Journal articles: 'Dental extractions'

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Hamasha, Abed Al-Hadi, Mansour Ali Al Qudah, Anwar Barakat Bataineh, and Rima Ahmad Safadi. "Reasons for Third Molar Teeth Extraction in Jordanian Adults." Journal of Contemporary Dental Practice 7, no. 5 (2006): 88–95. http://dx.doi.org/10.5005/jcdp-7-5-88.

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Abstract Aims To assess reasons for third molar teeth extractions in a sample of Jordanian dental patients and to evaluate the association of extractions with other independent variables. Methods and Materials The study sample was comprised of dental patients in North Jordan who had third molar extractions. Data were collected from 36 dentists who were instructed to administer questionnaires to their adult patients undergoing third molar extractions and then to record the primary reason for those extractions. The data in this study was analyzed using a descriptive summary and chi square statistics. Results Dentists performed 810 extractions for 648 patients. The reasons for the extractions were: dental caries and its consequences about 42%, eruption problems 39%, periodontal diseases about 7%, and approximately 9% of extractions were a result of the dentist.s choice. The percentage of extractions due to dental caries significantly increased with increasing age. However, significant numbers of teeth were extracted due to eruption problems (51%-69%) in young adults. For 46+ year olds, 23% of extractions were caused by periodontal diseases. Extraction due to dental caries was distributed equally among the sexes. Persons with irregular tooth brushing and fewer dental visits had significantly more third molar teeth extracted due to caries and periodontal diseases compared to persons with regular tooth brushing and dental visits. Citation Hamasha AA, Al Qudah MA, Bataineh AB, Safadi RA. Reasons for Third Molar Teeth Extraction in Jordanian Adults. J Contemp Dent Pract 2006 November;(7)5:088-095.

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Dardengo, Camila de S., Luciana Q. P. Fernandes, and Jonas Capelli Júnior. "Frequency of orthodontic extraction." Dental Press Journal of Orthodontics 21, no. 1 (February 2016): 54–59. http://dx.doi.org/10.1590/2177-6709.21.1.054-059.oar.

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Introduction: The option of dental extraction for orthodontic purposes has been debated for more than 100 years, including periods when it was widely used in treatment, including the present, during which other methods are used to avoid dental extractions. The objective was to analyze the frequency of tooth extraction treatment performed between 1980 and 2011 at the Orthodontic Clinic of Universidade Estadual do Rio de Janeiro (UERJ). Material and Methods: The clinical records of 1484 patients undergoing orthodontic treatment were evaluated. The frequency of extractions was evaluated with regard to sex, Angle's classification, the different combinations of extractions and the period when orthodontic treatment began. Chi-square test was used to determine correlations between variables, while the chi-square test for trends was used to assess the frequency of extractions over the years. Results: There was a reduction of approximately 20% in the frequency of cases treated with tooth extraction over the last 32 years. The most frequently extracted teeth were first premolars. Patients with Class I malocclusion showed fewer extractions, while Class II patients underwent a higher number of extraction treatment. There were no statistically significant differences with regard to sex. Conclusion: New features introduced into the orthodontic clinic and new esthetic concepts contributed to reducing the number of cases treated with dental extractions. However, dental extractions for orthodontic purposes are still well indicated in certain cases.

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Manya Suresh, Dhanraj Ganapathy, and Nivethigaa B. "Prevalence of full mouth extraction among patients visiting a dental college - A retrospective analysis." International Journal of Research in Pharmaceutical Sciences 11, SPL4 (December 25, 2020): 660–64. http://dx.doi.org/10.26452/ijrps.v11ispl4.4014.

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Extraction of teeth is one of the most common procedures carried out in dental clinics. This study was done to assess the prevalence of full mouth extraction among patients visiting a dental college. A review of the records of patients who had undergone tooth extraction in Saveetha Dental College between June 2019 to March 2020 was retrieved. Data was then analyzed for patients who had undergone full mouth extractions. Data was cross-tabulated based on gender. A total of 4539 patients had undergone extractions. Most of the patients were above the age of 40. There was a slightly higher predilection of males who had undergone extractions compared to females. 2.8% of the population had undergone full mouth extraction. Within the limits of the present study, it can be concluded that the prevalence of full mouth extraction cases in a dental college in Chennai was minimal, with a slightly higher predilection towards males.

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Bloor, Claire. "How to set up for dental extractions." Veterinary Nurse 12, no. 7 (September 2, 2021): 323–28. http://dx.doi.org/10.12968/vetn.2021.12.7.323.

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Exodontics is the branch of dental surgery concerned with the extraction of teeth. Dental extraction involves the removal of teeth from the dental alveolus (socket) in the alveolar bone of the incisive bones, maxilla and mandibles. There are two types of extractions the veterinary surgeon (VS) can perform — closed or open — and both are associated with tissue disruption and manipulation to varying degrees, which will inevitably initiate an inflammatory and pain response, which can prolong healing. The role of the veterinary nurse (VN) in preparing equipment and consumables for extraction should not be underestimated; excellent preparation can reduce surgical time, reduce the length of time the patient is anaesthetised, and ensure high-quality extractions can be performed by the VS to promote optimal postoperative healing.

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Alluru, Deepika, Chandrasekhar Lingamallu, Venkata Subhash Andey, and Venkata Durga Prasad Venkumahanti. "Pattern and causes of tooth extraction in patients reporting to GVPIHC and MT, Visakhapatnam, Andhra Pradesh." International Journal of Scientific Reports 8, no. 3 (February 21, 2022): 74. http://dx.doi.org/10.18203/issn.2454-2156.intjscirep20220374.

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Background: Teeth help us in masticatory function, phonetics and aesthetics. Loss of teeth may affect quality of life and has significant socioeconomic, psychological consequences. Its important to analyse the reasons and patterns of tooth loss to know their impact on the remaining dentition and oral health. Thus, the present study was designed to understand the pattern and causes of tooth extraction in a targeted population. Methods: This retrospective study analysed 972 records of patients who underwent 1092 dental extractions in the department of dentistry at Gayatri Vidya Parishad Institute of Health Care and Medical Technology-Visakhapatnam from January 2021 to December 2021. Various aspects like the causes of extraction, type of teeth extracted, type of dentition involved and site of extraction were evaluated. The collected data was then tabulated and subjected to statistical analysis. Results: A total of 1092 extractions were evaluated and noticed only 7% cases involving primary dentition. Caries (65.8%) was the most common cause of dental extractions followed by periodontitis. Majority of extractions were noticed in maxillary posterior region. First molars (27.4%) were often extracted followed by second molars. Least number of extractions involved canine.Conclusions: Dental caries and periodontitis were the most common causes of dental extraction. Most extractions involved secondary dentition. Maxillary and posterior regions had maximum number of extractions. First molars were commonly extracted followed by second molars. It is necessary to implement preventive dental care programs and improve the oral hygiene awareness in public.

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Cahen, P. M., R. M. Frank, and J. C. Turlot. "A Survey of the Reasons for Dental Extractions in France." Journal of Dental Research 64, no. 8 (August 1985): 1087–93. http://dx.doi.org/10.1177/00220345850640081401.

