Tuğba BEZGİN, Zeynep Başak YILMAZ, Cansu KOÇYİĞİT, Nuray Uslu KIZILKAN, Ceyda Tuna KIRSAÇLIOĞLU, Nurhan ÖZALP

Gastroözefageal Reflü Hastalığı Tanısı Konan Çocuklarda Dental Erozyon Prevalansı

Amaç: Bu çalışmanın amacı; gastoözefageal reflü hastalığı GÖRH bulunan çocuk hastalarda dental erozyonun görülme sıklığı, erozyondan en çok etkilenen bölgelerin ve yüzey alanının miktarı ile erozyonun şiddetinin belirlenmesidir. Gereç ve Yöntem: Çalışmaya, Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji ve Onkoloji Eğitim ve Araştırma Hastanesi Gastroenteroloji kliniğinde 2012 Ekim-2013 Nisan ayları arasında GÖRH tanısı konmuş olan 6-12 yaş arası ort: 9,9±2,51 64 çocuk dahil edilmiştir. Klinik muayene sonucunda dental erozyon olduğu saptanan hastalarda erozyondan etkilenen bölge ve bu bölgedeki yüzey alanı ile görülen erozyonun şiddeti “O’Sullivan Diş Yıkım İndeksi” kullanılarak değerlendirilmiştir. Elde edilen verilerin istatistiksel değerlendirmesinde Mann Whitney U ve Ki-kare testleri kullanılmıştır. Bulgular: Hastalarda erozyon görülme sıklığı %53 n=34 olarak bulunmuştur. En çok etkilenen dişlerin üst orta %51,6 ve yan kesici dişler %50 ve en çok etkilenen diş yüzeyinin lingual yüzeyler %39,06 olduğu görülmüştür. Hastalarda yaşla birlikte istatistiksel olarak anlamlı şekilde erozyon görülme sıklığının arttığı tespit edilmiştir p

Anahtar Kelimeler:

Dental Erozyon, Gastroözefageal Reflü Hastalığı, Prevalans

Dental Erosion Prevalance In Children Diagnosed With Gastroesophageal Reflux Disease

Objective: The aim of the study was to assess the prevalence of dental erosion in children with Gastroesophageal Reflux Disease GERD , and to evaluate the location, distribution and extension of affected area and severity of dental erosion. Materials and Methods: 64 children aged between 6-12 that were diagnosed with GERD in Gastroenterology Clinic of Ankara Pediatric Health and Disease, Hematology and Oncology Training and Research Hospital between months 2012 October- 2013 April were included in the study. The location, distribution and extension of affected area and severity of dental erosion were recorded according to the index of O’Sullivan. Mann Whitney U and Chi-square tests were used for statistical analysis of the data. Results: The prevalence of dental erosion was found as 53% n=34 . The most affected teeth were upper central incisors 51.6% and upper lateral incisors 50% . The most affected tooth surfaces were lingual surfaces 39.06% . The prevalence of erosion increased significantly with age p

Keywords:

