Abstract
Objective: To study the frequency of various dental procedures and the causes of dental extractions at Railway General
Hospital Rawalpindi and to suggest measures to improve the existing scenario.
Study Design: A descriptive cross-sectional study.
Place and Duration of Study: The study was conducted at IIMCT, Railway General Hospital from June 2014 to May 2015.
Materials and Methods: All consecutive patients undergoing dental operative procedures at IIMCT Railway General
Hospital were studied. The patients were examined clinically and by dental X-Ray when required. The extent of caries was
ascertained and Miller's Mobility Index was used to grade the extent of Periodontitis. Tooth extraction was done in
patients having broken down roots, gross caries, tooth mobility grade >2 and those with impaction, trauma, cysts etc.
Results: A total of 3116 dental procedures were done that included 1902 (61.0%) tooth extractions, 930 (29.8%) fillings,
166 (5.3%) scalings and 118 (3.8%) root canal treatments. The number of scalings and root canal treatments significantly
increased with addition of an extra dental surgeon (p2) in 569/1902 (30%) and other reasons like cysts, impaction and trauma etc. in 190/1902 (10%) of patients.
Conclusion: Caries and periodontal infections are the commonest dental problems and the reason for tooth extraction at
the Railway General Hospital Rawalpindi where people mostly come from the lower socio-economic status. The quality of
work in a public sector dental setting like Railway General Hospital can be improved by providing adequate number of
dentists and other resources
Fatima Suhaib, Mir Rizwan Ahmad, Khalil ur Rehman. (2015) Review of Dental Operative Procedures and the Causes of Tooth Extraction at the Railway General Hospital Rawalpindi, Journal of Islamic International Medical College, Volume-10, Issue-3.
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