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3516 French dentists, selected at random, were asked to record every tooth they extracted during January, 1984. They were also asked to give the reason for extraction in each case. These were assigned to eight groups: caries, periodontal diseases, eruption problems, prosthetics, trauma, orthodontics, occlusal problems, and other reasons. Data were received from 910 dentists (25.3%) relating to a total of 14,621 extractions. Overall, caries was the most frequent cause for extraction (49%), followed by periodontal diseases (32.4%) and orthodontics (8.4%). In the age group under 50, dental caries was the main reason for extraction. However, in the age group over 50, periodontal diseases became the principal reason for extraction. Orthodontic extractions were most prominent in the 6-12 and 13-20 age groups, with respective frequencies of 72.6% and 24.8% of all extractions. Eruption problems contributed most frequently in the 13-20 and 21-30 age groups, their respective percentages being 8.7% and 12.3%. Extractions resulting from trauma were most frequently noted in the under-6 age group (frequency of 8.8%). As far as the type of tooth was concerned, first and second molars taken together made up 29.6% of extractions These were followed by pre-molars, anterior teeth, and third molars at levels of 25.8%, 29.9%, and 14.7%, respectively. The teeth most frequently extracted because of caries were the molars (40.9%); because of periodontal disease, the anteriors (49.1%); and, for prosthetic reasons, again the anteriors (57.5%). Extractions from the various regions of France showed important variations. Percentage frequencies for caries and periodontal extractions were inversely linked.

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Alsaegh, Mohammed Amjed, and Abdullah Wadullah Albadrani. "Pattern and Reasons for Permanent Tooth Extractions at Dental Clinics of the University of Science and Technology of Fujairah, UAE." Open Dentistry Journal 14, no. 1 (April 22, 2020): 143–49. http://dx.doi.org/10.2174/1874210602014010143.

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Objectives: To evaluate the pattern and reasons for permanent tooth extractions in an adult patient seeking free dental care at clinics of the University of Science and Technology of Fujairah, UAE. Methods: The current retrospective study involved patients who had a dental extraction in the student dental clinics of the University of Science and Technology of Fujairah. Data of 1000 randomly selected extractions were collected from the archive of the university dental clinics. Results: Males had more teeth extracted (88.3%) than females. The most frequent extraction (58.9%) was in individuals of 30-49 years old range. Dental caries was the major reason (44.6%) of extractions, followed by wisdom teeth related extraction (23.4%), periodontal disease (18.1), failure of endodontically treated teeth (8.7%), prosthetic reasons (2.6), orthodontic reasons (1.7%), and trauma (0.9%) respectively. The most extracted teeth were the maxillary posterior teeth (45.6%), followed by mandibular posterior teeth (38.2%); then, maxillary anterior teeth (8.8) and lastly, were the mandibular anterior teeth (7.4%). Caries was significantly more frequent in female gender (χ2= 250.126; p=.000), while the periodontal disease was more common in male gender (χ2 = 146.790; p=.000). Conclusion: Caries is the principal reason for tooth extractions, followed by wisdom teeth related problems and periodontal disease. There is an increasing percentage of tooth extraction due to periodontal disease with both aging and male gender. Caries was the more frequent reason for extraction in all quadrants, except the lower anterior teeth in which periodontal disease was the more frequent reason. Lastly, anterior teeth were retained in the oral cavity more than posterior teeth.

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Patel, Krishna, Huw G. Jeremiah, and Andrew Barber. "Update on tooth notation, guidelines for extraction and a new technique for extractions: intra-oral dental marking." Dental Update 47, no. 11 (December 2, 2020): 951–55. http://dx.doi.org/10.12968/denu.2020.47.11.951.

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Effective communication is required when referring patients for extractions and surgical procedures. There are multiple notation systems used for the identification of teeth, making communication for dental extractions challenging. The aim of this article is to provide an overview of the methods available to identify teeth and to propose a novel technique to identify erupted teeth for extraction. CPD/Clinical Relevance: Dental professionals should be aware of the importance of effective communication when identifying teeth planned for extraction and using a method that will minimize the chances of wrong tooth extraction.

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Balermpas, Panagiotis, Janita E. van Timmeren, David J. Knierim, Matthias Guckenberger, and Ilja F. Ciernik. "Dental extraction, intensity-modulated radiotherapy of head and neck cancer, and osteoradionecrosis." Strahlentherapie und Onkologie 198, no. 3 (January 14, 2022): 219–28. http://dx.doi.org/10.1007/s00066-021-01896-w.

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Abstract Objective To seek evidence for osteoradionecrosis (ORN) after dental extractions before or after intensity-modulated radiotherapy (IMRT) for head and neck cancer (HNC). Methods Medline/PubMed, Embase, and Cochrane Library were searched from 2000 until 2020. Articles on HNC patients treated with IMRT and dental extractions were analyzed by two independent reviewers. The risk ratios (RR) and odds ratios (OR) for ORN related to extractions were calculated using Fisher’s exact test. A one-sample proportion test was used to assess the proportion of pre- versus post-IMRT extractions. Forest plots were used for the pooled RR and OR using a random-effects model. Results Seven of 630 publications with 875 patients were eligible. A total of 437 (49.9%) patients were treated with extractions before and 92 (10.5%) after IMRT. 28 (3.2%) suffered from ORN after IMRT. ORN was associated with extractions in 15 (53.6%) patients, eight related to extractions prior to and seven cases related to extractions after IMRT. The risk and odds for ORN favored pre-IMRT extractions (RR = 0.18, 95% CI: 0.04–0.74, p = 0.031, I2 = 0%, OR = 0.16, 95% CI: 0.03–0.99, p = 0.049, I2 = 0%). However, the prediction interval of the expected range of 95% of true effects included 1 for RR and OR. Conclusion Tooth extraction before IMRT is more common than after IMRT, but dental extractions before compared to extractions after IMRT have not been proven to reduce the incidence of ORN. Extractions of teeth before IMRT have to be balanced with any potential delay in initiating cancer therapy.

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Kumar, Santhosh. "RELATIONSHIP BETWEEN DENTAL ANXIETY AND PAIN EXPERIENCE DURING DENTAL EXTRACTIONS." Asian Journal of Pharmaceutical and Clinical Research 10, no. 3 (March 1, 2017): 458. http://dx.doi.org/10.22159/ajpcr.2017.v10i3.16518.

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ABSTRACTObjective: To assess the effects of anxiety on pain experienced during dental extractions.Methods: A prospective study was conducted during the academic year July-September 2016, randomly among 60 dental patients who visited theoutpatient Department of Oral and Maxillofacial Surgery, Saveetha Dental College, Saveetha University, Chennai, for single tooth extraction. Anxietywas measured using the Hamilton anxiety rating scale. The pain was measured using the pain visual analog scale (VAS) for the level of pain perceivedduring extraction. Data collected were analyzed with Statistical Package for Social Sciences for Windows, Version 16.0 (SPSS Inc., Chicago, IL, USA)and results obtained.Results: From regression analysis, R2=0.605 which meant that the independent variable (anxiety) explained 60.50% of the variability of the dependentvariable (pain) with significant t-value. There was a statistically significant correlation between VAS and total anxiety score (p<0.05). This stronglysuggests that an increase in pain level is associated with an increase in anxiety level.Conclusion: Pre-operative dental anxiety is a major predictor of pain experienced by patients during dental extractions. Hence, it is an important toreduce anxiety before treatment to reduce pain during the treatment. Pharmacologic modalities like sedation can be used for reducing anxiety andpain related to the treatment in indicated patients.Keywords: Dental anxiety, Sedation, Anesthesia, Pain, Tooth extraction.

