Evaluation of Tooth Extraction Indications of Patients Applying to Mersin University Faculty of Dentistry

Abstract

The aim of this study is to examine the main reasons for permanent and primary tooth extraction in patients who underwent tooth extraction at Mersin University, Faculty of Dentistry and its relationship with age, gender, education level and income level. Material and Methods This retrospective study included the records of 499 patients who underwent tooth extraction at Mersin University between January 2021 and March 2022. Demographic and clinical data were obtained through patient records and structured telephone interviews. Extraction indications were categorized into 13 groups: retained root, impacted tooth, mobility/periodontitis, root resorption, patient request, root caries, crown caries, non-functional third molar, failed root canal treatment, orthodontic treatment, tumor/cyst, prophylactic extraction, and other reasons. Statistical analysis was conducted using SPSS v23.0. Results In 499 patients (267 females, 232 male) with different ages, a total of 499 teeth were extracted. Crown caries was the most common reason for extraction (28.4%) followed by root resorption (20.6%), and periodontitis (10.6%). Extraction reasons were significantly associated with gender, education, income, residence, oral hygiene, and dental visit frequency (p<0.05). Periodontal-related extractions increased with age. Conclusion Crown caries, root resorption and periodontal disease were the main causes of tooth extractions. Socioeconomic status and behavioral factors such as poor oral hygiene influenced extraction patterns. To address disparities in oral health access, a well-structured care network should be established.

Keywords

• Tooth extraction
• indication
• dental caries
• periodontal disease
• root resorption

Mersin Üniversitesi Diş Hekimliği Fakültesi’ne Başvuran Hastaların Diş Çekim Nedenlerinin Değerlendirilmesi

Abstract

Amaç Bu çalışmanın amacı, Mersin Üniversitesi Diş Hekimliği Fakültesi’nde diş çekimi uygulanan hastalarda daimî ve süt dişi çekimlerinin başlıca nedenlerini incelemek ve bu nedenlerin yaş, cinsiyet, eğitim düzeyi ve gelir durumu ile olan ilişkisini değerlendirmektir. Gereç ve Yöntem Ocak 2021 ile Mart 2022 tarihleri arasında Mersin Üniversitesi, Ağız, Diş ve Çene Cerrahisi Anabilim Dalı’nda diş çekimi uygulanan 499 hastanın kayıtları retrospektif olarak incelenmiştir. Hastaların demografik ve klinik verileri hasta dosyalarından ve yapılan telefon görüşmelerinden elde edilmiştir. Diş çekim endikasyonları; kalmış kök, gömülü diş, mobilite/ periodontal hastalık, kök rezorpsiyonu, hasta isteği, kök ve kron çürüğü, antagonisti olmayan 3. molar, başarısız kanal tedavisi, ortodontik nedenler, tümör ve kist gibi patoloji ile ilişki, profilaktik çekim ve diğer nedenler olarak sınıflandırılmıştır. Veriler istatistiksel olarak analiz edilmiştir. Bulgular Çalışmaya dahil edilen 499 hastadan 267’si kadın, 232’si erkektir. En sık diş çekim nedeni %28,4 ile kron çürüğü olarak saptanmış; bunu %20,6 ile kök rezorpsiyonu ve %10,6 ile periodontal hastalıklar takip etmiştir. Diş çekim nedenleri ile cinsiyet, eğitim, gelir durumu, yaşanılan yer, ağız hijyeni alışkanlıkları ve diş hekimine başvuru sıklığı arasında istatistiksel olarak anlamlı ilişki bulunmuştur (p<0,05). Periodontal nedenlere bağlı çekimlerin yaşla birlikte arttığı gözlenmiştir. Sonuç Diş çekimlerinin en yaygın nedenleri kron çürüğü, kök rezorpsiyonu ve periodontal hastalık olarak belirlenmiştir. Sosyoekonomik durum ve bireysel ağız hijyeni alışkanlıkları çekim endikasyonunu etkilemektedir. Diş kaybını önlemeye yönelik koruyucu hizmetlerin yaygınlaştırılması ve ağız sağlığı okuryazarlığının artırılması gerekmektedir.

Keywords

• Diş çekimi
• endikasyon
• diş çürüğü
• periodontal hastalık
• kök rezorpsiyonu

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