedilmiştir. Bunlarla birlikte, daha önceden çekilmiş olan dişler ve dişsiz boşluğa komşu dişte devrilme olup olmadığı not edilmiştir. Tanımlayıcı istatistikler ve ortalama değerler hesaplanmıştır. Bulgular: Kliniğe başvuran 3.074 (ortalama yaş: 8,3) çocuktan 953'ünün en az bir dişine çekim endikasyonu konulmuştur (%31). Dokuz yüz elli üç çocuğun toplam 1.461 dişine çekim endikasyonu konulmuştur. Süt dişlerinde en sık çekim nedeni çürük ve takiben fizyolojik mobilite iken, daimi dişlerde ise çürük ve büyük azı-keser olarak tespit edilmiştir. Sonuç: Çalışma sonucunda, en sık diş çekimi endikasyon nedeninin diş çürüğü olduğu tespit edilmiştir. Diş hekimliğindeki tüm gelişmelere rağmen diş çürükleri, günümüzde çocuklarda diş çekiminin en yaygın nedeni olmaya devam etmektedir. Çocuklarda erken diş kayıplarının olası olumsuz sonuçları göz önüne alındığında, ağız hijyeni eğitimleri ve bilinçlendirme programları aracılığı ile diş çürüklerinin ve çürük sebebiyle meydana gelen diş kayıplarının önüne geçilmesi önem arz etmektedir.
Anahtar Kelimeler: Diş çürüğü; maloklüzyon; diş çekimi; diş kaybı
- Setia V, Pandit IK, Srivastava N, Gugnani N, Sekhon HK. Space maintainers in dentistry: past to present. J Clin Diagn Res. 2013;7(10):2402-5. [PubMed] [PMC]
- Cavalcanti AL, Alencar C, Bezerra P, Granville-Garcia AF. Prevalence of early loss of primary molars in school children in campina Grande, Brazil. Pak Oral Dent J. 2008;28(1):113-6.
- Folayan MO, Otuyemi OD, Esan TA, Adeleke AA, Adedigba MA. Pattern of dental extraction in children in a Nigerian tertiary hospital. J Contemp Dent Pract. 2005;6(2):80-90. [Crossref] [PubMed]
- Mansour Ockell N, Bågesund M. Reasons for extractions, and treatment preceding caries-related extractions in 3-8 year-old children. Eur Arch Paediatr Dent. 2010;11(3):122-30. [Crossref] [PubMed]
- Andronic A-I. Prevalence of early loss of primary teeth in 6-10 year old school children in Sibiu. Acta Medica Transilvanica. 2017;22(4):128-9. [Link]
- AL-Awadi TAM, AL-Haddad KA, Al-Akwa AAY, Et Al. Malocclusion and premature teeth loss: its prevalence and association among yemeni school children in Sana.' J Oral Med And Dent Res. 2021;2(2):1-8. [Crossref]
- Al-Shahrani N, Al-Amri A, Hegazi F, Al-Rowis K, Al-Madani A, Hassan KS. The prevalence of premature loss of primary teeth and its impact on malocclusion in the Eastern Province of Saudi Arabia. Acta Odontol Scand. 2015;73(7):544-9. [Crossref] [PubMed]
- Demiriz L, Bodrumlu EH. Reasons for the extraction of primary teeth in primary school-age children in Zonguldak, Turkey: a retrospective study. Meandros Med Dent J. 2018;19(1):32. [Crossref]
- Bani M, Akal N, Bodur H, Odabaş ME, Tüzüner T, Delilbaşı AE, et al. The reasons for extractions of primary teeth in Turkish children. Eur J Paediatr Dent. 2015;16(3):187-90. [PubMed]
- Oginni FO. Tooth loss in a sub-urban Nigerian population: causes and pattern of mortality revisited. Int Dent J. 2005;55(1):17-23. [Crossref] [PubMed]
- Günal E, Bozkurt P. Çocuk hastalarda erken diş kaybının yaşa ve diş grubuna göre incelenmesi [Early tooth loss in pediatric patients: analysis by age and tooth group]. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2020;47(1-3):27-35. [Link]
- Alsheneifi T, Hughes CV. Reasons for dental extractions in children. Pediatr Dent. 2001;23(2):109-12. [PubMed]
- Canpolat M. Daimi birinci büyük azı dişlerinde yapılan kontrollü çekimlerin klinik ve radyografik sonuçları. [Doktora tezi]. Ankara: Ankara Üniversitesi; 2020. Erişim tarihi: 16.07.2022 Erişim adresi: [Link]
- Monte-Santo AS, Viana SVC, Moreira KMS, Imparato JCP, Mendes FM, Bonini GAVC. Prevalence of early loss of primary molar and its impact in schoolchildren's quality of life. Int J Paediatr Dent. 2018;28(6):595-601. [Crossref] [PubMed]
- Ahamed SS, Reddy VN, Krishnakumar R, Mohan MG, Sugumaran DK, Rao AP. Prevalence of early loss of primary teeth in 5-10-year-old school children in Chidambaram town. Contemp Clin Dent. 2012;3(1):27-30. [Crossref] [PubMed] [PMC]
