Aim: The purpose of this study is to evaluate the prevalence and various reasons given for permanent teeth extractions in a dental clinic of a Teaching Hospital in Maiduguri, Nigeria. Materials & Methods: The clinical records of patients who attended the clinic and the work book of the oral surgery clinic were collected and analyzed according to gender, age and reasons for extraction. The age ranges from 16 to 75 years but this was then grouped according to age groups of ten years each. Results: Dental caries was the leading cause of extraction (69.9%) disimpation/pericoronitis was 10.9% while periodontal disease, dento-alveolar abscess, failed amalgam restorations, trauma, removal of supernumerary teeth and endodontic failure accounted for 8.6%, 4.0%, 3.8%, 1.2%, 1.0% and 0.6% respectively, 77.5% of all extraction occurred within the age of 16 – 35 years, 90.3% of all extraction were within the age of 16 45 and of the 77.5% extraction in the 16 – 35 years age group, 75.6% of these were due to caries. More extractions were carried out in females (53.6%) than in male (46.4%). Conclusion: Extraction as a result of dental caries is growing at an alarming rate yet there is no oral health policy in place while place in Nigeria and some developing economics therefore is an urgent need for formulation of oral health policies and effective institution of appropriate dental health care strategies that will ensure and promote oral health care. Clinical Significance: is to evaluate and analyze the level of loss of teeth in order to dense a means of halting or reducing the rate of tooth extraction