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CC BY 4.0 · Eur J Dent 2023; 17(03): 840-844
DOI: 10.1055/s-0042-1757904
Original Article

Permanent First Mandibular Molar: Loss Prevalence and Pattern among Saudis in Al-Ahsa

Hatim Mohammed Almahdi 
1   Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, King Faisal University, Al-Ahsa, Saudi Arabia
,
Zuhair Alabdrabulridha
2   Dentist in King Faisal University Dental Complex, Al-Ahsa, Saudi Arabia
,
Jawad AlAbbas
2   Dentist in King Faisal University Dental Complex, Al-Ahsa, Saudi Arabia
,
Ali Albin Saad
2   Dentist in King Faisal University Dental Complex, Al-Ahsa, Saudi Arabia
,
Ismail Alarka
2   Dentist in King Faisal University Dental Complex, Al-Ahsa, Saudi Arabia
,
Sajjad Alghatm
2   Dentist in King Faisal University Dental Complex, Al-Ahsa, Saudi Arabia
,
Hadi Alqasem
2   Dentist in King Faisal University Dental Complex, Al-Ahsa, Saudi Arabia
› Author Affiliations
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Abstract

Objectives The permanent first mandibular molar (PFMM) is the first tooth to erupt, usually at the age of 6 years. It is the most effective oral masticatory unit due to its wide occlusal surface and its role in favorable occlusion. This study describes the prevalence of PFMM loss and the reasons for extraction in a group of King Faisal Dental Complex Clinics (KFUDC) Saudi attendees. In addition, to report postextraction complications, consider the gender, age, and the time elapsed from the moment of the extraction.

Materials and Methods A cross-sectional study was performed in January to April 2020, focusing on the loss of PFMM among a group of Saudis attending KFUDC in Al Hofuf, Saudi Arabia. A total of 417 participants were recruited. The inclusion criteria were adults aged ≥ 18 years. The principal investigator performed all the necessary measures for calibration in the forms of training on clinical examination and interviews.

Statistical Analysis Data were analyzed using the Statistical Package for the Social Science, version 25 (SPSS Inc., Illinois, United States).

Result Four hundred seventeen attendees participated in the present study. Majority were males 73.9% (308), and 26.1% (109) females. A third, 30% (125), reported missing PFMM; the overwhelming majority reported the reason for extraction as caries 93.6% (117).

On clinical examination, 80.8% (101) had complications; drifting of adjacent teeth was the most common complication, 57.6% (72), followed by supraeruption in 23.2% (29).

More males than females reported missing PFMM (22.8 and 7.2%, respectively), and those ≥ 25 years reported more missing PFMM than younger (17.5 and 12.5%, p ≤ 0.000). Those confirmed with systemic diseases reported more missing PFMM than their counterpart (23.3 and 6.7%, p ≤ 0.01).

Those with good oral hygiene reported less missing PFMM than their poor oral hygiene counterparts (27.8 and 34%). Those who had good knowledge about the complications of early extraction of PFMM stated less missing PFMM than their counterparts (15.6 and 14.4%, p ≤ 0.01).

Conclusion This study indicated that PFMM were the most common extracted tooth. Caries is the principal reason for tooth extraction among the studied population, followed by periodontal diseases. Emphasis on preventing dental caries is essential to maintain a socially and economically productive life and reduce the burden of oral disease.

Keywords

caries - permanent first mandibular molar - Saudi Arabia - tooth extraction

Ethical Approval and Consent to Participate

Ethical clearance and approval obtained from the Research Ethics Committee at King Faisal University (KFU-REC-2022-JAN-EA000391). Verbal consent was requested from the participating attendees, and participation was voluntary and anonymous.


Financial Support and Sponsorship

The Deanship of Scientific Research, Vice Presidency, supported this work through the Annual Funding track for Graduate Studies and Scientific Research, King Faisal University, Saudi Arabia (Project No. AN000328).




Publication History

Article published online:
10 December 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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