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Alluru, Deepika, Venkata Subhash Andey, Chandrasekhar Lingamallu, and Sindhoori Patnam. "Age and gender distribution of patients undergoing teeth extraction: a retrospective study in a tertiary health care centre." International Journal of Research in Medical Sciences 10, no. 3 (February 25, 2022): 614. http://dx.doi.org/10.18203/2320-6012.ijrms20220388.

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Background: Tooth extraction remains a major commonly performed procedure in developing countries. Tooth loss affects mastication, speech, aesthetics and impairs the quality of life. The number of extracted teeth can serve as an indicator for socioeconomic status or oral hygiene level. It is essential to provide awareness regarding oral hygiene maintenance and early detection of dental problems to minimise extractions. The aim of the study was to investigate the age and gender distribution of patients undergoing extraction of teeth at GVPIHC and MT, Visakhapatnam, Andhra Pradesh.Methods: In this retrospective study, case records of all patients who underwent dental extractions in the department of dentistry at Gayatri Vidya Parishad institute of health care and medical technology (GVPIHC and MT) from January 2021 to December 2021 were reviewed through random sampling. Inclusion criteria included dental extraction cases in the age group of 1year to 80 years. Incomplete data of extractions was excluded. Demographic details of patients like age and gender were recorded for 972 extraction cases that were included in the study. The data collected was entered in Microsoft excel, analysed through SPSS Software and was subjected to statistical analysis.Results: Among 972 extractions, females showed predominance over males. 21-30 years age group reported more extractions and 71-80 years age group the least. On comparing the association between age and gender, the results were statistically significant (Pearson’s chi square test, p<0.05). The age group of 11-20 years, 61-70 years and 71-80 years reported male predominance in contrast to the other age groups.Conclusions: Within the limits of present study, it can be concluded that the prevalence of dental extraction was more in females than males. The age group of 21-30 years recorded more number of extractions. This study will help us to create awareness and emphasize the importance of oral hygiene maintenance among people to prevent tooth loss at an early age.

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Fernández-Barrera, Miguel Ángel, Carlo Eduardo Medina-Solís, Juan Fernando Casanova-Rosado, Martha Mendoza-Rodríguez, Mauricio Escoffié-Ramírez, Alejandro José Casanova-Rosado, José de Jesús Navarrete-Hernández, and Gerardo Maupomé. "Contribution of prosthetic treatment considerations for dental extractions of permanent teeth." PeerJ 4 (July 7, 2016): e2015. http://dx.doi.org/10.7717/peerj.2015.

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Background.Tooth loss is an easily identifiable outcome that summarizes a complex suite of factors in an individual’s history of dental disease and its treatment by dental services over a lifetime. Assessment of overall tooth loss data is essential for epidemiologically evaluating the adequacy of dental care provided at a systems level, as well as for placing in context tooth loss for non-disease causes. For example, when derived from prosthetic treatment planning, the latter may unfortunately lead to some teeth being extracted (pulled) for the sake of better comprehensive clinical results. The objective of the present manuscript was to identify the contribution to overall tooth loss, by extraction of permanent teeth because of prosthetic treatment reasons.Material and Methods.A cross-sectional study included sex, age, total number of extractions performed by subject, sextant (anterior vs. posterior), group of teeth (incisors, canines, premolars and molars), upper or lower arch, and the main reason underlying extraction (extraction for any reason vs. prosthetic treatment), in patients 18 years of age and older seeking care at a dental school clinic in Mexico. A multivariate logistic regression model was generated.Results.A total of 749 teeth were extracted in 331 patients; 161 teeth (21.5% of total) were extracted for explicit prosthetic treatment indications. As age increased, the likelihood of having an extraction for prosthetic reasons increased 3% (OR = 1.03,p< 0.001). Women (OR = 1.57,p< 0.05) were more likely to be in this situation, and molars (OR = 2.70,p< 0.001) were most at risk. As the total number of extractions increased, the risk of having an extraction for prosthetic reasons decreased (OR = 0.94,p< 0.05).Conclusions.A significant amount (21.5%) of the extractions of permanent teeth were performed for prosthetic reasons in this dental school clinical environment; age, sex, type of tooth, and the total number of extractions moderated such pattern.

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Adeyemo, Wasiu Lanre, Akinola Ladipo Ladeinde, and Mobolanle Olugbemiga Oguniewe. "Influence of Trans-operative Complications on Socket Healing Following Dental Extractions." Journal of Contemporary Dental Practice 8, no. 1 (January 2007): 52–59. http://dx.doi.org/10.5005/jcdp-8-1-52.

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Abstract Aim Extraction healing complications have been attributed to several factors. The influence of trans-operative complications on an extraction site wound healing was the focus of this investigation. Methods and Materials This prospective study was conducted at the Oral Surgery Clinic of the Department of Oral and Maxillofacial Surgery of the Lagos University Teaching Hospital (LUTH) in Nigeria . Subjects selected were those referred for one or two adjacent extractions and who satisfied the inclusion criteria for the study. The relevant pre-operative information recorded for each patient were age and sex of patient, indications for extraction, time taken to extract the tooth, tooth/teeth removed, and any trans-operative complications. Extractions were performed with dental forceps, elevators, or both under local anaesthesia. Patients were blindly evaluated on the third and seventh post-operative day for socket healing assessment without reference to preoperative information on the patients. Results Seventy-three (24.25%) of 301 teeth considered for socket healing assessment had various transoperative complications due to accidental crown, root, or alveolar bone fractures. Of the 73 extractions with trans-operative complications during extraction, 18 developed a socket healing complication, while 17 of the 228 extractions without trans-operative complications developed socket healing complications (p = .000). The mean (SD) time taken to extract teeth developing healing complications was also found to be significantly longer than those without healing complications (p < .01). Conclusions The study demonstrated the combination of tooth/bone fragments in the socket and increased time of extraction due to trans-operative complications and accidents predispose to the development of extraction site wound healing disturbance. Citation Adeyemo WL, Ladeinde AL, Ogunlewe MO. Influence of Trans-operative Complications on Socket Healing Following Dental Extractions. J Contemp Dent Pract 2007 January;(8)1:052-059.

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ROJAS, Gabriela Christiel Soto, Fabiana de Lima VAZQUEZ, Jaqueline Vilela BULGARELI, Marcelo de Castro MENEGHIM, and Antonio Carlos PEREIRA. "Influence of scheduling in clinical dental care on indicators of oral health." RGO - Revista Gaúcha de Odontologia 63, no. 3 (September 2015): 283–90. http://dx.doi.org/10.1590/1981-8637201500032000052948.

