scholarly journals CAUSES FOR EXTRACTION OF PERMANENT TEETH IN GENERAL DENTAL PRACTICES IN YEMEN

Author(s):  
Yahya Alhadi ◽  
Abubakr H Rassem ◽  
Hassan Abdulwahab Al-Shamahy ◽  
Khaled M Al-Ghaffari

The aim of this survey was to investigate the primary causes for extraction of permanent teeth, its correlations with age and gender, as well as identify the important predictors for dental caries in Sana'a University dental clinics in Sana'a city, Yemen. The study was conducted over a period of one year; its population consisted of 1,420 patients, aged 9–72 years, who underwent tooth extraction. There were 761(53.6%) male and 659 (46.4%) female patients. The frequency distribution was calculated using the t-test, ANOVA and t test for differences in mean number of extracted teeth and the logistic regression model to evaluate the variables associated with causes for tooth extraction. A total of 2,585 teeth were extracted from the 1,420 patients. The highest rate (23.1%) of extraction occurred for those 41–50 years old. Males comprised 53.6% of patients but had more teeth (1598, 61.8%) extracted than females (987, 38.2%).The rate of teeth extracted on the day of the survey per patient was 1.82±0.07 (2.1±0.1 in males and 1.5±0.05 in females). Tooth loss due to caries was 69%; periodontal disease was 28%; pre-prosthetic reasons were 1.9% and other reasons were 1.14%. There was a significant association between patient characteristics (age and gender) and number of teeth extracted in which the Mean±SD of extracted numbers were increase with increasing age and higher in male patients than in females (p<0.001). The most frequently extracted teeth were mandibular first and second molars (446, 17.3%), followed by maxillary premolars (415, 16.1%), while mandibular canines were least frequently extracted (87, 3.4%). In conclusion; dental caries and periodontal problems were the main causes for tooth extraction in Sana'a city, Yemen.  

e-GIGI ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Devid G. Poha

Abstract: The first molars of mandibulae are the first permanent teeth which erupt around 6-7 years old; therefore, they have the highest risk of dental caries. When the dental caries occurs in a tooth, it can lead to tooth extraction which results in new problems such as changing of teeth position, influence on occlusion, jaw joints, and mastication process. This study aimed to describe the extraction profile of the first mandibular molar based on age and gender at Balai Pengobatan Rumah Sakit Gigi dan Mulut Manado in 2012. This was a descriptive retrospective study. Samples were obtained by using total sampling method. In 2012, there were 765 patients with extracted teeth. Of the 1130 permanent teeth extracted, the highest number belonged to the first mandibular molar which was 167 teeth out of 164 patients. Extraction of the first mandibular molars among adults (19-55 years old) was 73%; teenagers (13-18 years old) 21%; children (6-12 years old) 4%; and elderies (>56 years) %. Of the 164 patients, there were 99 females and 65 males. Conclusion: Adults were the most frequent age group with extracted first mandibular molar, followed by teenagers, children, and elderly. Female cases were more frequent than male cases.Keywords: tooth extraction, mandibular first molarAbstrak: Gigi molar satu mandibula merupakan gigi tetap yang pertama erupsi pada umur sekitar 6-7 tahun, sehingga menjadi gigi yang paling berisiko terkena karies. Bila gigi tersebut terkena karies, dapat berakibat pencabutan, yang menimbulkan resiko baru seperti perubahan posisi gigi, memengaruhi oklusi, sendi rahang, dan proses mastikasi yang berdampak pada penyerapan nutrisi makanan. Penelitian ini bertujuan untuk mengetahui gambaran pencabutan gigi molar satu mandibula di Balai Pengobatan Rumah Sakit Gigi dan Mulut Manado berdasarkan umur dan jenis kelamin tahun 2012. Penelitian ini bersifat deskriptif dengan jenis penelitian retrospektif. Pengambilan sampel menggunakan teknik total sampling. Hasil penelitian menunjukkan bahwa pada tahun 2012 dari 765 pasien yang melakukan pencabutan gigi, sebanyak 1130 gigi dewasa yang dicabut dan gigi molar satu mandibula yang tersering (167 gigi pada 164 pasien). Kasus pencabutan gigi molar satu mandibula pada kelompok usia dewasa dengan rentang umur 19-55 tahun sebesar 73%; pasien remaja (13-18 tahun) 21%; pasien anak-anak (6-12 tahun) 4%; dan pasien lansia dengan rentang umur mulai dari 56 tahun ke atas 2%. Dari 164 pasien yang dilakukan pencabutan gigi molar satu mandibula, jenis kelamin perempuan sebanyak 99 pasien sedangkan laki-laki 65 pasien. Simpulan: Pasien dewasa merupakan kategori umur yang tersering dilakukan pencabutan gigi molar satu mandibula, diikuti oleh pasien remaja, anak, dan lansia. Kasus pencabutan gigi molar satu mandibula berdasarkan jenis kelamin lebih sering terjadi pada perempuan dibandingkan laki-laki.Kata kunci: pencabutan gigi, molar satu mandibula