- Murshid SA, Al-Labani MA, Aldhorae KA, Rodis OM. Prevalence of prematurely lost primary teeth in 5-10-year-old children in Thamar city, Yemen: a cross-sectional study. J Int Soc Prev Community Dent. 2016;6(Suppl 2):S126-30. [Crossref] [PubMed] [PMC]
- Bamashmoos KAO, Alhasani AH, Al-Akwa AAY, Zabara AQMQ, wahab Al-Shamahy HA, Al-deen HMS, et al. Prevalence of premature loss of primary teeth at the age of 6-10 years in Sana'a city, Yemen. Universal Journal Of Pharmaceutical Research. 2020;5(4):42-6. [Crossref]
- Jayachandar D, Gurunathan D, Jeevanandan G. Prevalence of early loss of primary molars among children aged 5-10 years in Chennai: a cross-sectional study. J Indian Soc Pedod Prev Dent. 2019;37(2):115-9. [Crossref] [PubMed]
- Reddy NV, Daneswari V, Shruti G, Reddy H, Reddy A, Reddy S. Premature loss of primary teeth on arch dimensions in 6-to 10-year-old schoolchildren in Khammam Town, Telangana State. International Journal Of Pedodontic Rehabilitation. 2018;3(2):67. [Crossref]
- Al-Assadi AH. Patterns and causes of teeth extraction among children attending Baghdad Dental Teaching Hospital. Int J Med Res Health Sci. 2018;7(5):88-95. [Link]
- Bansal M, Gupta N, Gupta P, Arora V, Thakar S. Reasons for extraction in primary teeth among 5-12 years school children in Haryana, India-a cross-sectional study. J Clin Exp Dent. 2017;9(4):e545-9. [Crossref] [PubMed] [PMC]
- Samuel SS, Selvaraj DSS, Ebenezer J, Rebekah G, Koshy S. Nature and pattern of primary teeth extractions in a tertiary care hospital setting in South India. Indian J Dent Res. 2018;29(2):186-9. [Crossref] [PubMed]
- Tokuç M, Çelik M. Çocuklarda diş çürüğü nedeniyle birinci büyük azı dişi çekimlerinin incelenmesi. Acta Odontologica Turcica. 2022;39(1):16-20. [Crossref]
- Somani C, Taylor GD, Garot E, Rouas P, Lygidakis NA, Wong FSL. An update of treatment modalities in children and adolescents with teeth affected by molar incisor hypomineralisation (MIH): a systematic review. Eur Arch Paediatr Dent. 2022;23(1):39-64. [Crossref] [PubMed] [PMC]
- Albadri S, Zaitoun H, McDonnell ST, Davidson LE. Extraction of first permanent molar teeth: results from three dental hospitals. Br Dent J. 2007;203(7):E14; discussion 408-9. [Crossref] [PubMed]
- Cobourne MT, Williams A, Harrison M. National clinical guidelines for the extraction of first permanent molars in children. Br Dent J. 2014;217(11):643-8. [Crossref] [PubMed]
- Ashley P, Noar J. Interceptive extractions for first permanent molars: a clinical protocol. Br Dent J. 2019;227(3):192-5. [Crossref] [PubMed]
- Mahejabeen R, Sudha P, Kulkarni SS, Anegundi R. Dental caries prevalence among preschool children of Hubli: Dharwad city. J Indian Soc Pedod Prev Dent. 2006;24(1):19-22. [Crossref] [PubMed]
- World Health Organization. Petersen PE, Baez RJ. Oral Health Surveys: Basic Methods. 5th ed. Geneva: WHO Press; 2013. [Link]
- Feu D, Rosetti Lessa FC, Awad Barcellos L, Grillo CB, Freitas LA. Factors associated with premature loss of primary teeth in Brazilian children. J Dent Child (Chic). 2018;85(3):108-13. [PubMed]
- Alamoudi N, Salako N, Ibrahim Masoud B. Prevalence and distribution of caries in the primary dentition in a cosmopolitan Saudi Population. Saudi Dental Journal. 1995;7(1):23-8. [Link]
- Durward CS. Space maintenance in the primary and mixed dentition. Ann R Australas Coll Dent Surg. 2000;15:203-5. [PubMed]
- Ibiyemi O, Idiga E. Tooth loss among the elders in an inner city area of Ibadan, Nigeria. Gerodontology. 2017;34(2):264-71. [Crossref] [PubMed]
- T.C. Sağlık Bakanlığı Sağlık Hizmetleri Genel Müdürlüğü Ağız ve Diş Sağlığı Dairesi Başkanlığı Türkiye Ağız Diş Sağlığı Profili Araştırma Raporu-2018. [Erişim tarihi: 25.07.2022]. Erişim linki: [Link]
- Topaloglu-Ak A, Eden E, Frencken JE. Managing dental caries in children in Turkey--a discussion paper. BMC Oral Health. 2009;9:32. [Crossref] [PubMed] [PMC]
.: Process List