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Objective: Assess the oral health indicators in the Family Health Units (Unidades de Saúde da Família - USFs) with scheduled demand in comparison with Family Health Units with spontaneous demand in oral health care, in Piracicaba. Methods: 10 Family Health Units located in Piracicaba, were randomly chosen: 5 Units with spontaneous demand and 5 Units with scheduled demand. Secondary data in daily production spreadsheets were collected from the information system, from February to September 2013. These were organized into indicators: 1) access; 2) resolutivity; 3) ratio of dental emergency per inhabitant; 4) mean number of individual preventive and curative dental procedures; 5) ratio of dental extraction per dental procedure; 6) ratio of dental extraction per inhabitant; 7) mean number of supervised toothbrushing sessions. Data were compared and statistically analyzed with the BioStat 5.0 program, by applying the Student's-t test (p ≤ 0.05). Results: There were significant differences in the indicators of dental emergency, dental extraction per clinical procedure, and dental extractions per inhabitant, and these values were higher in Family Health Units with spontaneous demand. Conclusion: The model of scheduling the demand for dental care adopted by the USFs interferes in the number of users seeking dental emergency treatments and reasons for extractions.

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Lakshmi Narasimha G, Reddy Santhosh C, Gnaneswari R V, Sunaina V, Kalpana P, and Nissi Christina D. "A case report on bell’s palsy induced after uprooting mandibular lower molar." International Journal of Research in Pharmaceutical Sciences 11, no. 4 (December 20, 2020): 7053–55. http://dx.doi.org/10.26452/ijrps.v11i4.3824.

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Bell’s Palsy or Facial Nerve Paralysis is an unusual form of neuropathy after maxillofacial surgery. Its incidence is about 23 per 100000 persons annually, and very few cases were reported in the literature. Dr Charles Bell discovered it in 1821 as complete facial paralysis. Various aetiologies associated with the bell’s palsy include trauma, pregnancy, diabetes, and neoplastic infiltrations. Apart from these recent kinds of literature report, surgical interventions like dental extractions are also a significant cause of this condition. With this, we report a case of 25 years old male presented to Government General Hospital with symptoms of drooping of eyebrow and incomplete eye closure with ringing sensation in the left ear. On investigation of his past medical history, he underwent tooth extraction before a month. Therefore, the condition was diagnosed as bell's palsy induced after the dental extraction. He was treated with prednisolone, acyclovir, and Betahistine for ten days. After the treatment, there is an improvement in the facial movements, and symptoms were normalized. Bell's palsy is common, but this condition after dental extractions is very rare. Hence this case signifies the rare occurrence of neuropathies after dental extractions and the need for early treatment procedures must be initiated to reduce the future neurological complications in post-dental operative patients.

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Tomás, I., M. Álvarez, J. Limeres, M. Tomás, J. Medina, J. L. Otero, and P. Diz. "Effect of a Chlorhexidine Mouthwash on the Risk of Postextraction Bacteremia." Infection Control & Hospital Epidemiology 28, no. 05 (May 2007): 577–82. http://dx.doi.org/10.1086/516663.

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Objective. To investigate the prevalence, duration, and etiology of bacteremia following dental extractions performed after a single administration of Chlorhexidine mouthwash. Design and Setting. A randomized, controlled trial performed in a university hospital. Methods. A series of 106 patients with mental and behavioral disabilities who underwent dental extractions under general anesthesia were randomly assigned to a control group or Chlorhexidine group. The exclusion criteria applied were use of antibiotics in the previous 3 months, use of oral antiseptics, any type of congenital or acquired immunodeficiency, and disease that predisposes the patient to infections or bleeding. The Chlorhexidine group had 0.2% Chlorhexidine mouthwash administered for 30 seconds before any dental manipulation. Blood samples were collected at baseline, 30 seconds, 15 minutes, and 1 hour after the dental extractions. Subculture and further identification of the isolated bacteria were performed by conventional microbiological techniques. Results. The prevalence of bacteremia after dental extraction in the control and Chlorhexidine groups were 96% and 79%, respectively, at 30 seconds (P = .008), 64% and 30% at 15 minutes (P <.001), and 20% and 2% at 1 hour (P = .005). The most frequently identified bacteria were Streptococcus species in both the control and Chlorhexidine groups (64% and 68%, respectively), particularly viridans group streptococci. Conclusion. We recommend the routine use of a 0.2% Chlorhexidine mouthwash before dental extractions to reduce the risk of postextraction bacteremia.

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Santhosh Kumar M P, Arthi Balasubramaniam, Sushanthi Suresh, and Indumathy Pandiyan. "Prevalence of Hypertension among Dental Patients with Diabetes Mellitus: An Institutional Study." International Journal of Research in Pharmaceutical Sciences 11, SPL4 (December 21, 2020): 2092–98. http://dx.doi.org/10.26452/ijrps.v11ispl4.4424.

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Diabetes mellitus and hypertension co-exists in many individuals as the pathogenic relationship between diabetes mellitus and hypertension is actually bidirectional. Extraction of teeth is a common procedure performed in Dentistry and the Co-existence of these systemic diseases in dental patients can cause many complications like delayed wound healing, infection or bleeding during dental extractions. The aim of the present study was to assess the prevalence of hypertension among dental patients with diabetes mellitus in south Indian population. A retrospective study was conducted from the data of 6682 dental patients who visited the outpatient Department of Oral and Maxillofacial Surgery, Saveetha Dental College, Saveetha University, Chennai, for dental extractions due to various reasons during the time period from June 2019 – to March 2020. Patients data was retrieved from the institutional digital data registry and statistically analysed. Among 6682 patients who underwent extractions, 904 [13.5%] patients had diabetes mellitus. Among 904 patients with diabetes mellitus, 419 [46.3%] patients had hypertension. Prevalence of hypertension was more in males than females and the results were statistically not significant [p=0.062, (>0.05)]. Prevalence of hypertension was more in 41-50 years age group and the results were statistically significant. [p<0.001, (<0.05)]. According to our study, a high proportion of patients with diabetes mellitus undergoing dental extractions had hypertension which can cause increased morbidity and mortality. Males and patients belonging to fifth decade of life were more affected by both diabetes mellitus and hypertension.

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Araújo, Telma Martins de, and Luciana Duarte Caldas. "Tooth extractions in Orthodontics: first or second premolars?" Dental Press Journal of Orthodontics 24, no. 3 (June 2019): 88–98. http://dx.doi.org/10.1590/2177-6709.24.3.088-098.bbo.

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ABSTRACT Tooth crowding and protrusions demand rigorous attention during orthodontic planning that includes the extraction of first and second premolars. Some characteristics, such as dentoalveolar bone discrepancies, maxillomandibular relations, facial profile, skeletal maturation, dental asymmetries and patient cooperation, are important elements of an orthodontic diagnosis. This study discusses the options of treatments with extractions and describes the correction of a Class I malocclusion, bimaxillary protrusion, severe anterior crowding in both dental arches and tooth-size discrepancy, using first premolar extractions.

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Lainé, Claire, Aline Desoutter, and Anne-Gaëlle Chaux. "Clinical attitude regarding denosumab drug-holiday for dental extraction in oncologic patients: a national survey." Journal of Oral Medicine and Oral Surgery 27, no. 3 (2021): 38. http://dx.doi.org/10.1051/mbcb/2021014.

