Awareness About Tooth Extraction Among General Public A Survey
Awareness About Tooth Extraction Among General Public A Survey
Volume 7, Issue 12, December – 2022 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
Awareness about Tooth Extraction among
General Public: A Survey
DR. SATISH KUMAR1, P. VARSHA2 T. MATHI BHARATHI3, DR. VANDANA SHENOY4, DR. MOHAMED AFRADH5
1,5
Reader, 2,3 Intern, 4 Professor,
Department Of Oral and Maxillofacial Surgery,
Thai Moogambigai Dental College and Hospital, Chennai, India
Abstract:- Tooth extraction is a dental procedure that number of extracted teeth can serve as an indicator of socio-
involves removal of tooth from the alveolar socket with economic and oral hygiene level (4). Hence extraction
the help of local anesthesia to numb pain by a dentist. The became one of the chosen dental treatments among general
purpose of this survey is to evaluate the basic knowledge population, this survey is performed to assess the basic
of general public regarding dental extraction. An online knowledge and to understand the conceptions prevailing
based questionnaire study consisting of 15 questions about dental extraction among the general public population.
regarding dental extraction was carried out to assess
among 250 general people across Chennai, Tamilnadu II. METHODOLOGY
through Google forms. The results of this study shows the
lack of awareness and knowledge about dental extraction An online questionnaire-based assessment survey was
among general public though they were aware of few carried out amongst the general population across Chennai,
basics involved. The carelessness and misconceptions of Tamilnadu to assess the knowledge on extraction of the tooth
their dental health observed among the people clearly and also to evaluate the existing awareness levels based on
shows the need of creating awareness among them. their personal experience. After the prerequisite information
was collected, 15 relevant questions were prepared using
Keywords:- Awareness, Dental extraction, Tooth removal, available evidence-based literature pertaining to the present
Oral and maxillofacial surgery, General public, study. The self-administered questionnaire evaluated among
Questionnaire study. the study participants had few selected responses to specific
questions along with a few close-ended questions (Yes/ No/
I. INTRODUCTION don’t know) in English language. Since this study was carried
out during the COVID-19 Pandemic situation, online Google
The ideal tooth extraction is a painless process of forms were generated and distributed through various social
removing of the whole tooth, or root, with minimal trauma to media platforms.
the investing tissues, so that the wound heals uneventfully &
no post-operative complications. Teeth can be extracted in A total of 251 people across Tamilnadu took part in the
children and adults for various reasons like unrestorable tooth questionnaire survey and filled the google form based on their
with decay, mobile tooth and trauma. Among the primary own knowledge and personal experience on dental extraction.
dentition, first primary molars were extracted commonly
more than any other primary teeth.(1) Teeth can also be III. STATISTICAL ASSESSMENT
extracted in case of infections and also for orthodontic
treatment purposes. In various studies, it is observed that in Non-probability, random sampling method was
people under the age of 50, dental caries lead to extraction preferred that yielded information from 251 individuals
whereas, in people above 50yrs of age, it was observed that belonging to the general population (Public) were taken into
the main reason for extraction was periodontal diseases.(2) this cross-sectional study. Responses recorded were
Extraction of teeth is an inexpensive treatment and so people evaluated using SPSS (Statistical Package for the Social
opt for extraction over other conservative treatments. But Sciences V24.0 Illinois, Chicago) software Version 24.0. All
extraction of tooth should be the last option in dental the study respondents were instructed about the purpose of
treatments. A decrease in the number of teeth may result in the study and pre-filled online consent was obtained to ensure
poor dietary habit and deterioration of quality of life (3). The their participation was purely voluntary.
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Volume 7, Issue 12, December – 2022 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
OVERALL
2%
6%
17% 18-25 years
26-35 years
>35 years
<18 years
75%
Fig. 1: STATISTICAL ASSESSMENT
IV. RESULTS injections. About 17.13% of people do not know whether
extraction of tooth involves bleeding or not.
