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

Year 2025, Volume: 4 Issue: 3, 43 - 50, 23.09.2025

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.

Ethical Statement

This study was approved by the Clinical Research Ethics Committee of Mersin University (Approval number: 2022-06-222).

Supporting Institution

None

Project Number

-

Thanks

None

References

  • 1. Broers DLM, Dubois L, de Lange J, Su N, de Jongh A. Reasons for tooth Removal in Adults: a systematic review. Int Dent J. 2022 Feb;72(1):52-57.
  • 2. Aida J, Ando Y, Akhter R, Aoyama H, Masui M, Morita M. Reasons for permanent tooth extractions in Japan. J Epidemiol 2006; 16:214-219.
  • 3. Fernández-Barrera MÁ, Medina-Solís CE, Casanova-Rosado JF, Mendoza-Rodríguez M, Escoffié-Ramírez M, Casanova-Rosado AJ, et al. Contribution of prosthetic treatment considerations for dental extractions of permanent teeth. PeerJ. 2016 Jul 7;4:e2015.
  • 4. Taiwo OA, Oduola TK, Farouk OM, Braimah RO, Ibikunle AA, Labbo JS, et al. Pattern and indications for tooth extraction in a Tertiary Hospital, Kebbi State, Nigeria. Int Res J Med Med Sci, 2017;5(2):30-36.
  • 5. Adeyemo WL, Taiwo OA, Oderinu OH, my Adeye MF, ladei in AL, et al. Oral health-related quality of life following non-surgical (routine) tooth extraction: a pilot study. Contemp Clin Dent 2012;3:427-432.
  • 6. Anyanechi C, Chukwuneke F. Survey of the Reasons for Dental Extraction in Eastern Nigeria. Ann Med Health Sci Res. 2012;2:129-133.
  • 7. Oginni FO. Tooth loss in a sub-urban Nigerian population: causes and pattern of mortality revisited. Int Dent J. 2005 Feb;55(1):17-23.
  • 8. Saheeb BD, Sede MA. Reasons and pattern of tooth mortality in a Nigerian Urban teaching hospital. Ann Afr Med. 2013 Apr- Jun;12(2):110-4.
  • 9. Murray H, Locker D, Kay EJ. Patterns of and reasons for tooth extractions in general dental practice in Ontario, Canada. Community Dent Oral Epidemiol. 1996 Jun;24(3):196-200.
  • 10. Okoje VN. Indications for Permanent Teeth Exodontia: A Comparative Analysis of two Tertiary Institutions In South-Western Nigeria. J Dent Oral Health. 2018;5: 1-8.
  • 11. Taiwo OA, MO Yusuf, Agbaje MO, Adeyemo Wl, Olawole WO, Alabi OA. 2013. Dental treatment demands among patients ın jıgawa northwest Nıgerıa. Caliphate J MED. 2013;1(4): 109-110
  • 12. Haddad I, Haddadin K, Jebrin S, Ma’ani M, Yassin O. Reasons for extraction of permanent teeth in Jordan. Int Dent J. 1999 Dec;49(6):343-6.
  • 13. Spreethanath, R.S. Reasons for tooth extraction in urban and rural populations of Saudi Arabia. Pakistan Oral & Dental Journal, 2010;30(1);199-204.
  • 14. Al-Shammari KF, Al-Ansari JM, Al-Melh M A, Al-Khabbaz AK. Reasons for tooth extraction in Kuwait. Medical principles and practice, 2006:15(6):417-422.
  • 15. Jovino-Silveira RC, Caldas Ade F Jr, de Souza EH, Gusmão ES. Primary reason for tooth extraction in a Brazilian adult population. Oral Health Prev Dent. 2005;3(3):151-7.
  • 16. Richards W, Ameen J, Coll AM, Higgs G. Reasons for tooth extraction in four general dental practices in South Wales. Br Dent J. 2005 Mar 12;198(5):275-8.
  • 17. Agerholm D. Reasons for extraction by dental practitioners of England and Wales: a comparison with 1986 and variations between regions. J Dent. 2001;29:237-241.
  • 18. McCaul K, Jenkins WMM, Kay EJ. The reasons for the extraction of various tooth types in Scotland: a 15-year follow-up. J Dent. 2001;29:401-407.
  • 19. Trovik TA, Klock KS, Haugejorden O. Trends of the reasons for tooth extractions in Norway from 1968 to 1998. Acta Odontol Scand. 2000;58:89-96.23.
  • 20. Reich E, Hiller K-A. Reasons for tooth extraction of the western states of Germany. Community Dent Oral Epidemiol. 1993;21:379-383.
  • 21. Angelillo IF, Nobile CGA, Pavia M. Survey of reasons for extraction of permanent teeth in Italy. Community Dent Oral Epidemiol. 1996;24;336-340.
  • 22. Ong G, Yco J-F, Bholc S. A survey of reasons for extraction of permanent teeth in Singapore. Community Denl Oral Epidemiol. 1996;24;124-127.
  • 23. Lee CY, Chang YY, Shieh TY, Chang CS. Reasons for permanent tooth extractions in Taiwan. Asia Pac J Public Health. 2015 Mar;27(2):NP2350-7.
  • 24. Alesia K, Khalil HS. Reasons for and patterns relating to the extraction of permanent teeth in a subset of the Saudi population. Clin Cosmet Investig Dent 2013;5:51-6.

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

Year 2025, Volume: 4 Issue: 3, 43 - 50, 23.09.2025

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.

Ethical Statement

Bu çalışma Mersin Üniversitesi Klinik Araştırmalar Etik Kurulu tarafından onaylanmıştır (Onay numarası: 2022-06-222).

