Przyczyny ekstrakcji zębów mlecznych u dzieci – retrospektywne badanie kohortowe

The main purpose of this paper was to determine the reasons for dental extractions of deciduous teeth in children, including those made in the period before the physiological replacement of teeth. In 1,000 patients of the Department of Pediatric Dentistry, Medical University of Warsaw at the age of 1–17 years with at least one deciduous tooth removed, group of extracted tooth, extraction cause and the child's age at the time of performed surgery was rated. The reason of more than 76% extractions of deciduous teeth was caries and its complications. The other reasons were eruption disorders, orthodontic indications, and mechanical injuries. 1.5% was a supernumerary teeth prematurely erupted, idiopathic resorption, periodontal diseases. 47.5% of extractions were performed in the age between 6 and 9 years, 32.3% before physiological teeth replacement (85.0% due to caries). Extractions of molars (60.5%) and upper incisors (26.8%) were the most frequent. The caries and its complications are still the most frequent causes of deciduous teeth extractions, especially molars and incisors, often performed before the physiological teeth replacement.