The reasons for tooth extractions realized in patient adults attending at Urban Health Center in México
Abstract
Objective: To identify the main reasons why dental extractions are performedin adult patients who come to one Urban Health Center fromMexico. Material and Methods: A cross-sectional study in 61 adult patientsaged 18 and older who attended to an Urban Health Center from Hidalgo, Mexico. The dependent variable was the main reason why the tooth wasextracted using the classification of Kay & Blinkhorn. Independent variables includedwere age, sex, education, number of missing teeth, previous tooth restoration,prior endodontic treatment, location of tooth, diagnosis of diabetes and smoking.Stata 9.0 software was used for statistical analysis. Results: The mean age was50.90±16.18, and 50.8% were women. Only we observed two reasons why teethwere extracted: dental caries and its sequelae (62.3%) and periodontal disease(37.7%). In logistic regression model we observed that, for every year of schoolingthe possibility of extraction performed by periodontal disease decreased (OR =0.68; 95% CI = 0.53 to 0.88). If the tooth was restored, the odds of being extractedfor periodontal reasons increased 2.62 times (95% CI = 1.15 - 5.97). In patientswith diabetes, the possibility that the tooth was extracted for periodontal reasonswas higher (OR = 5.87; 95% CI = 1.52 - 22.63). Conclusions: Dental caries and periodontaldisease were the main reasons why teeth are extracted in this group ofpatients. Schooling, restored tooth and diagnosis of diabetes were associated withperiodontal disease extraction.Downloads
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References
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2010;146(4):264-8.
Principales razones de extracción de dientes permanentes de adultos mexicanos en un Centro de Salud
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en_adolescentes_y_adultos_jovenes_universitarios_mexicanos
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Rosado AJ, Márquez-Corona ML, et al. Edentulism risk indicators among
Mexican elders 60-year-old and older. Arch Gerontol Geriatr. 2011;53:258-62.
http://www.jamda.com/article/S0167-4943(10)00338-9/abstract
22. Chrysanthakopoulos NA, Vlassi CK. Reasons and risks of permanent teeth extraction.
The general dental practice in Greece. International Journal of Medical Dentistry
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4-2013%20tipo.pdf
23. Kolker JL, Damiano PC, Armstrong SR, Bentler SE, Flach SD, Caplan DJ, et al.
Natural history of treatment outcomes for teeth with large amalgam and crown
restorations. Oper Dent. 2004;29(6):614-22. https://www.ncbi.nlm.nih.gov/pubmed/
15646215
24. Jimenez M, Hu FB, Marino M, Li Y, Joshipura KJ. Type 2 diabetes mellitus and
20 year incidence of periodontitis and tooth loss. Diabetes Res Clin Pract.
2012;98(3):494-500. https://www.ncbi.nlm.nih.gov/pubmed/23040240
25. Kaur G, Holtfreter B, Rathmann W, Schwahn C, Wallaschofski H, Schipf S, et al.
Association between type 1 and type 2 diabetes with periodontal disease and
tooth loss. J Clin Periodontol. 2009;36(9):765-74. https://www.ncbi.nlm.nih.gov/
pubmed/19622096
26. Griffin SO, Jones JA, Brunson D, Griffin PM, Bailey WD. Burden of oral disease
among older adults and implications for public health priorities. Am J Public Health
2012;102:411-8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3487659/
27. Rodrigues HL Jr, Scelza MF, Boaventura GT, Custódio SM, Moreira EA, Oliveira D
de L. Relation between oral health and nutritional condition in the elderly. J Appl
Oral Sci 2012;20:38-44. https://www.ncbi.nlm.nih.gov/pubmed/22437676
28. De Marchi RJ, Hugo FN, Hilgert JB, Padilha DM. Number of teeth and its association
with central obesity in older Southern Brazilians. Community Dent Health
2012;29:85-9. https://www.ncbi.nlm.nih.gov/pubmed/22482256
29. Singh A, Peres MA, Peres KG, Bernardo CO, Xavier A, D’Orsi E. Gender differences
in the association between tooth loss and obesity among older adults in Brazil.
Rev Saude Publica. 2015;49:1-9. https://www.ncbi.nlm.nih.gov/pmc/articles/
PMC4544688/
30. Liljestrand JM, Havulinna AS, Paju S, Männistö S, Salomaa V, Pussinen PJ. Missing
Teeth Predict Incident Cardiovascular Events, Diabetes, and Death. J Dent
Res. 2015;94(8):1055-62. https://www.ncbi.nlm.nih.gov/pubmed/25991651
CJ. Global burden of oral conditions in 1990-2010: a systematic analysis. J Dent
Res 2013;92:592-7. https://www.ncbi.nlm.nih.gov/pubmed/23720570
2. Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden
of severe periodontitis in 1990-2010: a systematic review and meta-regression.
