Abstract

Objective

The majority of tooth extractions are done for dental purposes, but there are also nondental and nonmedical ones, such as fulfilling a patient's request or for psychological, economical, cultural, or religious reasons. The purpose of this systematic review was to investigate the number and variety of indications related to tooth extraction for dental, nondental, and medical purposes.

Methods

6038 studies were found through a search utilizing APA PsycINFO, PubMed, and Embase. A total of 4396 extractions from three investigations could be considered for the assessment of bias and the synthesis of qualitative data.

Results

The percentage of all extractions for dental and medical reasons ranged from 36.0% to 55.3% for caries, from 24.8% to 38.1% for periodontitis, from 0.8% to 4.4% for trauma, from 7.3% to 19.1% for periapical disease, from 2.5% to 7.2% for orthodontics, and from 4.5% to 9.2% for other reasons. Although the percentage of patient requests varied from 3.6% to 5.9%, it was unable to ascertain the precise justifications for extraction.

Conclusion

According to the findings, the most frequent reasons for tooth extraction are caries and periodontitis, and there are not enough research to accurately gauge the prevalence of nondental and nonmedical reasons for extraction. Comprehensive guidelines are necessary since the dentist and oral surgeon have the last say over whether to conduct or refuse extractions, regardless of whether the choice is made for dental, nondental, or nonmedical reasons.