Farah Naz.
Reasons for Extraction in Permanent Dentition a Study Inatertiary Care Setting in Pakistan.
J Pak Dent Assoc Jan ;20(4):235-8.

OBJECTIVE The aimof this studywas to investigate the primary reasons for simple extraction of permanent teeth in Dental Section of a tertiary care hospital and to identify themost frequently extracted teeth. METHODOLOGY 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 analysiswas done using SPSS version13.0. RESULTS Atotal of 147 teeth extracted from 77 patientswere 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 reasonsMaxillary secondmolars were themost frequently extracted teeth.More posterior teethwere extracted due to carieswhile periodontitiswas themain reason for extraction in the anterior teeth. CONCLUSION Caries was found to be the primary reason for exodontia of permanent teeth in all age groups, followed by periodontitis and orthodontic reasons. Maxillarymolarswere themost frequently extracted teeth.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com