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Introduction: Denosumab is indicated in oncology to reduce tumoral development. However, this medication may cause osteonecrosis of the jaw, especially after dental extractions. Drug holiday has been proposed to decrease the risk of osteonecrosis of the jaw. This survey aimed to assess the management of drug holidays for patients who needed both dental extraction and denosumab. Methods: A questionnaire was sent to a panel of healthcare professionals. Results: Of the 33 practitioners interviewed, 28 undertook or “were used to” dental extractions in patients on denosumab. 25% (7/28) of the practitioners questioned did not stop patients from taking denosumab before dental extraction and 75% (21/28) used a drug holiday. For those who stopped the treatment, 33% (7/21) waited 2 months before performing dental extraction and 38% (8/21) waited 2 months after the dental extraction before reintroducing the molecule; 2 months being the median duration in both cases. In addition, 89% (25/28) of practitioners, modified their surgical procedure for these patients. Conclusion: Despite a small number of responders, it seemed that a drug holiday of at least 2 months is mandatory before performing tooth extraction. The issue of the drug holiday should always be raised with the patient's oncologist.

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Iserson, Kenneth V. "Dental Extractions Using Improvised Equipment." Wilderness & Environmental Medicine 24, no. 4 (December 2013): 384–89. http://dx.doi.org/10.1016/j.wem.2013.07.001.

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Gibbons, A. J., and A. W. Sugar. "Oral anticoagulation and dental extractions." British Journal of Haematology 119, no. 4 (December 2002): 1137. http://dx.doi.org/10.1046/j.1365-2141.2002.03942_1.x.

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Irvine, G. H. "Pain relief following dental extractions." Anaesthesia 47, no. 6 (June 1992): 540. http://dx.doi.org/10.1111/j.1365-2044.1992.tb02302.x.

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Garrioch, M. A., and G. J. Wardall. "Pain relief following dental extractions." Anaesthesia 47, no. 6 (June 1992): 540. http://dx.doi.org/10.1111/j.1365-2044.1992.tb02303.x.

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Chaibún, G., M. Varela, and G. Rodríguez. "Surgical Analgesia During Dental Extractions." Journal of Acupuncture and Meridian Studies 11, no. 4 (August 2018): 234. http://dx.doi.org/10.1016/j.jams.2018.08.143.

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Bonan, Paulo Rogério Ferreti, Márcio Ajudarte Lopes, Fábio Ramoa Pires, and Oslei Paes de Almeida. "Dental management of low socioeconomic level patients before radiotherapy of the head and neck with special emphasis on the prevention of osteoradionecrosis." Brazilian Dental Journal 17, no. 4 (2006): 336–42. http://dx.doi.org/10.1590/s0103-64402006000400013.

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Head and neck cancer patients need to receive dental care previously to radiotherapy. Even patients who regularly visit dental offices need special attention including profilatic and curative treatments. The purposes of this study were to evaluate the dental status of Brazilian head and neck squamous cell carcinoma patients with low socioeconomic level as well as to discuss the dental treatment performed and the oral side effects of radiotherapy. Forty patients with head and neck squamous cell carcinoma received dental care and dental extractions prior to radiotherapy and were were followed up for a mean period of 28.7 months after the cancer treatment. Before radiotherapy, 28 patients were dentulous and 12 edentulous, and all of them had poor oral health and hygiene. The most common treatment performed were dental extraction and 23 patients had 8.6 teeth extracted on average. One out of 9 (11.1%) patients developed radiation caries and 5 out of 23 cases (21.3% - Group I) developed osteoradionecrosis, being only 1 case associated with previous dental extraction. Brazilian low-socioeconomic level patients with head and neck cancer were submitted to multiple dental extractions due to poor dental condictions and inadequate oral care. The dental treatment did not prevent osteoradionecrosis, which presumably presented a multifactorial etiology in most cases.

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Yue Yi, Elaine Kueh, Annabelle Lai Siew Ying, Mandakini Mohan, and Rohit Kunnath Menon. "Prevalence of Postoperative Infection after Tooth Extraction: A Retrospective Study." International Journal of Dentistry 2021 (June 8, 2021): 1–6. http://dx.doi.org/10.1155/2021/6664311.

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The aim of the study was to identify the postoperative infection rates after tooth extraction in a university dental clinic and to identify the factors associated with an increased risk for postoperative infection. A retrospective study of case records of patients who underwent tooth extractions at the International Medical University’s Oral Health Centre (IMU-OHC) over a span of 6 years was conducted. Data on demography, patient-related factors, and treatment-related factors were extracted from the case records. A binary logistic regression analysis was performed to assess the odds ratio of a patient having a postoperative infection or not, comparing it with each variable. A total of 1821 extractions, including simple and complex extractions, were performed over 6 years. Only 25 (1.4%) of the cases were reported to have a postoperative infection. The complexity of the extraction was the only variable that significantly affected the occurrence of postoperative infection after extraction; more complex extractions were reported with higher rates of infection (binary logistic regression, OR = 2.03, p = 0.004). None of the other factors, including antibiotic prescription, had a significant influence on the occurrence of postoperative infection. The prevalence of postoperative infection after dental extractions was low in IMU-OHC, and prescribing antibiotics had no added advantage in the prevention of postoperative infection.

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Alsheef, Mohammed Abdullah, Jenny Gray, Abdul Rehman Z. Zaidi, and AbdulSalam S. AlJabab. "Risk of Postoperative Bleeding Following Dental Extractions in Patients on Antithrombotic Treatment." Blood 134, Supplement_1 (November 13, 2019): 4960. http://dx.doi.org/10.1182/blood-2019-128125.

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Background: Risk of bleeding post dental extractions in patients on the anticoagulant medication is not well-established. The aim of the study is to investigate the incidence of postoperative bleeding following dental extractions in adult patients on antithrombotic medication in Saudi Arabia. Methods: A retrospective study of 539 patients aged 18 to 93 years of age, attended 840 visits for dental extractions from January 2012 to June 2016 at a tertiary care hospital in Saudi Arabia. All returning patients were treated as outpatients with local hemostatic measures. Results: Only 1.7% of the visits were associated with post-operative bleeding following dental extractions. The highest risk of bleeding occurred in patients on Warfarin (3.88%), while those on Clopidogrel had no risk associated with bleeding. Women were found to have the highest rate of bleeding associated with dental extractions especially those on new oral anticoagulant medications. Conclusion: Dental extractions can be safely performed on adults receiving antithrombotic treatment provided established guidelines are followed. Health care professionals must exercise caution when planning invasive dental treatment for patients on continued antithrombotic therapy. Disclosures No relevant conflicts of interest to declare.

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Dinkova, Atanaska S., Dimitar T. Atanasov, and Ludmila G. Vladimirova-Kitova. "Discontinuation of Oral Antiplatelet Agents before Dental Extraction - Necessity or Myth?" Folia Medica 59, no. 3 (September 1, 2017): 336–43. http://dx.doi.org/10.1515/folmed-2017-0043.

