Bolu ve Çevresinde Yaşayan Çocuklarda Labial Frenulum Tipleri ve Gingival Sağlığa Etkileri

Amaç: Bu çalışmada Bolu ve çevresinde yaşayan süt ve karışık dişlenme döneminde bulunançocuklarda labial frenulum tiplerini ve gingival sağlığa etkilerini değerlendirmek amaçlanmıştır.Gereç ve Yöntemler: Bolu Abant İzzet Baysal Üniversitesi Diş Hekimliği Fakültesi Hastanesi’ndegerçekleştirilen çalışmaya 3–16 yaşlarındaki 205 çocuk (%49,7 erkek, %50,3 kız) dahil edildi. Çocukların %49,3’ü 3–6 yaşlarında olup süt dişlenme, %50,7’si 7–16 yaşlarında olup karışık dişlenmegöstermekteydi. Maksillar labial frenulum (MLF) tipleri Mirko sınıflamasına göre sınıflandırıldı;gingival indeks skorlaması ise Löe–Silness sınıflamasına göre yapıldı.Bulgular: MLF tipleri bakımından iki cinsiyet arasında istatistiksel olarak anlamlı fark yoktu. Hemsüt hem de karışık dişlenme döneminde en sık gingival tip frenulum tespit edildi. Frenulum tipleribakımından gruplar arasında anlamlı fark bulunmadı. Her iki yaş grubunda da papile penetreformdaki frenulumlarda gingival indeks skorlarının anlamlı biçimde daha yüksek olduğu tespitedildi.Tartışma ve Sonuç: Frenulum uzunluğunun normal sınırlar dışında olması diş eti çekilmelerine,dizilim bozulmalarına, diş çürüklerine ve konuşma problemlerine sebep olabilir. Bu nedenle çocuklarda ağız–diş muayenesi sırasında frenulum değerlendirmesine de önem verilmelidir.

Labial Frenulum Types and Their Effects on Gingival Health in Children Living in and Around Bolu

Aim: In this study, we aimed to evaluate the labial frenulum types and their effects on gingival health in children with primary and mixed dentition who live in and around the city of Bolu. Materials and Methods: The study was conducted at the Dentistry Faculty Hospital of the Bolu Abant İzzet Baysal University and included a total of 205 children (50.4% boys, 49.6% girls) aged 3 to 16 years. Of the children, 49.3% were 3 to 6 years old with primary dentition, and 50.7% were 7 to 16 years old with mixed dentition. The maxillary labial frenulum (MLF) type classification was made according to the Mirko classification and the gingival index scoring was performed according to the Löe–Silness classification. Results: There was no statistically significant difference between the two sexes in terms of MLF types. In both primary and mixed dentition stages, the most common frenulum type was the gingival type. No significant difference was found between the groups in terms of frenulum types. In both age groups, gingival index scores were found to be significantly higher in frenula of the papillary penetrating type. Discussion and Conclusion: Frenulum lengths outside the normal range may lead to gingival recession, tooth malposition, tooth decay, and speech problems. For this reason, it is important that pediatric oral and dental examinations include a frenulum evaluation.

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