Annals of Tropical Medicine and Public Health

: 2016  |  Volume : 9  |  Issue : 5  |  Page : 373--374

Tooth extraction reduction needs ten health policies together worldwide. Do you agree with me?

Ali Mehrabi Tavana 
 Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

Correspondence Address:
Ali Mehrabi Tavana
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran

How to cite this article:
Tavana AM. Tooth extraction reduction needs ten health policies together worldwide. Do you agree with me?.Ann Trop Med Public Health 2016;9:373-374

How to cite this URL:
Tavana AM. Tooth extraction reduction needs ten health policies together worldwide. Do you agree with me?. Ann Trop Med Public Health [serial online] 2016 [cited 2020 Jun 6 ];9:373-374
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Full Text

Dear Sir,

The number of dental extractions is not very clear in the world in both developed and developing countries. In fact, many people are losing their teeth for several reasons including genetic disorder, bad diet, stress, unusual performance of dental hygiene, and maybe other reasons that are not well-understood. Nowadays, a lot of has been done in order to understand the fact. Of course, many bacteria including Porphyromonas spp [Porphyromonas gingivalis (P.gingivalis), Porphyromonas endodontalis (P.endodontalis) and perhaps Porphyromonas asaccharolytica and Prevotella spp [Prevotella intermedia (P.intermedia) or Prevotella nigrescens (P.nigrescens) and perhaps  prevotella corporis (P.corporis)] or other oral bacteria such as Fusobacteria spp (Fusobacterium nucleatum), Peptostreptococci may be involved. [1],[2],[3],[4],[5] At present, there is no comprehensive way in order to prevent the colonization of these bacteria in the mouth completely. A few comments should be considered in the community in order to reduce dental extraction in the different countries hopefully:

First, women's diet must be supported before and during pregnancy.The child should be referred to the dentist every 6 months from their birth time for regular checkup.Trauma prevention programs must be performed in all countries in order to prevent any teeth injury.Health education should be continued for all in different ages and different cultures.Dental hygiene device and equipment must be improved and it must be accessible with a low cost for any individual and governmental organizations and nongovernmental organizations must be considered as the first priority of health.Encouragement of people to  take care of their dental condition could be effective and that could reduce the payment to the insurance company too.Reduction of sugar consumption for all could reduce tooth decay and  help with dental extraction.The amount of vegetables and fruits in the daily diet should be increased and could be useful for all and that must not be forgotten at all.Fluoridation of water must be controlled in areas  where the percentage of tooth decay is too high.More research must be focused in the area of dental care, in particular in developing countries, to find out the best way to prevent dental and periodontal diseases.

Many countries (Thailand) have succeeded in the implantation of dental care in their respective countries [6] and Iran is going to improve dental care in the next coming  decade by considering all health policies and the programs that have been focused on child and pupils first and other groups are to be covered by that program stage by stage shortly. Other countries should consider dental care as a first priority in order to reduce tooth extraction and increase public health anyway.

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Conflicts of interest

There are no conflicts of interest.


1Tavana AM, Korachi M, Boote V, Hull PS, Love DN, Drucker DB. Phospholipid analogues of Porphyromonas gingivalis. J Appl Microbiol 2000;88:791-9.
2Drucker DB, Tavana AM, Boote V, Love DN. Is porphyromonas gingivalis heterogeneous? Rev Med Microbiol 1997;8(Suppl 1):S11-2.
3Tavana AM, Drucker DB, Boote V. Phospholipid molecular species distribution of Porphyromonas asaccharolytica ATCC 25260T: Effects of temperature, culture age and pH. J Appl Microbiol 1998;85:1029-35.
4Tavana AM. Isolation of P. corporis from oral cavity: What is the role of this bacterium in the mouth and other parts of the human body. Indian J Dent Res 2009;20:129.
5Tavana AM. Heart failure and oral bacteria: How could be prevented? J Cardiovasc Dis Res 2010;1:161.
6Treerutkuarkul A, Gruber K. Prevention is better than treatment. Bull World Health Organ 2015;93:594-5.