On analysis of the data, it was observed that majority of
the study participants were between the age range of 18 and About 84.86% of people are aware that hot food should
25 years (74.50%) followed by people between 26 and 35 not be consumed after extracting tooth. About 84.80% of
years of age (17.13%), greater than 35 years of age (6.37%) people cold food items can be consumed after extracting a
and last being people younger than 18 years of age (1.99%). tooth and around 50.60% of people know that we should not
spit after extraction.
In the present study, on analyzing the knowledge about
dental extraction, 91.24% of the people were aware that Only around 11.95% of people are not aware that milk
extraction is a dental procedure. About 70.52% of people tooth can be extracted in children. Approximately 71.71% of
undergo routine dental checkup. people know that ice cream can be given even to children
after extraction.
About 38.25% of people are hesitant to extract tooth due
to various reasons. About 84.06% of people know that About 41.83% of people do not know when extraction
extraction can be done in cases of deep cavity, mobile tooth can be done in pregnant women and around 43.43% of people
and also impactions. Also, around 73.31% of people are are aware that extraction can be done during 2nd trimester in
aware that extraction of tooth can also be done for esthetic pregnant women.
purposes.
Approximately 54.98% of people know that the cotton
Only around 5.18% of people are not aware that can be removed after 30 minutes after extracting a tooth and
extraction of tooth requires administration of anesthetic around 18.73% of people think that the cotton has to be
replaced with a new one.
Extraction of tooth as dental procedure
4%
5%
yes
no
don’t know
91%
Fig. 2: Extraction of tooth as dental procedure
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Frequency of Dental visit
32%
Regular
only when it severe pain
55%
when mild pain begins
5%
after taking medications
8%
Fig. 3: Frequency of Dental visit
Reasons for extraction
10%
4% 2%
deep dental cavity
severe shaking of tooth
impaction
84% all of the above
Fig. 4: Reasons for extraction
Bleeding can be expected during extraction?
17%
4% yes
no
Maybe
79%
Fig. 5: Bleeding can be expected during extraction?
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Extraction requires anaesthesia
8%
5%
yes
no
don’t know
87%
Fig. 6: Extraction requires anaesthesia
Hesitant to extract the tooth
28%
38% yes
no
Maybe
34%
Fig. 6: Hesitant to extract the tooth
Consume hot food after extraction
4%
11%
yes
no
don’t know
85%
Fig. 7: Consume hot food after extraction
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Not to be done after extraction
13%
27%
9%
eating ice cream
Spitting
using straw
taking head bath
51%
Fig. 8: Not to be done after extraction
To be done after extraction of tooth
4%
11%
spitting
eating cold items
meddling the site
85%
Fig. 9: To be done after extraction of tooth
Ice cream to children after extraction
16%
yes
12%
no
don’t know
72%
Fig. 10: Ice cream to children after extraction
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Milk tooth can be extracted
25%
yes
no
12% don’t know
63%
Fig. 11: Milk tooth can be extracted
Extraction for pregnant women in
11%
42% 1st trimester
2nd trimester
3rd trimester
43%
don’t know
4%
Fig. 12: Extraction for pregnant women in
Duration of cotton to be removed after
extraction
15% 17%
20mins
13% 30mins
40mins
60mins
55%
Fig. 13: Duration of cotton to be removed after extraction
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Extraction of tooth as Esthetic procedure
21%
yes
6% no
don’t know
73%
Fig. 14: Extraction of tooth as Esthetic procedure
Replacement of cotton with new one after
extraction
17% 19%
yes
no
don’t know
64%
Fig. 15: Replacement of cotton with new one after extraction
V. DISCUSSION pathologies, Teeth in firing line of radiations (7). During the
assessment, About 38.25% of people are hesitant to
Exodontia or tooth extraction is defined as the painless extract tooth due to various reasons. Dental extraction is
removal of a whole tooth or tooth root, with minimal trauma one of the dental treatments that may cause dental anxiety
to the investing tissues, so that the bone heals uneventfully easily in majority of population. This may be because of the
(5). Before the discovery of antibiotics, exodontia was a use of syringe for administration of local anesthesia. Dental
preferred treatment. Dentistry was not a separate profession anxiety can be defined as a state where an individual is
at that time and mainly the barbers were extracting the tooth evoked and prepared for something to happen, with a non-
popularly known as ‘barber surgeons’ (6). specific feeling of apprehension, associated with abnormal
conditions.(8) Dental anxiety patients can be categorized into
Based on the knowledge about dental extraction four groups: the ones that are anxious about a specific stimuli,
obtained from the study, 91.24% of the people were aware the ones that are distrustful of dental clinicians, the ones that
that extraction is a dental procedure and in the study a are generally anxious about most things, and the ones that are
question was raised regarding the general populations’ nature frighten that medical emergencies might occur during their
of visiting dentist in which the outcome was about 70.52% dental treatment.(9)
of people undergo routine dental checkup.