J Dent Res. 2014a;93:1045-53. https://www.ncbi.nlm.nih.gov/pubmed/25261053
3. Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global
Burden of Severe Tooth Loss: A Systematic Review and Meta-analysis. J Dent Res.
2014b;93(7 Suppl):20S-28S. https://www.ncbi.nlm.nih.gov/pubmed/24947899
4. Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global
burden of untreated caries: a systematic review and metaregression. J Dent Res.
2015;94:650-8. https://www.ncbi.nlm.nih.gov/pubmed/25740856
5. Farsi JMA. Common causes of extraction of teeth in Saudi Arabia. Saudi Dental
J 1993;4:101-105.
6. Hobdell M, Petersen PE, Clarkson J, Johnson N. Global goals for oral health 2020.
Int Dent J 2003;53:285-288. https://www.ncbi.nlm.nih.gov/pubmed/14560802
Delgado V, De La Rosa R, Medina C, Pontigo A, Navarrete J, Casanova J, Casanova A.
Enero - Junio 2017 - Pág 8
7. Alesia K, Khalil HS. Reasons for and patterns relating to the extraction of permanent
teeth in a subset of the Saudi population. Clin Cosmet Investig Dent.
2013;5:51-6. https://www.ncbi.nlm.nih.gov/pubmed/23986651
8. Al Qudah M, Al Waeli H, Al Rashdan H. The Reasons for Dental Extraction of Permanent
Teeth in a Jordanian Population, Including Considerations for the Influence
of Social Factors. Smile Dental Journal 2012;7:34-42.
9. Saheeb B D, Sede M A. Reasons and pattern of tooth mortality in a Nigerian
Urban teaching hospital. Ann Afr Med 2013;12:110-4. https://www.ncbi.nlm.nih.
gov/pubmed/23713018
10. Saikhedkar R, Neema HC. Evaluation of various factors for extraction of teeth in
a rural dental college. Journal of Pierre Fauchard Academy (india section) 2014;
8:28-33. http://www.jpsr.pharmainfo.in/Documents/Volumes/vol8Issue01/
jpsr08011609.pdf
11. Lee CY, Chang YY, Shieh TY, Chang CS. Reasons for Permanent Tooth Extractions
in Taiwan. Asia Pac J Public Health. 2015;27(2):NP2350-7. https://www.ncbi.nlm.
nih.gov/pubmed/22743854
12. Kay EJ, Blinkhorn AS. The reasons underlying the extraction of teeth in Scotland.
Br Dent J 1986;160:287-290. https://www.ncbi.nlm.nih.gov/pubmed/3457583
13. Hosmer D, Lemeshow S. Applied logistic regression. 2da ed. Wiley-Interscience
Publication. USA 2000. http://resource.heartonline.cn/20150528/1_3kOQSTg.pdf
14. Bagley SC, White H, Golomb BA. Logistic regression in the medical literature:
Standards for use and reporting, with particular attention to one medical domain.
J Clin Epidemiol 2001;54:979-985. https://www.ncbi.nlm.nih.gov/pubmed/
11576808
15. Sun GW, Shook TL, Kay GL. Inappropriate use of bivariable analysis to screen risk
factors for use in multivariable analysis. J Clin Epidemiol 1996;49:907-916.
16. Yousaf A, Mahmood S, Yousaf N, Bangash KA, Manzoor MA. Reasons for extractions
in patients seen in Pak Field Hospital level 3 Darfur, Sudan. Pakistan Oral &
Dental Journal 2012; 32(3): 393-396.
17. Casanova-Rosado JF, Medina-Solís CE, Vallejos-Sánchez AA, Casanova-Rosado
AJ, Mauomé G, Ávila Burgos L. Lifestyle and psychosocial factors associated with
tooth loss in Campeche, Mexico. J Contemp Dent Pract 2005;6:70-77.
18. de la Fuente-Hernández J, González de Cossío M, Ortega-Maldonado M, Sifuentes-
Valenzuela MC Caries y pérdida dental en estudiantes preuniversitarios
mexicanos. Salud Publica Mex. 2008;50(3):235-40. http://www.scielosp.org/pdf/
spm/v50n3/07.pdf
19. Minaya-Sánchez M, Medina-Solís CE, Casanova-Rosado JF, Casanova-Rosado
AJ, Márquez-Corona Mde L, Islas-Granillo H, et al. [Tooth loss and periodontal
status variables among policemen from Campeche, Mexico]. Gac Med Mex.