Dental Erosion, Gastroesophageal Reflux Disease, Prevalance,

PDF

___

1. Johansson AA, Sorvari R, Birkhed O, Mevirman JH. Dental erosion in deciduous teeth-an in vivo and an in vitro study. J Dent 2001; 29(5): 333-40.
2. Kelleher M, Bishop K. Tooth surface loss: an overview. Br Dent J 1999; 186(2): 61–6.
3. Litonjua LA, Andreana S, Bush PJ, Cohen RE. Tooth wear: Attrition, erosion and abrasion. Quintessence Int 2003; 34(6): 435-46.
4. Lussi A. Erosive tooth wear - a multifactorial condition of growing concern and increasing knowledge. Monogr Oral Sci 2006; 20: 1-8.
5. Rios D, Honorio HM, Magalhaes AC, Buzalaf MA, Palma-Dibb RG, Machado MA. Influence of toothbrushing on enamel softening and abrasive wear of eroded bovine enamel: an in situ study. Braz Oral Res 2006; 20(2): 148-54.
6. Addy M, Shellis RP. Interaction between attrition, abrasion and erosion in tooth wear. Monogr Oral Sci 2006; 20: 17-31.
7. O'Sullivan EA, Milosevic A. UK National Clinical Guidelines in Paediatric Dentistry: diagnosis, prevention and management of dental erosion. Int J Paediatr Dent 2008; 18 (Suppl 1): 29-38.
8. Bayrak Ş, Ökte Z. Dental erozyon.[Dental Erosion] Ondokuz Mayıs Üni Diş Hek Fak Derg 2005; 6: 201-8.
9. Scheutzel P. Etiology of dental erosion-intrinsic factors. Eur J Oral Sci 1996; 104(2): 178-90.
10. Zero DT. Etiology of dental erosion-extrinsic factors. Eur J Oral Sci 1996; 104(2): 162-77.
11. Yağcı RŞ. Gastroözfageal reflu hastalığı.[Gastroosefageal reflux disaese]. Güncel Pediatri 2006; 4(2): 56-65.
12. Sarı ME, Koyutürk AE. Çocuklarda gastoözefageal reflünün süt ve daimi diş erozyonu ile ilişkisi: literatür derlemesi. [Relationship to erosion of primary and permanent teeth of gastroosefageal reflux in children: A literature review]. Cumhuriyet Dent J 2010; 13(2): 81-5.
13. O’Sullivan EA. A new index for measurement of erosion in children. Eur J Peadiatric Dent 2000; 2: 69- 74. In: Peres KG, Armenio MF, Peres MA, Traebert J, Lacerda De JT. Dental erosion in 12 year old scoolchildren: a cross-sectional study in Southern Brazil. Int J Paediatr Dent 2005; 15(4): 249-55.
14. Young A, Amaechi BT, Dugmore C, Holbrook P, Nunn J, Schiffner U, et al. Current erosion indices--flawed or valid? Summary. Clin Oral Investig 2008; 12 (Suppl 1): 59-63.
15. Çağlar E, Kargül B, Tanboğa I, Lussi A. Dental erosion among children in an Istanbul public school. J Dent Child 2005; 72(1): 5-9.
16. Çoğulu D, Menderes M, Ersin N. Çocuklarda Dental Erozyon. [Dental Erosion in Children] Turkiye Klinikleri J Dental Sci. 2009; 15: 87-92.
17. Ünlü N, Karabekiroğlu S, İleri Z, Şener S. Prevalence of dental erosion and association between socioeconomic factors in Turkish children. Selçuk Dent J 2014; 2: 49-54.
18. Meurman J, Toksala J, Nuutinen P, Klemetti E. Oral and dental manifestations in gastroesophageal reflux disease. Oral Surg Oral Med Oral Pathol 1994; 78(5): 583-9.
19. Bartlett D. Intrinsic causes of erosion. Monogr Oral Sci 2006; 20: 119-39.
20. Auad SM, Waterhouse PJ, Nunn JH, Moynihan PJ. Dental caries and its association with sociodemographics, erosion, and diet in schoolchildren from southeast Brazil. Pediatr Dent 2009; 31(3): 229- 35.
21. Mcguire J, Szabo A, Jackson S, Bradley G, Okunseri C. Erosive tooth wear among children in the United States: Relationship to race ethnicity and obesity. Int J Paediatr Dent 2009; 19(2): 91-8.
22. Jarvinen V, Rytomaa I, Meurman JH. Localisation of dental erosion in a referred population. Caries Res 1992; 26(5): 391-6.
23. Arnadottir IB, Holbrook WP, Eggertsson H, Gudmundsdottir H, Jonsson SH, Gudlaugsson JO, et al. Prevalence of dental erosion in children: a national survey. Community Dent Oral Epidemiol 2010; 38(6): 521–6.
24. Aidi HE, Bronkhorst EM, Huysmans MC, Truin GJ. Factors associated with the incidence of erosivewear in upperincisors and lowerfirstmolars: a multifactorial approach. J Dent 2011; 39(8): 558-63.
25. Jarvinen V, Meurman JH, Hyvarinen H, Rytomaa I, Murtomaa H. Dental erosion and upper gastrointestinal disorders. Oral Surg Oral Med Oral Pathol 1998; 65(3): 298-303.
26. McDerra EJ, Pollard MA, Curzon MEJ. The dental status of asthmatic British school children. Pediatr Dent 1998; 20(4): 281–7.
27. Shaw L, O’Sullivan E. UK National Clinical Guidelines in Paediatric Dentistry. Diagnosis and prevention of dental erosion in children. Int J Paediatr Dent 2000; 10(4): 356–65.
28. Dugmore CR, Rock WP. A multifactorial analysis of factors associated with dental erosion. Br Dent J 2004; 196(5): 283–6.
29. Bardolia P, Burnside G, Ashcroft A, Milosevic A, Goodfellow SA, Rolfe EA, et al. Prevalence and risk indicators of erosion in thirteen- to fourteen-year-olds on the Isle of Man. Caries Res 2010; 44(2): 165-8.
30. El Aidi H, Bronkhorst EM, Truin GJ. A longitudinal study of tooth erosion in adolescents. J Dent Res 2008; 87(8): 731-5.