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Pencabutan gigi adalah proses pengambilan gigi tanpa rasa sakit dengan trauma seminimal mungkin terhadap jaringan sekitarnya. Prevalensi penyakit gigi penduduk Indonesia sebanyak 67% dimana rata-rata 5 gigi pada setiap penduduk mempunyai pengalaman dengan indikasi pencabutan, ini kategori tinggi berdasarkan kriteria WHO. Di Puskesmas Biaro Prevalensi kasus pencabutan gigi permanen merupakan kasus tertinggi setiap tahunnya dimana terdapat 1462 kasus. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kasus pencabutan gigi permanen pada pasien poli gigi di Puskesmas Biaro Kecamatan Ampek Angkek Kabupaten Agam Tahun 2016. Penelitian ini bersifat analitik dengan menggunakan pendekatan cross sectional dimana pengumpulan variabel independen dan dependen dilakukan secara bersamaan. Teknik pengambilan sampel menggunakan accidental sampling. Jumlah sampel sama dengan populasi 45 orang. Penelitian dilakukan bulan Agustus 2016 di Puskesmas Biaro. Data yang terkumpul dianalisis secara univariat dan bivariat dengan uji Chi-Square. Hasil penelitian didapatkan 77,8% responden mencabut gigi, 51,1% memiliki perilaku kurang baik, 66,7 % mengalami karies tidak parah dan 77,8% mengalami penyakit periodontal. Berdasarkan analisis bivariat terdapat hubungan bermakna antara perilaku (pvalue 0,004, OR=15,231), karies gigi (pvalue 0,009, OR=7,875), penyakit periodontal (pvalue 0,029, OR=0,167) dengan kasus pencabutan gigi permanen. Kesimpulannya adalah variabel independen yang paling beresiko terhadap variabel dependen adalah perilaku. Saran dalam penelitian ini terhadap responden diharapkan agar lebih meningkatkan kesadaran diri akan pentingnya kesehatan gigi dan mulut agar terhindar dari masalah penyakit gigi dan mulut terutama kasus pencabutan gigi permanen serta memeriksakan perkembangan kesehatan gigi dan mulut secara berkala 1 kali dalam 6 bulan.

Tooth extraction is the process of making a painless tooth with minimal trauma to the surrounding tissue. The prevalence of dental disease as much as 67% of the Indonesian population where the average five teeth on each resident had experience with the revocation indication, this high category based on WHO criteria. The prevalence of cases in Puskesmas Biaro permanent tooth extraction is the highest cases each year where there are 1462 cases. This study aims to determine the factors associated with the case of a permanent tooth extraction in patients at the health center dental poly Biaro Agam District of Ampek Angkek 2016. This research is an analytic using cross sectional approach where the collection of independent and dependent variables are carried out simultaneously. The sampling technique uses accidental sampling. The number of samples is equal to the population of 45 people. The study was conducted in August 2016 in Puskesmas Biaro. The data were analyzed using univariate and bivariate with ChiSquare test. The result showed 77.8% of respondents pulling teeth, 51.1% had less good behavior, 66.7% had caries is not severe, and 77.8% had periodontal disease. Based on bivariate analysis, there is a significant relationship between behavior (pvalue 0.004, OR = 15.231), dental caries (pvalue 0.009, OR = 7.875), periodontal disease (pvalue 0.029, OR = 0.167) in the case of a permanent tooth extraction. The conclusion is that most independent variable on the dependent variable is risky behavior. Suggestions in this study the respondents expected to further enhance the self-awareness of the importance of oral health in order to avoid the problem of dental and oral diseases, especially the case of the permanent tooth extractions and examined the development of oral health on a regular basis 1 time in 6 months.