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AbstractBackground:The risk of excessive bleeding often prompts physicians to interrupt the antiplatelet agents as acetylsalicilyc acid and clopidogrel before dental extractions which puts patients at risk of adverse thrombotic events.Aim:To assess the bleeding risk during dental extractions in patients with continued antiplatelet therapy.Materials and methods:The study included 130 patients (64 men and 66 women) aged between 18 and 99 years old. Sixty-eight of the patients received 100 mg acetilsalicilic acid (ASA); these were divided into two groups: 34 patients continued taking ASA and 34 patients stopped it 72 hours before extraction. Sixty-two of the patients were treated with 75 mg clopidogrel; these were also divided into two groups: 31 continued taking clopidogrel and 31 patients stopped it 72 hours before extractions. Extraction was performed under local anaesthesia as no more than 3 teeth per visit were extracted. Local haemostasis with gelatine sponge and/or suturing was used to control bleeding.Results:Mild bleeding was observed most frequently in the first 30 minutes, successfully managed by local haemostasis. Only 1 patient in the control and 1 in the experimental group receiving ASA reported mild bleeding in the first 24 hours, controlled by compression with gauze. No major haemorrhage requiring emergency or more than local haemostasis occurred. No statistically significant difference in bleeding between two groups was found.Conclusion:Single and multiple dental extractions in patients receiving acetylsalicylic acid or clopidogrel can be safely performed without discontinuation of the therapy with provided appropriate local haemostasis.

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Kolosovas-Machuca, Eleazar S., Mario A. Martínez-Jiménez, José L. Ramírez-GarcíaLuna, Francisco J. González, Amaury J. Pozos-Guillen, Nadia P. Campos-Lara, and Mauricio Pierdant-Perez. "Pain Measurement through Temperature Changes in Children Undergoing Dental Extractions." Pain Research and Management 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/4372617.

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Background and Objective.Pain evaluation in children can be a difficult task, since it possesses sensory and affective components that are often hard to discriminate. Infrared thermography has previously been used as a diagnostic tool for pain detection in animals; therefore, the aim of this study was to assess the presence of temperature changes during dental extractions and to evaluate its correlation with heart rate changes as markers of pain and discomfort.Methods. Thermographic changes in the lacrimal caruncle and heart rate measurements were recorded in healthy children scheduled for dental extraction before and during the procedure and compared. Afterwards, correlation between temperature and heart rate was assessed.Results. We found significant differences in temperature and heart rate before the procedure and during the dental extraction (mean difference 4.07°C,p<0.001, and 18.11 beats per minute,p<0.001) and no evidence of correlation between both measurements.Conclusion. Thermographic changes in the lacrimal caruncle can be detected in patients who undergo dental extractions. These changes appear to be stable throughout time and to possess very little intersubject variation, thus making them a candidate for a surrogate marker of pain and discomfort. Future studies should be performed to confirm this claim.

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Nusair, Y. M., and M. H. Abu Younis. "Prevalence, Clinical Picture, and Risk Factors of Dry Socket in a Jordanian Dental Teaching Center." Journal of Contemporary Dental Practice 8, no. 3 (2007): 53–63. http://dx.doi.org/10.5005/jcdp-8-3-53.

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Abstract Aims The aims of this study were to determine the prevalence, clinical picture, and risk factors of dry socket at the Dental Teaching Center of Jordan University of Science and Technology (DTC/JUST). Methods and Materials Two specially designed questionnaires were completed over a four-month period. One questionnaire was completed for every patient who had one or more permanent teeth extracted in the Oral Surgery Clinic. The other questionnaire was completed for every patient who returned for a post-operative visit and was diagnosed with dry socket during the study period. Results There were 838 dental extractions carried out in 469 patients. The overall prevalence of dry socket was 4.8%. There was no statistically significant association between the development of dry socket and age, sex, medical history, medications taken by the patient, indications for the extraction, extraction site, operator experience, or the amount of local anesthesia and administration technique used. The prevalence of dry socket following non-surgical extractions was 3.2%, while the prevalence following surgical extractions was 20.1% (P< 0.002). The prevalence of dry socket following surgical and non-surgical extractions was significantly higher in smokers (9.1%) than in non-smokers (3%) (P = 0.001), and a direct linear trend was observed between the amount of smoking and the prevalence of dry socket (P = 0.034). The prevalence of dry socket was significantly higher in the single extraction cases (7.3%) than in the multiple extraction cases (3.4%) (P = 0.018). The clinical picture and management of dry socket at DTC/JUST were similar to previous reports in the literature. The prevalence of dry socket, its clinical picture, and management at DTC/JUST are similar to those reported in the literature. Conclusion Smoking and surgical trauma are associated with an increased incidence of dry socket. Moreover, patients who had single extractions were more likely to develop dry socket than those who had multiple extractions in the same visit. Citation Nusair YM, Younis MHA. Prevalence, Clinical Picture, and Risk Factors of Dry Socket in a Jordanian Dental Teaching Center. J Contemp Dent Pract 2007 March;(8)3:053-063.

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Sbricoli, Luca, Alessia Cerrato, Anna Chiara Frigo, Gastone Zanette, and Christian Bacci. "Third Molar Extraction: Irrigation and Cooling with Water or Sterile Physiological Solution: A Double-Blind Randomized Study." Dentistry Journal 9, no. 4 (April 1, 2021): 40. http://dx.doi.org/10.3390/dj9040040.

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Background: The present study aimed to ascertain whether any significant reduction in patients’ postoperative pain and inflammation could be achieved by using sterile physiological solution instead of normal water to irrigate the surgical field and cool the dental bur during third molar extractions. Methods: The study concerned 22 patients (11 females and 11 males) in good general health, who were referred to the Dental Clinic at Padova University hospital for lower third molar extractions. They were randomly assigned to two groups. Only the fluid used to irrigate the surgical field and cool the dental bur differed between the two study groups, being sterile physiological solution for group A, and mains water for group B. Postoperative pain, swelling, trismus and inflammation with high sensitivity CRP where measured and statistically evaluated. The numerosity of our sample was calculated on the grounds of an endpoint based on data in the literature. Results: Eighteen patients needed bilateral extractions, and 4 required only one extraction, so a total of 40 third molars were extracted. A sterile physiological solution was used to irrigate the surgical field in 20 extractions, while water was used in the other 20 cases. Data analysis with Wilcoxon test show no differences between the two groups (p < 0.05). Conclusions: no differences between groups for any of the parameters considered, after third molar extraction procedures undertaken using either sterile physiological solution or water for irrigation and cooling purposes.

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Dinkova, Atanaska, Dimitar T. Atanasov, and Ludmila Vladimirova-Kitova. "DABIGATRAN AND DENTAL EXTRACTIONS - Case Report." Journal of IMAB - Annual Proceeding (Scientific Papers) 23, no. 2 (May 5, 2017): 1536–40. http://dx.doi.org/10.5272/jimab.2017232.1536.

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Meyer, Roger A. "Early Dental Extractions Before Radiation Therapy." Journal of Oral and Maxillofacial Surgery 78, no. 5 (May 2020): 677. http://dx.doi.org/10.1016/j.joms.2019.11.037.

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Fillmore, W. Jonathan, Bryce D. Leavitt, and Kevin Arce. "Dental Extractions in the Thrombocytopenic Patient." Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 117, no. 4 (April 2014): e300. http://dx.doi.org/10.1016/j.oooo.2013.07.020.

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Beech, Nicholas M., Sandro Porceddu, and Martin D. Batstone. "Radiotherapy-associated dental extractions and osteoradionecrosis." Head & Neck 39, no. 1 (July 30, 2016): 128–32. http://dx.doi.org/10.1002/hed.24553.