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
J Siverskog ◽  
M Janzon ◽  
L.-Å Levin ◽  
J Alfredsson ◽  
M Henriksson

Abstract Background Sweden has contributed to the understanding of the long-term prognosis after myocardial infarction (MI) utilising the quality registry SWEDEHEART, including patients admitted to heart intensive care, and the National Patient Registry (PAR), based on administrative records for Swedish hospitals. As registration procedures differ between the registries, and not all MI patients are admitted to heart intensive care, MI patients identified in SWEDEHEART and PAR, respectively, will yield different cohorts of patients. This may result in different epidemiological research findings regarding prognosis after MI. Purpose To study MI populations identified in SWEDEHEART and PAR, respectively, and investigate potential differences in mortality outcome. Methods Patients hospitalised with an MI primary diagnosis (ICD-10 I21) between 2002 and 2015 were identified using SWEDEHEART and PAR. The analysis time started at the date of hospital admission and survivors were followed for 365 days. Kaplan-Meier analysis was used to estimate survival by cohort category controlling for age and gender. Results Excluding cases with invalid data (n=1,905), 225,612 and 282,118 SWEDEHEART and PAR patients, respectively, were identified. We found 213,367 patients in both SWEDEHEART and PAR, whereas 12,245 and 68,751 patients were unique to SWEDEHEART and PAR, respectively. The one-year survival probability after MI in the SWEDEHEART population was 0.841, compared to 0.788 in PAR (Figure). This discrepancy can be explained by high mortality among patients not covered by SWEDEHEART and persists after controlling for age and gender (Table). To what extent differences in registration procedures and other patient characteristics can explain the mortality difference is an area for further research. One-year survival by age and gender Age ± 1 year Male Female PAR S.H. Diff. PAR S.H. Diff. 65 0.922 0.936 0.015 0.919 0.936 0.017 70 0.893 0.909 0.016 0.889 0.908 0.019 75 0.829 0.858 0.029 0.834 0.860 0.026 80 0.743 0.783 0.040 0.768 0.800 0.033 85 0.625 0.677 0.052 0.662 0.705 0.042 One-year survival after MI Conclusion Estimated one-year survival for MI patients differs by up to 5 percentage points depending on the registry used. Although further research is needed to fully understand these differences, epidemiological findings regarding MI prognosis should be interpreted in light of registry type used and population represented. Acknowledgement/Funding Region Östergötland


2018 ◽  
Vol 53 (1) ◽  
pp. 96-106 ◽  
Author(s):  
Ann-Catrin André Kramer ◽  
Aldina Pivodic ◽  
Magnus Hakeberg ◽  
Anna-Lena Östberg

The objective was to investigate the variability in dental caries experience in Swedish children and adolescents, at two different area levels: dental clinics and SAMS (small areas for market statistics), with respect to multiple individual socioeconomic factors (SES). Records of manifest caries using the DMFT indices (decayed, missing, filled teeth, dependent variables) were collected from electronic dental records for 300,988 individuals aged 3–19 years (97.3% coverage) from the Region Västra Götaland, Sweden. SES data were obtained from official registers and covered ethnicity, wealth, parental education, and employment. The SES variables were used as an independent aggregated variable – an in dex – categorized in deciles. Age and gender were independently included in the multilevel models. Two-level logistic regression analyses explored the probability of a dental caries experience and the variability (intracluster correlation) within dental clinic areas and SAMS, respectively. The most deprived (10th decile, SAMS level) 3- to 6-year-old children had an OR of 5.00 (95% CI 4.61–5.43) for dental caries experience (deft), compared with children in the 1st to 5th deciles. For older children and adolescents (≥7 years), the corresponding OR (DFT) was 2.25 (95% CI 2.15–2.35). Small geographical areas explained more of the variance in caries experience compared with the more aggregated level dental clinics. SES was more strongly related to the risk of dental caries experience than age and gender. In conclusion, the associations between SES and dental caries experience in Swedish children and adolescents were strong in the study and strongest in young children at a low level.