Supporting Institution

Yoktur

Project Number

-

Thanks

Yoktur

References

  • 1. Broers DLM, Dubois L, de Lange J, Su N, de Jongh A. Reasons for tooth Removal in Adults: a systematic review. Int Dent J. 2022 Feb;72(1):52-57.
  • 2. Aida J, Ando Y, Akhter R, Aoyama H, Masui M, Morita M. Reasons for permanent tooth extractions in Japan. J Epidemiol 2006; 16:214-219.
  • 3. Fernández-Barrera MÁ, Medina-Solís CE, Casanova-Rosado JF, Mendoza-Rodríguez M, Escoffié-Ramírez M, Casanova-Rosado AJ, et al. Contribution of prosthetic treatment considerations for dental extractions of permanent teeth. PeerJ. 2016 Jul 7;4:e2015.
  • 4. Taiwo OA, Oduola TK, Farouk OM, Braimah RO, Ibikunle AA, Labbo JS, et al. Pattern and indications for tooth extraction in a Tertiary Hospital, Kebbi State, Nigeria. Int Res J Med Med Sci, 2017;5(2):30-36.
  • 5. Adeyemo WL, Taiwo OA, Oderinu OH, my Adeye MF, ladei in AL, et al. Oral health-related quality of life following non-surgical (routine) tooth extraction: a pilot study. Contemp Clin Dent 2012;3:427-432.
  • 6. Anyanechi C, Chukwuneke F. Survey of the Reasons for Dental Extraction in Eastern Nigeria. Ann Med Health Sci Res. 2012;2:129-133.
  • 7. Oginni FO. Tooth loss in a sub-urban Nigerian population: causes and pattern of mortality revisited. Int Dent J. 2005 Feb;55(1):17-23.
  • 8. Saheeb BD, Sede MA. Reasons and pattern of tooth mortality in a Nigerian Urban teaching hospital. Ann Afr Med. 2013 Apr- Jun;12(2):110-4.
  • 9. Murray H, Locker D, Kay EJ. Patterns of and reasons for tooth extractions in general dental practice in Ontario, Canada. Community Dent Oral Epidemiol. 1996 Jun;24(3):196-200.
  • 10. Okoje VN. Indications for Permanent Teeth Exodontia: A Comparative Analysis of two Tertiary Institutions In South-Western Nigeria. J Dent Oral Health. 2018;5: 1-8.
  • 11. Taiwo OA, MO Yusuf, Agbaje MO, Adeyemo Wl, Olawole WO, Alabi OA. 2013. Dental treatment demands among patients ın jıgawa northwest Nıgerıa. Caliphate J MED. 2013;1(4): 109-110
  • 12. Haddad I, Haddadin K, Jebrin S, Ma’ani M, Yassin O. Reasons for extraction of permanent teeth in Jordan. Int Dent J. 1999 Dec;49(6):343-6.
  • 13. Spreethanath, R.S. Reasons for tooth extraction in urban and rural populations of Saudi Arabia. Pakistan Oral & Dental Journal, 2010;30(1);199-204.
  • 14. Al-Shammari KF, Al-Ansari JM, Al-Melh M A, Al-Khabbaz AK. Reasons for tooth extraction in Kuwait. Medical principles and practice, 2006:15(6):417-422.
  • 15. Jovino-Silveira RC, Caldas Ade F Jr, de Souza EH, Gusmão ES. Primary reason for tooth extraction in a Brazilian adult population. Oral Health Prev Dent. 2005;3(3):151-7.
  • 16. Richards W, Ameen J, Coll AM, Higgs G. Reasons for tooth extraction in four general dental practices in South Wales. Br Dent J. 2005 Mar 12;198(5):275-8.
  • 17. Agerholm D. Reasons for extraction by dental practitioners of England and Wales: a comparison with 1986 and variations between regions. J Dent. 2001;29:237-241.
  • 18. McCaul K, Jenkins WMM, Kay EJ. The reasons for the extraction of various tooth types in Scotland: a 15-year follow-up. J Dent. 2001;29:401-407.
  • 19. Trovik TA, Klock KS, Haugejorden O. Trends of the reasons for tooth extractions in Norway from 1968 to 1998. Acta Odontol Scand. 2000;58:89-96.23.
  • 20. Reich E, Hiller K-A. Reasons for tooth extraction of the western states of Germany. Community Dent Oral Epidemiol. 1993;21:379-383.
  • 21. Angelillo IF, Nobile CGA, Pavia M. Survey of reasons for extraction of permanent teeth in Italy. Community Dent Oral Epidemiol. 1996;24;336-340.
  • 22. Ong G, Yco J-F, Bholc S. A survey of reasons for extraction of permanent teeth in Singapore. Community Denl Oral Epidemiol. 1996;24;124-127.
  • 23. Lee CY, Chang YY, Shieh TY, Chang CS. Reasons for permanent tooth extractions in Taiwan. Asia Pac J Public Health. 2015 Mar;27(2):NP2350-7.
  • 24. Alesia K, Khalil HS. Reasons for and patterns relating to the extraction of permanent teeth in a subset of the Saudi population. Clin Cosmet Investig Dent 2013;5:51-6.
There are 24 citations in total.

Details

Primary Language English
Subjects Surgery (Other)
Journal Section Research Articles
Authors

Ayşe Özcan Küçük 0000-0002-8289-8066

Fethi Atıl 0000-0002-8286-4819

Hande Karamut 0009-0006-3975-133X

Project Number -
Early Pub Date September 23, 2025
Publication Date September 23, 2025
Submission Date May 22, 2025
Acceptance Date August 21, 2025
Published in Issue Year 2025 Volume: 4 Issue: 3

Cite

Vancouver Özcan Küçük A, Atıl F, Karamut H. Evaluation of Tooth Extraction Indications of Patients Applying to Mersin University Faculty of Dentistry. EJOMS. 2025;4(3):43-50.

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