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Reasons for tooth extraction in Scotland
I G Chestnutt1, V I Binnie, M M Taylor
1University of Wales College of Medicine, Dental School, Heath Park, Cardiff, UK.
Journal of Dentistry
|March 21, 2000
Summary
Dental caries and periodontal disease remain the primary reasons for permanent tooth extractions in Scotland. A 1994 study found extraction reasons largely unchanged over a decade, despite a reduction in overall extractions.
Area of Science:
- Dental Public Health
- Epidemiology
- Oral Surgery
Background:
- A 1984 study established baseline reasons for tooth extraction in Scotland.
- Understanding current trends is crucial for dental public health initiatives.
Purpose of the Study:
- To determine current reasons for permanent tooth extraction by general dental practitioners in Scotland.
- To assess changes in tooth extraction influences over a 10-year period.
Main Methods:
- A 1-week survey in November 1994.
- 139 general dental practitioners across Scotland participated.
- Recorded reasons for all permanent tooth extractions.
Main Results:
- 917 permanent teeth were extracted from 613 patients.
- Top reasons: dental caries (51%), periodontal disease (21%), orthodontics (11%), failed endodontics (4%).
- Periodontal disease proportion increased in middle age, declining thereafter.
Conclusions:
- The relative contribution of extraction reasons remained similar to a 1984 study.
- The mean number of teeth extracted per practitioner decreased.
- Dental caries and periodontal disease continue to be the leading causes for tooth extraction.