Reasons given for extraction of permanent teeth by general dental practitioners in England and Wales

Agerholm, D M; Sidi, A D

doi:10.1038/sj.bdj.4806451

Cited by 64 publications

(50 citation statements)

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“…17,18 In the context of a consecutive sample of patients rather than a random sample drawn from the population, the number of extractions increased with increased levels of deprivation. The collective data from the practice sites showed no differences between the reasons for extractions and deprivation groups using Chisquared goodness-of-fit tests.…”

Section: Discussionmentioning

confidence: 99%

Reasons for tooth extraction in four general dental practices in South Wales

et al. 2005

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Tooth retention has been one of the main aims of oral care which in turn could have contributed to the social oral health divide. To investigate this issue further, data collected for a group audit was used to study the reasons for tooth extraction for patients attending for routine treatment at four dental practices. The practices served populations in areas with different levels of deprivation in South Wales. In 558 teeth extracted over 417 visits, the reasons for extractions were: caries 59%, periodontal disease 29.1%, pre-prosthetic 1%, wisdom teeth 4.6%, orthodontic 5.5%, trauma 1.2%, patient request 2.4% and 6.2% other reason. The number of extraction visits per day within the group of dental surgeons varied with three practitioners performing more than three extraction visits per day while one practitioner had only 0.51. These reasons did not significantly depend on levels of deprivation. However, significantly more teeth were extracted for caries in the most deprived group in comparison to the least deprived. Therefore, could there be a case for appropriate extractions in the quest for equitable care?

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Section: Discussionmentioning

confidence: 99%

Reasons for tooth extraction in four general dental practices in South Wales

et al. 2005

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“…1,[7][8][9][10][11][12][13][14][15] These variations, however, are at least partly attributable to methodological differences. This is illustrated by comparison of the two Canadian studies.…”

Section: Discussionmentioning

confidence: 99%

The reasons for extraction of permanent teeth in Scotland: a 15-year follow-up study

McCaul¹,

Jenkins²,

Kay³

2001

Br Dent J

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lous at these time points fell from 54% to 33% to 13%. It seems likely, therefore, that the reasons for tooth loss in Scotland might have changed in the 15 years since they were first determined.In order to facilitate planning for dental health services and to develop strategies to continue the reduction in tooth loss it is important to identify the factors which have resulted in such loss.The aim of this study was to determine the current reasons for tooth extractions in Scotland and their relative importance. MethodThe Scottish Dental Practice Board was asked to provide the names and addresses of every fourth dentist on its list, stratified by health board area. The aim was to obtain a sample of 25% of Scottish general dental practitioners. Emergency only clinics were excluded. These dentists were forwarded a covering letter explaining the nature of the study, a record form and a reply paid envelope. They were asked to record permanent tooth extractions for one working week on one single form. For each patient having one or more teeth extracted, the number, type and reason for each extraction were recorded. Records were obtained only for those patients having an extraction.After an interval of 1 month a second wave of forms (with a suitably modified covering letter) was sent out to the non-respondents. After a further month all the remaining non-respondents were telephoned by one of the authors and encouraged to participate.To facilitate comparison with the 1984 study the same extraction criteria were used and are shown in Table 2. The dentists were asked to give only one reason for each tooth removed and to record each patient's age, gender and dental attendance pattern. Regular attendance was defined as attendance at the surgery in the past 2 years for routine examination. Patients attending solely for pain relief and patients attending for the first time were deemed irregular attenders. ResultsA total of 479 forms were issued. It became clear from some of the forms returned that a number of the dentists receiving the form were not eligible to complete it (13 were orthodontists or community dentists). Further, 41 forms could not be completed because the intended recipients had either left the practice or were on maternity leave or were deceased. Thus 425 forms were received by general dental practitioners. A total of 352 forms were completed and returned. This represents 73.5% of the 479 forms originally issued or an 82.8% response rate from the 425 eligible dentists who received a form. This gave a final sample of about 20% of Scotland's general dental practitioners. There are 13 health board areas in Scotland and there were no significant differences in the response rate for each health board area.All targeted dentists were contacted either by letter or telephone in the course of the study and an attempt was made to clarify the reasons for non-participation of eligible dentists. These included lack of time or lack of interest, working part time only and being on holiday.Of the 352 returned forms, 2 were co...

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“…Some studies reported that periodontal disease was the main reason [16][17][18][19] , while others found that caries and periodontal disease were equally responsible [20,21] . Furthermore, although the majority of these studies reported periodontal disease to account for the majority of tooth extractions in older patients [7,[17][18][19]22] , some reported caries as the main reason for tooth loss in all ages [8,12,13] .…”

Section: Introductionmentioning

confidence: 99%

Reasons for Tooth Extraction in Kuwait

Al-Shammari

Al-Ansari²,

Al-Melh

et al. 2006

Med Princ Pract

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Objectives: To investigate reasons for tooth extraction and its association with age and gender in Kuwait. Subjects and Methods: A record of all tooth extractions performed in 21 general dental practice centers during a 1-month period was logged on specially designed study forms. The patient’s age and gender, number of teeth extracted, and the reason(s) for the extraction were recorded. Results: A total of 2,783 teeth were extracted in 1,604 patients (1.73 ± 0.07 teeth per patient). Caries and periodontal disease were responsible for 43.7 and 37.4% of extractions, respectively. Caries was the principal cause for extraction in patients ≤40 years old (60.7%), while periodontal disease was the main cause of extractions in patients ≧40 years of age (63.0%). Extractions for caries and orthodontic reasons were more common in females, while extractions for periodontal disease were more prevalent in males. Molars and maxillary premolars were more commonly extracted due to caries, while mandibular premolars, and maxillary and mandibular anterior teeth (canines and incisors) were more commonly extracted due to periodontal disease. Conclusions: The data show that caries is the principal cause for extractions in younger patients, while periodontal disease accounts for the majority of tooth extractions in patients older than 40 years. Furthermore, this study indicates that more teeth per patient are lost to periodontal disease than for any other reason.

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Reasons given for extraction of permanent teeth by general dental practitioners in England and Wales

Cited by 64 publications

References 0 publications

Reasons for tooth extraction in four general dental practices in South Wales

Reasons for tooth extraction in four general dental practices in South Wales

The reasons for extraction of permanent teeth in Scotland: a 15-year follow-up study

Reasons for Tooth Extraction in Kuwait

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