Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Evaluation of the Frequency of Primary and Permanent Teeth Extraction in Children at a Dental Hospital: A Cross-Sectional Study
Bir Ağız ve Diş Sağlığı Merkezine Başvuran Çocuklarda Süt ve Daimi Diş Çekim Sıklığının Araştırılması: Kesitsel Çalışma
Esra Ceren TATLIa, Ayça Hande SARIa
aDepartment of Pediatric Dentistry, Ankara Yıldırım Beyazıt University Faculty of Dentistry, Ankara, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(4):839-45
doi: 10.5336/dentalsci.2022-90792
Article Language: EN
Full Text
ABSTRACT
 Objective: To evaluate cross-sectionally the frequency of tooth extraction, and the reasons for extraction, by age and gender in children and adolescents who attended an oral and dental health training and research hospital. Material and Methods: Pediatric patients aged between 3 and 14 years who attended the pediatric dentistry clinic of our hospital were examined between November 2021-February 2022. The age, gender and reasons for tooth extraction of the patients who were diagnosed for extractions were documented after clinical intraoral examinations were conducted and panoramic films had been taken. In addition, the presence of previous early tooth loss and mesial tipping of the adjacent teeth were recorded from the radiographs. Descriptive statistics were used for the results. Results: Of the 3,074 (mean age: 8.3) children who agreed to participate in the study, at least 953 required extraction of at least one tooth (31%). A total of 1,461 teeth were extracted from these 953 children. While caries, followed by physiological mobility were the main reasons for extraction in primary teeth, for permanent teeth the main reasons were caries and molar incisor hypomineralization. Conclusion: The study found that dental caries was the most common reason for indication for extraction. Despite all the modern advances in dentistry, caries continues to be the main reason for teeth extraction amongst children today. Given the possible negative consequences of the premature loss of primary and permanent teeth, it is important to provide access and advice about the main causes of extraction through the use of oral hygiene training and awareness programs.

Keywords: Dental caries; malocclusion; tooth extraction; tooth loss
ÖZET
 Amaç: Bu çalışmanın amacı, bir ağız ve diş sağlığı merkezine başvuran çocuklardaki diş çekim sıklığının ve nedenlerinin yaş ve cinsiyete göre dağılımını kesitsel olarak değerlendirmektir. Gereç ve Yöntemler: Kasım 2021-Şubat 2022 tarihleri arasındaki 3 aylık süreçte çocuk diş hekimliği polikliniğine rutin muayene ve tedavi amacıyla başvuran hastaların (3-14 yaş arası) intraoral muayeneleri yapılmış ve panoramik radyografları alınmıştır. Değerlendirmeler sonucunda, dişlerine çekim endikasyonu konan çocukların diş çekim sebepleri, yaş ve cinsiyetleri kaydedilmiştir. Bunlarla birlikte, daha önceden çekilmiş olan dişler ve dişsiz boşluğa komşu dişte devrilme olup olmadığı not edilmiştir. Tanımlayıcı istatistikler ve ortalama değerler hesaplanmıştır. Bulgular: Kliniğe başvuran 3.074 (ortalama yaş: 8,3) çocuktan 953'ünün en az bir dişine çekim endikasyonu konulmuştur (%31). Dokuz yüz elli üç çocuğun toplam 1.461 dişine çekim endikasyonu konulmuştur. Süt dişlerinde en sık çekim nedeni çürük ve takiben fizyolojik mobilite iken, daimi dişlerde ise çürük ve büyük azı-keser olarak tespit edilmiştir. Sonuç: Çalışma sonucunda, en sık diş çekimi endikasyon nedeninin diş çürüğü olduğu tespit edilmiştir. Diş hekimliğindeki tüm gelişmelere rağmen diş çürükleri, günümüzde çocuklarda diş çekiminin en yaygın nedeni olmaya devam etmektedir. Çocuklarda erken diş kayıplarının olası olumsuz sonuçları göz önüne alındığında, ağız hijyeni eğitimleri ve bilinçlendirme programları aracılığı ile diş çürüklerinin ve çürük sebebiyle meydana gelen diş kayıplarının önüne geçilmesi önem arz etmektedir.

Anahtar Kelimeler: Diş çürüğü; maloklüzyon; diş çekimi; diş kaybı
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