About 84.06% of people know that extraction can be
Exodontia is carried out for various reasons such as
done in cases of deep cavity, mobile tooth and also
Dental caries, any severe pulp or periapical pathology, severe impactions. Also, around 73.31% of people are aware that
periodontal disease, orthodontic reasons, preprosthetic extraction of tooth can also be done for esthetic purposes.
extractions, Fractured Teeth, Root Fragments,
Supernumerary Teeth, Retained Deciduous Teeth, Impacted
Teeth, Tooth in fracture line, Teeth associated with
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ISSN No:-2456-2165
Extractions are routinely used in orthodontics as a REFRENCES
method of gaining space to correct the crowding or
proclination of teeth.(10) There are few studies showing that [1.] Tariq Alsheneifi BDS Christopher V. Hughe. Reasons
the arch width is not necessarily narrow in patients who for dental extractions in children.
underwent extraction of tooth.(11, 12) On the other hand, few [2.] Cahen PM, Frank RM, Turlot JC. A survey of the
say that extraction sometime leads to constriction of the reasons for dental extractions in France. J Dent Res.
dental arches and also reduces the fullness of the dentition 1985 Aug;64(8):1087-93. doi:
when smiling, which in turn increases the buccal corridor that 10.1177/00220345850640081401. PMID: 2862168.
may affect the smile esthetics.(13,14) [3.] Aida J, Ando Y, Akhter R, Aoyama H, Masui M,
Morita M. Reasons for permanent tooth extractions in
The concern about doing procedures during the FIRST Japan. J Epidemiol. 2006 Sep;16(5):214-9. doi:
TRIMESTER is twofold. First, the developing child is at a 10.2188/jea.16.214. PMID: 16951541; PMCID:
greatest risk which is posed by teratogens during PMC7683702.
organogenesis, and second, during the first trimester, it is [4.] Chrysanthakopoulos NA. Reasons for extraction of
known that as many as one in five pregnancies undergo permanent teeth in Greece: a five-year follow-up
spontaneous abortions. By the SECOND TRIMESTER , the study. Int Dent J. 2011 Feb;61(1):19-24. doi:
organogenesis is complete, and the risk to the foetus is low. 10.1111/j.1875-595X.2011.00004.x. PMID:
During the THIRD TRIMESTER, the uterus expands with the 21382029; PMCID: PMC9374823.
growing foetus and the placenta, it comes to lie directly over [5.] Howe GL. The extraction of teeth. 2nd ed. Bristol: J
the inferior vena cava, the femoral vessels, and the aorta. If Wright; 1974.
the mother is positioned supine for the procedures, the weight [6.] Klingberg G. Cognitive behavioral therapy for dental
of the gravid uterus could apply enough pressure to impede a phobia and anxiety. 2nd ed. New York: Wiley; 2013.
blood flow through these major vessels and to cause a Dental anxiety in children and adolescent.
condition which is called supine hypotension (15). Hence [7.] Kumar A. Dentistry in historical perspective. IJOCR.
position of the patient is of high concern during third 2013;1(2):51–4.
