Abstract
Background: The aim of this study was to evaluate oral status, the reasons for tooth extractions and related risk factors in adult patients attending a hospital dental practice. Methods: 120 consecutive patients ranging from 23 to 91 years in age (mean age of 63.3 ± 15.8) having a total of 554 teeth extracted were included. Surveys about general health status were conducted and potential risk factors such as smoking, diabetes and age were investigated. Results: a total of 1795 teeth were missing after extraction procedures and the mean number of remaining teeth after the extraction process was 16.8 ± 9.1 per patient. Caries (52.2%) was the most common reason for extraction along with periodontal disease (35.7%). Males were more prone to extractions, with 394 of the teeth extracted out of the total of 554 (71.1%). Male sex (β = 2.89; 95% CI 1.26, 4.53; p = 0.001) and smoking habit (β = 2.95; 95% CI 1.12, 4.79; p = 0.002) were related to a higher number of teeth extracted. Age (β = −0.24; 95% CI −0.31, −0.16; p < 0.001) and diabetes (β = −4.47; 95% CI −7.61, −1.33; p = 0.006) were related to a higher number of missing teeth at evaluation time. Moreover, periodontal disease was more common as a reason of extraction among diabetic patients than among non-diabetic ones (p = 0.04). Conclusions: caries and periodontal disease were the most common causes of extraction in a relatively old study population: further screening strategies might be required for the early interception of caries and periodontal disease.
Highlights
Tooth loss is one of the main indicators of oral health in a population and is one of the favorite variables considered in much research [1]
Caries are common in a slightly younger population with a mean age of patients undergoing tooth extraction of 63.0 ± 14.9, while endodontic issues leading to extraction are common in an even younger population with a mean age of 61.8 ± 12.2
Many articles show a similar correlation with overlapping results: in Italy, Norway, Greece, England and Wales, Kuwait and Japan, periodontal disease is most common in elderly populations, while caries is the main cause for extraction and affects many individuals, being related to age and to education and socio-economic status [4,5,7,26,27,28,29,30]
Summary
Tooth loss is one of the main indicators of oral health in a population and is one of the favorite variables considered in much research [1]. The study of missing teeth in a population can be useful to determine whether the level of oral hygiene is good or if oral care is adequate and accessible [2,3]. An evaluation of proper hygiene education and environment-related issues can be made when comparing the dental records of different population groups. Many factors can be used to compare similar populations, and a vast number of records are available today to assess oral health levels within a community [4,5,6,7,8,9,10]. The aim of this study was to evaluate oral status, the reasons for tooth extractions and related risk factors in adult patients attending a hospital dental practice. Males were more prone to extractions, with 394 of the teeth extracted out of the total of 554
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Environmental Research and Public Health
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