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Stephens, Joanna L., Anas Boulemden, David Richens, and David P. J. Turner. "Prosthetic Valve Endocarditis Following Dental Extractions." Journal of Cardiac Surgery 31, no. 5 (March 15, 2016): 321–23. http://dx.doi.org/10.1111/jocs.12732.

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Katsikeris, Nick, and Earle R. Young. "Postradiation dental extractions without hyperbaric oxygen." Oral Surgery, Oral Medicine, Oral Pathology 74, no. 2 (August 1992): 155–56. http://dx.doi.org/10.1016/0030-4220(92)90374-y.

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Wood, R. E., and W. G. Maxymiw. "Postradiation dental extractions without hyperbaric oxygen." Oral Surgery, Oral Medicine, Oral Pathology 74, no. 2 (August 1992): 156–57. http://dx.doi.org/10.1016/0030-4220(92)90375-z.

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Maxymiw, W. G., R. E. Wood, and F. F. Liu. "Postradiation dental extractions without hyperbaric oxygen." Oral Surgery, Oral Medicine, Oral Pathology 72, no. 3 (September 1991): 270–74. http://dx.doi.org/10.1016/0030-4220(91)90212-u.

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Beech, N., S. Porceddu, and M. Batstone. "Pre-radiotherapy dental extractions and osteoradionecrosis." International Journal of Oral and Maxillofacial Surgery 44 (October 2015): e37. http://dx.doi.org/10.1016/j.ijom.2015.08.468.

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Woolcombe, Sarah, Alizey Kazmi, and Harjit Tagar. "Preventing wrong tooth extractions." Dental Nursing 15, no. 12 (December 2, 2019): 614–18. http://dx.doi.org/10.12968/denn.2019.15.12.614.

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The role of the dental nurse in designing, implementing and maintaining an effective patient safety policy Aim To provide an overview of National Safety Standards for Invasive Procedures (NatSSIP) and detail how they can be used to create a Local Safety Standard for Invasive Procedures (LocSSIP) to prevent wrong tooth extraction. Objectives To understand the benefits of Local Safety Standards for Invasive Procedures To be able to describe the key roles of dental nurses in patient safety To understand how to create and implement a Local Safety Standard for Invasive Procedures both in theory and in practice GDC development outcomes A, B and C

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Suzuki, Seitaro, Naoki Sugihara, Hideyuki Kamijo, Manabu Morita, Takayuki Kawato, Midori Tsuneishi, Keita Kobayashi, Yoshihiro Hasuike, and Tamotsu Sato. "Self-Reported Diabetes Mellitus and Tooth Extraction Due to Periodontal Disease and Dental Caries in the Japanese Population." International Journal of Environmental Research and Public Health 18, no. 17 (August 27, 2021): 9024. http://dx.doi.org/10.3390/ijerph18179024.

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Diabetes mellitus is closely related to oral health. We aimed to determine the relationship between diabetes mellitus and tooth extraction due to periodontal disease and dental caries. Japan’s second nationwide survey data collected from 4 June to 10 June 2018 was used to identify reasons for tooth extraction among patients aged > 40 years. General dentists collected information on patients who underwent tooth extraction procedures, and the presence of diabetes mellitus was determined through interviews. Multivariable logistic regression was performed to investigate the relationship between diabetes mellitus and the reasons for tooth extraction, including periodontal disease and dental caries. In total, 2345 dentists responded to the survey (response rate 44.8%). We analyzed data on 4625 extracted teeth from 3750 patients (1815 males and 1935 females). Among patients with self-reported diabetes mellitus, 55.4% had extractions due to periodontal disease compared to 46.7% of such extractions among those without self-reported diabetes mellitus. Self-reported diabetes mellitus was significantly associated with tooth extraction due to periodontal disease. No significant differences were observed in dental caries according to self-reported diabetes mellitus status. This study provides further evidence of a significant association between diabetes mellitus and tooth extraction due to periodontal disease.

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Shah, Anika, and Nabina Bhujel. "Wrong site tooth extraction: no longer a never event." Faculty Dental Journal 12, no. 4 (October 2021): 181–83. http://dx.doi.org/10.1308/rcsfdj.2021.42.

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Wrong site tooth extraction was removed from NHS England’s list of ‘never events’ in February 2021 as the systemic barriers put in place to prevent these events were not considered strong enough. This opinion article discusses the risk factors leading to wrong site tooth extractions, including the effects of human factors, the implications for dental professionals and the different methods dental professionals can implement to minimise risk.

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Sushma, K., Jayaprasad Shetty, Vijayendra Pandey, Somnath Mukherjee, and Santosh Kumar. "Dental Extractions in Patients on Antiplatelet Therapy: A Clinical Study." International Journal of Recent Surgical and Medical Sciences 03, no. 01 (June 2017): 034–39. http://dx.doi.org/10.5005/jp-journals-10053-0035.

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AbstractCardiovascular diseases cause highest mortality and morbidity worldwide. The introduction of preventive and maintenance antiplatelet therapy has, to a certain extent, contributed to this decline. With millions of health-conscious people using anti-platelet drugs, dental practitioners are frequently confronted with clinical situations wherein a decision has to be made about patient management, in view of the medical history. The aim of this study is to assess the need to stop aspirin before minor oral surgical procedures, including simple and surgical extractions and to discuss the various measures implemented for controlling the bleeding postoperatively. This study analyzes the association of increased bleeding during and after tooth extraction or any other minor oral surgical procedures with patients on antiplatelet therapy. The aim of this study is to assess the need to stop aspirin before minor oral surgical procedures, including simple and surgical extractions, and to discuss the various measures implemented for controlling the bleeding postoperatively. The objectives of the study are to analyze association of increased bleeding during and after tooth extraction or any other minor oral surgical procedures with patients on antiplatelet therapy.

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Aljafar, Abdullah, Hassan Alibrahim, Ammar Alahmed, Ahmad AbuAli, Muhammad Nazir, Ahmed Alakel, and Khalid Almas. "Reasons for Permanent Teeth Extractions and Related Factors among Adult Patients in the Eastern Province of Saudi Arabia." Scientific World Journal 2021 (February 22, 2021): 1–7. http://dx.doi.org/10.1155/2021/5534455.

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Objective. To evaluate the reasons for permanent teeth extractions and related factors among adult patients visiting dental clinics in the Eastern Province of Saudi Arabia. Materials and Methods. This retrospective cross-sectional study included data of patients who underwent teeth extractions. Data were collected from public and private dental clinics in different cities of the Eastern Province of Saudi Arabia (January–March 2020). The demographic information of patients and their reasons for teeth extractions were obtained from participating dentists. Results. The study included data of 696 patients with 55.9% of males and 44.1% of females. The mean number of teeth extractions in the sample was 1.86 ± 1.8, and it increased significantly with advancing age ( P ≤ 0.001 ). Saudi (1.97 ± 1.98) versus non-Saudi patients (1.55 ± 1.11) ( P = 0.02 ) and patients in public practice (2.03 ± 1.95) versus patients in private practice (1.50 ± 1.38) ( P ≤ 0.001 ) showed significantly higher teeth extractions. Dental caries was the most common reason for teeth extractions (49.1%), followed by remaining roots (18.5%), periodontal disease (18.4%), and impactions (7.2%). Most commonly extracted teeth included tooth # 30 (9.8%), followed by tooth #16 (9.6%), tooth # 1 (8.8%), tooth # 19 (8.3%), and tooth # 4 (8.3%). On the other hand, upper incisors were the least commonly extracted teeth. Conclusions. Dental caries, remaining roots, periodontal disease, and impactions were the most common reasons for teeth extractions in our sample of patients. The extractions increased significantly with increasing age. Saudis and patients in public clinics underwent significantly higher teeth extractions. Measures aimed at the prevention and treatment of oral conditions can help reduce teeth extractions and improve the quality of life of patients.

