Evaluation of causes of primary tooth extraction by age and gender in pediatric patients admitted to a university hospital

Document Type : Original Article


1 Assistant Professor, Department of Pediatric Dentistry, School of Dentistry, Trakya University, Edirne, Turkey

2 MSc Student, Department of Pediatric Dentistry, School of Dentistry, Trakya University, Edirne, Turkey


BACKGROUND AND AIM: Determining the reasons for the extraction of primary teeth is of high importance for countries in terms of taking precautions while establishing their health policies. The aim of this study was to investigate the main causes of primary tooth extraction and the most commonly extracted tooth type in children aged 0-13 years.
METHODS: The records of patients aged 0-13 years admitted to the Department of Pediatric Dentistry, School of Dentistry, Trakya University, Edirne, Turkey, between 2016 and 2020 were collected. The patients' age, gender, number of extracted teeth, and causes of extraction were analyzed retrospectively. Data were analyzed using SPSS software. Descriptive statistics and Mann-Whitney U, independent samples t-test, Welch ANOVA with post-hoc Tamhane, and Pearson's chi-square test were used for analyses. Statistical significance was considered at P < 0.05.
RESULTS: In this study, 3076 deciduous teeth of 1363 pediatric patients aged 0-13 years (mean age of 7.8 ± 2.1 years) were evaluated. No difference was found between the genders in terms of the number of extractions (P = 0.489). The most common reasons for extraction were caries and mobility/root resorption, which constituted 55.1% and 42.4% of the extractions, respectively.
CONCLUSION: In this study, the teeth extraction in patients aged 0-13 years were investigated. Dental caries (55.1%) was the most common cause of deciduous teeth extraction. Moreover, it was the most common reason for deciduous teeth extraction in the age groups of 0-5 and 6-9 years. Primary molar teeth were the most commonly extracted teeth. Although there was no significant difference between genders, striking results were recorded regarding teeth types in different age groups. According to the results obtained in this study, steps should be taken regarding the implementation of preventive dentistry programs.


Main Subjects

  1. Chala S, Houzmali S, Abouqal R, Abdallaoui F. Knowledge, attitudes and self-reported practices toward children oral health among mother's attending maternal and child's units, Sale, Morocco. BMC Public Health 2018; 18(1): 618.
  2. Anil S, Anand PS. Early childhood caries: Prevalence, risk factors, and prevention. Front Pediatr 2017; 5: 157.
  3. Alsheneifi T, Hughes CV. Reasons for dental extractions in children. Pediatr Dent 2001; 23(2): 109-12.
  4. Latif AEA, Omran AK. Reasons of primary teeth extraction in Egyptian children. Egypt Dent J 2002; 48: 823-6.
  5. Bani M, Akal N, Bodur H, Odabas ME, Tuzuner T, Delilbasi AE, et al. The reasons for extractions of primary teeth in Turkish children. Eur J Paediatr Dent 2015; 16(3): 187-90.
  6. 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.
  7. Cavalcanti AL, de Alencar CRB, Bezerra PKM, Garcia AFG. Prevalence of early loss of primary molars in school children in Campina Grande, Brazil, Pak. Oral Dent. J. 2008; 28 (1): 113-116.
  8. Lopez-Gomez SA, Villalobos-Rodelo JJ, Avila-Burgos L, Casanova-Rosado JF, Vallejos-Sanchez AA, Lucas-Rincon SE, et al. Relationship between premature loss of primary teeth with oral hygiene, consumption of soft drinks, dental care, and previous caries experience. Sci Rep 2016; 6: 21147.
  9. Demiriz L, Hazar Bodrumlu E. Reasons for the extraction of primary teeth in primary school-age children in Zonguldak, Turkey: A retrospective study. Meandros Med Dent J 2017; 19: 32-8.
  10. Kay EJ, Blinkhorn AS. The reasons underlying the extraction of teeth in Scotland. Br Dent J 1986; 160(8): 287-90.
  11. 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-e549.
  12. Angelillo IF, Nobile CG, Pavia M. Survey of reasons for extraction of permanent teeth in Italy. Community Dent Oral Epidemiol 1996; 24(5): 336-40.
  13. Murray H, Clarke M, Locker D, Kay EJ. Reasons for tooth extractions in dental practices in Ontario, Canada according to tooth type. Int Dent J 1997; 47(1): 3-8.
  14. Chukwumah N, Azodo C, Orikpete E. Analysis of tooth mortality among nigerian children in a tertiary hospital setting. Ann Med Health Sci Res 2014; 4(3): 345-9.
  15. McCaul LK, Jenkins WM, Kay EJ. The reasons for the extraction of various tooth types in Scotland: A 15-year follow up. J Dent 2001; 29(6): 401-7.
  16. Burdurlu C, Dagasan V, Cabbar F, Karakurt C, Atalay B. Retrospective analysis of primary teeth extractions. Yeditepe Dental Journal 2020; 16(1): 49-53.
  17. Levine RS, Pitts NB, Nugent ZJ. The fate of 1,587 unrestored carious deciduous teeth: A retrospective general dental practice based study from northern England. Br Dent J 2002; 193(2): 99-103.
  18. Jamieson LM, Koopu PI. Child use of dental services and receipt of dental care in New Zealand. J Paediatr Child Health 2007; 43(11): 732-9.
  19. Mansour ON, Bagesund 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.
  20. Ashiwaju MO, Folayan MO, Sote EO, Isikwe MC. Pattern of tooth extraction in children attending tertiary health care centers in Nigeria: A prospective study. J Clin Pediatr Dent 2011; 36(1): 107-10.
  21. Koruyucu M, Bayram M, Bekiroglu N, Seymen F. Reasons for tooth extraction in 3-8 year-old Turkish children. Oral Health and Care 2017; 2(1): 1-4.
  22. 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.
  23. 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.
  24. Logan WHG, Kronfeld R. Development of the human jaws and surrounding structures from birth to the age of fifteen years. J Am Dent Assoc 1933; 20(3): 379-428.
  25. Kyzylcy E, Ozalp N. Evaluation of transmission of Streptococcus mutans to children: Effective factors and window of infectivity. J Dent Fac Ataturk Uni 2015 11: 71-6. [In Turkish].
  26. Flores MT. Traumatic injuries in the primary dentition. Dent Traumatol 2002; 18(6): 287-98.
  27. Leung AK, Robson WL. Natal teeth: A review. J Natl Med Assoc 2006; 98(2): 226-8.
  28. Hegde RJ. Sublingual traumatic ulceration due to neonatal teeth (Riga-Fede disease). J Indian Soc Pedod Prev Dent 2005; 23(1): 51-2.
  29. Ak G, Sepet E, Pinar A, Aren G, Turan N. Reasons for early loss of primary molars. Oral Health Prev Dent 2005; 3(2): 113-7.
  30. 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.