trimester. So its ideal to carry out emergency and unavoidable [8.] Jain, A. (2021). Principles and Techniques of
dental procedures during the second trimester of pregnancy. Exodontia. In: Bonanthaya, K., Panneerselvam, E.,
In our study it is seen that About 41.83% of people do not Manuel, S., Kumar, V.V., Rai, A. (eds) Oral and
know when extraction can be done in pregnant women Maxillofacial Surgery for the Clinician. Springer,
and around 43.43% of people are aware that extraction Singapore.
can be done during 2nd trimester in pregnant women. [9.] Maulina T, Djustiana N, Shahib MN. The Effect of
Music Intervention on Dental Anxiety During Dental
The physiological bleeding time is 2-9mins, and the Extraction Procedure. Open Dent J. 2017 Oct
hemostasis is achieved adequately in the extracted socket in 31;11:565-572. doi: 10.2174/1874210601711010565.
about 10mins in large population of healthy individuals (16). PMID: 29238417; PMCID: PMC5712637.
As there is no accepted time for hemostasis in the socket but [10.] Rai, Ambesh & Yadav, Bipin. (2015). Facilitating
the estimation range is 20 – 40 mins, it is recommended to Orthodontic Teeth Extraction - A Technique
apply pressure over gauze for 30mins at the site of extraction Suggestion. The Saudi Journal for Dental Research. 7.
socket in healthy individuals. Approximately 54.98% of 10.1016/j.sjdr.2015.10.001.
people know that the cotton can be removed after 30 [11.] Paquette DE, Beattie JR, Johnston LE Jr. A long-term
minutes after extracting a tooth and around 18.73% of comparison of nonextraction and premolar extraction
people think that the cotton has to be replaced with a new edgewise therapy in "borderline" Class II patients. Am
one. J Orthod Dentofacial Orthop. 1992 Jul;102(1):1-14.
doi: 10.1016/0889-5406(92)70009-Y. PMID:
VI. CONCLUSION 1626523.
As discussed previously, extraction of teeth is [12.] Luppanapornlarp S, Johnston LE Jr. The effects of
comparatively inexpensive, so people ith economic concern premolar-extraction: a long-term comparison of
choose extraction as the solution for majority of dental outcomes in "clear-cut" extraction and nonextraction
problems instead of other conservative treatments. So Class II patients. Angle Orthod. 1993
through this questionnaire study, knowledge and Winter;63(4):257-72. doi: 10.1043/0003-
understanding of extraction is evaluated. Based on the results 3219(1993)063<0257:TEOPAL>2.0.CO;2. PMID:
of this study, it is concluded that majority of general 8297050.
population are aware with the basic knowledge about the [13.] Spahl T.J., Witzig J.W. Vol. 1. PSG Publishing Co;
extraction procedure and its post operative care, however Littleton, Massachusetts: 1987. The Clinical
there are some misconceptions seen among the crucial Management of Basic Maxillofacial Orthopedic
components of extraction procedure. This shows that more Appliances.
awareness needs to be created among the general public [14.] Dierkes JM. The beauty of the face: an orthodontic
regarding extraction along its pre and post operative care perspective. J Am Dent Assoc. 1987 Dec;Spec
through educational programs and may also incorporate basic No:89E-95E. doi: 10.14219/jada.archive.1987.0313.
dental knowledge in school curriculum. Erratum in: J Am Dent Assoc 1988 May;116(6):614.
PMID: 3480311.
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Volume 7, Issue 12, December – 2022 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
[15.] Vt H, T M, T S, Nisha V A, A A. Dental
considerations in pregnancy-a critical review on the
oral care. J Clin Diagn Res. 2013 May;7(5):948-53.
doi: 10.7860/JCDR/2013/5405.2986. Epub 2013 Mar
21. PMID: 23814753; PMCID: PMC3681080.
[16.] Kumar S, Paul A, Chacko R, Deepika S. Time
required for haemostasis under pressure from dental
extraction socket. Indian J Dent Res. 2019 Nov-
Dec;30(6):894-898. doi: 10.4103/ijdr.IJDR_93_18.
PMID: 31939367.