2019 ◽  
Vol 3 (2) ◽  

Radiographic Mandibular Indices serve as easy and relatively cheap tools for evaluating bone mineralization. Objectives: To examine the effect of age and gender on three mandibular indices: the panoramic mandibular index (PMI), the mandibular ratio (MR) and the mandibular cortical index (MCI), among Libyan population. Methods: The three indices were measured on 317 digital (OPGs) of adult humans (155 males, 162 females). The sample was divided into six age groups (from 18-25 years through 56-65 years). The measurements were analyzed for interactions with age and sex, using SPSS (Statistical Package for Social Studies) software version no. 22. The tests employed were two way ANOVA, the unpaired T-test and chi-square test. Results: The mean PMI fluctuated between 0.37 s.d. 0.012 and 0.38 s.d. 0.012. among the sixth age groups. One-way ANOVA statistical test revealed no significant of age on PMI. On the other hand gender variation has effect on PMI, since independent sample t-test disclosed that the difference between the male and female PMI means statistically significant. ANOVA test showed that the means of MR among age groups showed a negative correlation i.e. MR mean declined from 3.01 in 18-25 age groups to 2.7 in 55-65 age groups. In contrary, the gender showed no effect on MR according two sample t-test at p> 0.05. In regards with MCI, statistical analysis showed that it affected by age that is C1 was decreasing by age while C2 and C3 were increased by age. Using chi square test the result indicated that there is a significant difference among the different age group and the two genders in MCI readings. Conclusion: PMI was influenced significantly by age but minimally by the gender. MR is not affected by gender but has a negative correlation with age. MCI is affected by both age and gender


Author(s):  
R. T. Kamilova ◽  
J. A. Kamilov

Relevance. Characteristics of eruption of secondary teeth is of diagnostic and prognostic interest, is the basis for implementation of targeted therapeutic and preventive measures among children. No research has ever been carried out in Uzbekistan to study an age and gender regional features of secondary teeth eruption. The aim is to determine the timing and symmetry of secondary teeth eruption in children of the city of Tashkent of the Republic of Uzbekistan and comparative assessment with the children of different cities of Russia.Materials and methods. 3,834 children between 3 and 17 years were conducted dental examination. A comparative analysis was made of the initial, intermediate and final periods of eruption of secondary teeth for children of Uzbekistan (Tashkent city) and Russia (Saratov, Izhevsk and Sergach).Results. In Tashkent children of both gender, in most cases, lower teeth were erupted before than their antagonists. In girls, teeth were erupted earlier than their male counterparts. At the initial stage of eruption, asymmetry was more pronounced in boys than in girls, while in the middle and final stages it was more pronounced in the opposite direction. Observed asymmetry of antimere’s teeth were indicated left-handed permanent dentition in boys and right-handed in girls. Children of Tashkent city were observed permanent dentition in one group of teeth 1-16 months earlier, and in others – 1-24 months later than their peers in Russian cities. Revealed differences were more pronounced among boys than among girls. Children in Tashkent differed more from their peers in Sergach and less from those in Izhevsk. Conclusions. Regional peculiarities of permanent dentition in children of Tashkent city and revealed expressed differences with indicators of Russian children are the basis for development of separate age and  gender normative assessment permanent dentition tables for children of Uzbekistan. 


2011 ◽  
Vol 51 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Jennifer Keehbauch ◽  
Gretchen San Miguel ◽  
Leslie Drapiza ◽  
Julie Pepe ◽  
Richard Bogue ◽  
...  

Background: Overweight children are often not identified or counseled. Purpose: We assessed the documentation rate and clinical management of overweight children before and after an electronic medical record (EMR) upgrade calculating body mass index (BMI) percentile for age and gender. Methods: Family Medicine resident and faculty physicians at two sites received an EMR upgrade; Site1 physicians also received BMI training and education. From two years before to one year after the upgrade, randomly selected charts were reviewed for all encounters with overweight children for documentation of obesity and clinical management. Results: After the EMR upgrade, documentation and counseling rates significantly improved at both sites but the rate of change was greater for Site 1; postintervention documentation was significantly greater for Site 1 vs. Site 2 (40% vs. 28%, P<0.01). Conclusions: We found an increase in documentation and management of overweight children following an EMR upgrade that calculates BMI percentiles for age and gender. Physician education was an important adjunct.


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