Investigation of the causes and pattern of early first permanent molar extraction in children in the western Mediterranean region of Türkiye

Zülfikar Zahit Çiftçi¹ image, Ayşe Cengiz¹ image, Büşra Buse Karamete¹ image


This study aimed to investigate the causes and pattern of extraction of first permanent molars (FPMs) in children aged 6–15 years in the Mediterranean region of Türkiye.

While the most common cause extraction of FPMs was “excessive substance loss”, the most extracted FPM was mandibular right FPM.

Although access to oral health products and education has become easier, extraction is still a common practice. This study highlights need for further steps for improving public oral health.


Aim: This study aims to investigate the causes and pattern of extraction of first permanent molars (FPMs) in children aged 6-15 years in the western Mediterranean region of Türkiye. Methods: The data from the patients who applied to Department of Pediatric Dentistry, Faculty of Dentistry, Akdeniz University, between the years 2016–2020, were scanned; patients, who had at least one FPM extracted between the ages of 6–15, and who had pre-extraction panoramic radiographs were selected. Information about age, gender, reason for extraction, extracted tooth, and previous treatment status of a total of 562 patients (263 males and 299 females) were recorded. The data were statistically analyzed using chi-square tests. Results: The mean age was 11.87±1.89, and there was no difference between female and male patients (p=0.828). 727 FPMs were evaluated, and the main reason for extraction was detected to be “Excessive substance loss” (55.8%) for both genders in all age groups. The 2nd, 3rd, 4th, and 5th reasons were early FPM extraction, infection, parents’ request, and others respectively. The total number of extracted teeth of female patients was higher (53.6%) than that of males (46.4%) but there was no significant difference. It was observed that mandibular teeth were more frequently extracted than maxillary ones. Most children (75.8%) had one tooth extracted, 19.9% had two teeth, and 3.3% had three teeth. It was determined that the FPMs were not previously treated in the majority of children (90.7%). Conclusions: The most important finding from this study is that most of the extracted FPMs have not been treated previously. This indicates that individuals in our society do not have enough information about and are late in accessing oral health services. Therefore, further steps should be taken to improve public oral health.

Keywords: Child; First Permanent Molar; Tooth Extraction

Author Affiliations

  1. Asst. Prof., Akdeniz University, Faculty of Dentistry, Department of Pediatric Dentistry, Antalya/Türkiye
  2. Research Asistant, Akdeniz University, Faculty of Dentistry, Department of Pediatric Dentistry, Antalya/Türkiye (Correspondence:
  3. Research Asistant, Akdeniz University, Faculty of Dentistry, Department of Pediatric Dentistry, Antalya/Türkiye
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Article Info

Contemp Pediatr Dent 2023:0(0):1-9

Received: 23 May 2023

Accepted: 29 August 2023

Online First: 19 November 2023


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How to Cite

					Zülfikar Zahit Çiftçi, Ayşe Cengiz, Büşra Buse Karamete. Investigation of the causes and pattern of early first permanent molar extraction in children in the western Mediterranean region of Türkiye. Contemp Pediatr Dent 2023:0(0):1-9. E-pub: 19 Oct 2023 DOI: 10.51463/cpd.2023.160

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