2010;146(4):264-8.
Principales razones de extracción de dientes permanentes de adultos mexicanos en un Centro de Salud
Enero - Junio 2017 - Pág 9
20. García-Cortés JO, Loyola-Rodríguez JP, Patiño-Marín N, Islas-Granillo H, Mendoza-
Rodríguez M, Medina-Solís CE. Pérdida de dientes en adolescentes y adultos
jóvenes universitarios mexicanos. Rev Estomatol Herediana. 2010;20(4):191-
195. https://www.researchgate.net/publication/262898805_Perdida_de_dientes_
en_adolescentes_y_adultos_jovenes_universitarios_mexicanos
21. Islas-Granillo H, Borges-Yañez SA, Lucas-Rincón SE, Medina-Solís CE, Casanova-
Rosado AJ, Márquez-Corona ML, et al. Edentulism risk indicators among
Mexican elders 60-year-old and older. Arch Gerontol Geriatr. 2011;53:258-62.
http://www.jamda.com/article/S0167-4943(10)00338-9/abstract
22. Chrysanthakopoulos NA, Vlassi CK. Reasons and risks of permanent teeth extraction.
The general dental practice in Greece. International Journal of Medical Dentistry
2013; 3(4): 315-321. http://www.ijmd.ro/articole/338_65_pdf_IJMD%20
4-2013%20tipo.pdf
23. Kolker JL, Damiano PC, Armstrong SR, Bentler SE, Flach SD, Caplan DJ, et al.
Natural history of treatment outcomes for teeth with large amalgam and crown
restorations. Oper Dent. 2004;29(6):614-22. https://www.ncbi.nlm.nih.gov/pubmed/
15646215
24. Jimenez M, Hu FB, Marino M, Li Y, Joshipura KJ. Type 2 diabetes mellitus and
20 year incidence of periodontitis and tooth loss. Diabetes Res Clin Pract.
2012;98(3):494-500. https://www.ncbi.nlm.nih.gov/pubmed/23040240
25. Kaur G, Holtfreter B, Rathmann W, Schwahn C, Wallaschofski H, Schipf S, et al.
Association between type 1 and type 2 diabetes with periodontal disease and
tooth loss. J Clin Periodontol. 2009;36(9):765-74. https://www.ncbi.nlm.nih.gov/
pubmed/19622096
26. Griffin SO, Jones JA, Brunson D, Griffin PM, Bailey WD. Burden of oral disease
among older adults and implications for public health priorities. Am J Public Health
2012;102:411-8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3487659/
27. Rodrigues HL Jr, Scelza MF, Boaventura GT, Custódio SM, Moreira EA, Oliveira D
de L. Relation between oral health and nutritional condition in the elderly. J Appl
Oral Sci 2012;20:38-44. https://www.ncbi.nlm.nih.gov/pubmed/22437676
28. De Marchi RJ, Hugo FN, Hilgert JB, Padilha DM. Number of teeth and its association
with central obesity in older Southern Brazilians. Community Dent Health
2012;29:85-9. https://www.ncbi.nlm.nih.gov/pubmed/22482256
29. Singh A, Peres MA, Peres KG, Bernardo CO, Xavier A, D’Orsi E. Gender differences
in the association between tooth loss and obesity among older adults in Brazil.
Rev Saude Publica. 2015;49:1-9. https://www.ncbi.nlm.nih.gov/pmc/articles/
PMC4544688/
30. Liljestrand JM, Havulinna AS, Paju S, Männistö S, Salomaa V, Pussinen PJ. Missing
Teeth Predict Incident Cardiovascular Events, Diabetes, and Death. J Dent
Res. 2015;94(8):1055-62. https://www.ncbi.nlm.nih.gov/pubmed/25991651
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Published
2017-11-08
How to Cite
Delgado Perez, V. J., Santillana, R. D. L. R., Medina Solís, C. E., Pontigo Loyola, A. P., Navarrete Hernández, J. de J., Casanova Rosado, J. F., & Casanova Rosado, A. J. (2017). The reasons for tooth extractions realized in patient adults attending at Urban Health Center in México. CES Salud Pública, 8(1), 1–9. Retrieved from https://revistas.ces.edu.co/index.php/ces_salud_publica/article/view/4418
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