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NEDELEA, Raluca Ioana, Adrian TOMA, and Andreea MARINCUS. "The Conservative Approach to Dental Crown Fractures in Dogs and Cats." Bulletin of University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca. Veterinary Medicine 76, no. 2 (November 25, 2019): 201. http://dx.doi.org/10.15835/buasvmcn-vm:2019.0023.

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Dental crown fractures in small animal pathology are common dental issues in every day practice. The most frequently performed procedure is extraction with all the negative consequences.The conservative approach to dental crown fractures involves endodontic treatment and coronal reconstruction in order to keep the fractured teeth on the dental arch.They were taken into study 74 dental crown fractures involving the pulp chamber, leaving the root undamaged.Clinical and radiological one-year check-up revealed us that the conservative approach to dental crown fractures in dogs and cats, when the selection criteria correspond to the indications of the specialized literature and when it is performed by latest protocols, is a reliable alternative to veterinary dental extractions.

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Lee, Jed, Joanna Johnson, Dirk Bister, Mohsin Chaudhary, and Golfam Khoshkhounejad. "Adherence to RCS recommendations for extraction of first permanent molars in a teaching hospital: To compensate or not to compensate?" Journal of Orthodontics 48, no. 3 (February 5, 2021): 305–12. http://dx.doi.org/10.1177/1465312521991831.

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Objective: To observe whether paediatric dentists and orthodontists balance and compensate the extraction of first permanent molars (FPMs) in children aged 7–11 years. Design: Service evaluation. Setting: UK dental teaching hospital. Methods: Retrospective analysis of FPM extraction patterns in patients aged 7–11 years that attended for extraction of FPMs from 1 January 2019 to 31 January 2020 (13-month period). Results: A total of 194 patients were included and they collectively had 435 FPMs extracted. No balancing extractions to prevent dental centreline shifts and no lower FPM compensatory extractions were performed. Compensatory extraction of good prognosis upper FPMs were performed in 64% (94/146) of cases to avoid overeruption. Orthodontic input was sought for poor prognosis lower FPMs in 76% of cases compared to 51% for poor prognosis upper FPMs. Conclusion: Compensatory extraction of good prognosis upper FPMs to avoid overeruption appears to be a common practice at Guy’s and St Thomas’ Hospitals. There was also higher demand for orthodontic advice for cases presenting with poor prognosis lower FPMs compared to poor prognosis upper FPMs, which suggests that paediatric dentists may prefer for the final decision on upper FPM compensatory extractions to be made by an orthodontist, even with national guidelines available. More high-quality research on the topic is required to determine the necessity of this practice for achieving optimal long-term oral health in children.

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Moore, James I., and Brook Niemiec. "Evaluation of Extraction Sites for Evidence of Retained Tooth Roots and Periapical Pathology*." Journal of the American Animal Hospital Association 50, no. 2 (March 1, 2014): 77–82. http://dx.doi.org/10.5326/jaaha-ms-5977.

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The objective of this retrospective clinical study was to determine the frequency and pathogenicity of unintentional retained tooth root fragments after extraction of the maxillary fourth premolar (108 and 208) and mandibular first molar teeth (309 and 409) in 74 canine and 42 feline client-owned patients. Radiographs of client-owned animals with historical evidence of extraction of teeth 309 and 409 were reviewed. All patients had dental extraction(s) for clinical reasons, and all extractions were deemed successful by the practitioners. Extraction sites were radiographed to identify tooth root fragments and pathology. Twenty-five canine and 25 feline patients that had extractions utilizing preoperative and postoperative radiography were also included. Sixty-one of 74 canine patients (82.4%; P < 0.0001) and 39 of 42 feline patients (92.8%; P < 0.0001) had evidence of retained tooth root fragments. In total, 100 of 116 cases (86.4%; P < 0.0001) had retained tooth root fragments, and periapical pathology was found in 66 of 116 (56.8%; P = 0.000000743) radiographs, including 39 of 74 canine cases (52.7%; P = 0.00002765) and 27 of 42 feline cases (64.3%; P = 0.01589). The control group had no evidence of retained root fragments. Further veterinary dental training and routine use of pre- and postoperative dental radiology are recommended.

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Rukiah, Bunga Ayub, Amalia Oeripto, and Nurhayati Harahap. "A Comparison of class I malocclusion treatment outcomes with and without extractions using an ABO grading system for dental casts and radiographs." Dental Journal (Majalah Kedokteran Gigi) 50, no. 3 (February 21, 2018): 144. http://dx.doi.org/10.20473/j.djmkg.v50.i3.p144-148.

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Background: Class I malocclusion can be treated with or without resort to extraction. However, despite the indications, a controversy is still ongoing as to whether one option is preferable to another. One of the most frequent controversies centers on whether treatment involving extractions will produce superior results than treatment not culminating in extraction. Purpose: This study aimed to compare the results of treating class I malocclusion with extractions and those without extraction using an ABO grading system. Methods: Comparing ABO scores in patients’ dental casts and radiographs with class I malocclusion with and without extraction. Observational research incorporating case control methods was conducted involving 40 patients with class I malocclusion. Samples were divided into two groups, one treated with extraction (group E) and the other without extraction as the control group (K). The results of the treatment were measured and assessed using eight variables of the ABO Grading System. Results: The total score for the group treated with extractions was 23.65±7.82, while that for group K was 26.50±7.02. There was no significant difference in the total score between the two groups. Nevertheless, class I malocclusion treated with extraction had a lower score than without extraction. Conclusions: There was no difference in the total score of the ABO grading system for class I malocclusion patients treated with and without extractions.

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Bhargava, Vijay, and Tara Renton. "Routine exodontia: preventing failed extractions." Dental Update 46, no. 9 (October 2, 2019): 866–79. http://dx.doi.org/10.12968/denu.2019.46.9.866.

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Dental extractions are potentially an unpleasant experience that patients have to undergo. Not only are they losing a tooth that they may have invested significant costs in retaining, but fear and expectation of pain makes the encounter stressful and terrifying for most. Dental extractions are the most common surgery undertaken worldwide, and usually on conscious patients, unlike other branches of surgery. Patients' most common fear of the dentist is the pain during and after surgery and the experience of injections, both guaranteed when undergoing extractions at the dentist. Despite universities aiming to make undergraduate dentists able to undertake routine exodontia, ability remains limited. This may be due to foundation training limiting access to routine exodontia practice or a reluctance on behalf of dentists in general to undertake surgical interventions due to their high risk, patient sequelae or risk of complications, which are perceived as poor practice builders. CPD/Clinical Relevance: This paper aims to provide some clinical tips and information that will assist practitioners in undertaking dental extractions.

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Journal articles on the topic 'Dental extractions'

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