Discussion

According to the review's findings, the primary reasons why oral (and maxillofacial) surgeons and dentists undertake dental extractions are periodontitis and cavities. Orthodontics, periapical illness, trauma, and other causes are also common indications. In general, this is consistent with earlier research, including that which did not fit the current review's inclusion requirements. We wanted to find out how frequently patients ask their practitioner to have their teeth extracted over time and by location, as well as if dentists and oral (and maxillofacial) surgeons have changed their reasons for extractions. However, we were unable to do so. It seems that patients themselves requested about 5% of the extractions that were done. Sadly, it was unable to pinpoint the patient's motivation in the event of a request that led to extraction; it might have been monetary or cultural, of course, but psychological factors like dental anxiety could also have been involved.

The fact that the topic of extractions performed at the patient's request has never been thoroughly examined is arguably the most intriguing finding of the current systematic study. Stated differently, it may be claimed that there is not much to report in this area, but it has been crucial to determine via this analysis that information about nondental and nonmedical causes is entirely lacking. Given the ethical and legal considerations that go into treatment decisions and the fact that an oral (maxillofacial) surgeon or dentist should not just remove one or more teeth without a valid reason, this is especially noteworthy. When there is no clear dental requirement for a treatment, the practitioner may still be held accountable even if the patient has made a strict request for it. Since this problem has never been discussed in the literature previously, it is also regrettable that it was not possible to determine an approximate frequency of rejections of these petitions.