title: Prenuptial dental extractions in Acadian women: first report of a cultural tradition.
abstract: BACKGROUND
  Prenuptial tooth extractions, extractions of all teeth in at least one dental arch before marriage, are not identified in the dental literature. Driven by a professional encounter, the purpose of this study was to confirm the existence of this practice among Acadian women.
  
  
  METHODS
  An 8-item survey instrument with space for comments was mailed to 182 dentists from traditionally Acadian regions of Canada. The survey was provided in English and French.
  
  
  RESULTS
  Ninety dentists responded (50.3%); 8 of them (9%) had been asked to perform prenuptial extractions, and an additional 9 volunteered awareness of this practice. Awareness and requests were associated with dental practice in a county with a ≥20% French-speaking population.
  
  
  CONCLUSIONS
  Prenuptial extractions in this population have been confirmed by the current cohort of dentists. The potential public health, clinical, and systemic health research implications for women who are edentulous for most of their adult life merit further study. Additionally, it is important to determine if interventions are needed to curtail cultural expectations of such practices.
authors.affiliation: Department of Oral Medicine and Diagnostic Sciences and Department of Pathology, University of Illinois, Chicago, Illinois 60612, USA. gordonsa@uic.edu
authors.forename: Sara C
authors.initials: SC
authors.lastname: Gordon
authors.forename: Linda M
authors.initials: LM
authors.lastname: Kaste
authors.forename: Andrei
authors.initials: A
authors.lastname: Barasch
authors.forename: Monika M
authors.initials: MM
authors.lastname: Safford
authors.forename: W Choong
authors.initials: WC
authors.lastname: Foong
authors.forename: Adry
authors.initials: A
authors.lastname: ElGeneidy
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002170:Canada; D002562:Ceremonial Behavior; D003466:Cultural Characteristics; D018865:Dental Research; D003815:Dentists / Q000706:statistics & numerical data; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008393:Marriage / Q000208:ethnology*; D019239:Practice Patterns, Dentists' / Q000706:statistics & numerical data*; D012938:Social Perception; D014081:Tooth Extraction / Q000706:statistics & numerical data*; D016387:Women's Health / Q000208:ethnology*; D055815:Young Adult