Florürlü Vernik Uygulamasının Diş Sağlığı Tarama Sonuçları İle Değerlendirilmesi

Giriş ve Amaç: Ağız ve diş hastalıkları, toplumumuzda sık olarak görülen, genel sağlığı olumsuz yönde etkileyebilen ve koruyucu önlemler alındığı takdirde engellenebilen hastalıklardır. Bu çalışmanın amacı florürlü vernik uygulaması yapılan ve yapılmayan çocukların diş sağlığı tarama sonuçları incelenerek; florürlü vernik uygulamasını, süt molar dişlerindeki çürük sayıları, diş fırçalama sıklığı, diş hekimine gitme nedenleri ve ailelerin eğitim durumu açısından değerlendirmektir. Gereç ve Yöntem: İlçe Sağlık Müdürlüğü tarafından yapılan florürlü vernik uygulaması kapsamında, 2017-2018 eğitim öğretim yılı 1.sınıf öğrencileri arasından rastgele seçilen 200 öğrenci çalışmaya dâhil edilmiştir. Anket sonuçları ve diş taramalarından elde edilen bilgiler değerlendirilerek; uygulama yapılan ve yapılmayan çocukların çürük indeksi, diş fırçalama sıklığı, diş hekimine gitme nedenleri ve ailelerin eğitim durumu karşılaştırılması yapıldı. Bulgular: Florürlü vernik uygulaması yapılan ve yapılmayan çocukların çürük indeksi ve diş fırçalama sıklığı arasında istatistiksel olarak anlamlı fark bulunmadı. Çalışmaya dâhil edilen çocukların %60’ında diş çürüğü olduğu bulundu. Ailelerinin diş sağlığı konusundaki bilinç düzeyleri değerlendirildiğinde florürlü vernik uygulamasına izin vermeyen ailelerin %30’u üniversite düzeyinde eğitime sahipken, izin veren ailelerde üniversite düzeyinde eğitim %21 olduğu bulundu. İzin verilmeyen çocukların %46’sının hiç çürükleri yokken, izin verilen çocukların %34’ünün hiç çürüğü olmadığı görüldü. Ayrıca çalışmaya dahil edilen çocukların %48,5’unun hiç diş hekimine gitmediği ve uygulama yapılmayan çocukların %68’i dişlerini düzenli fırçalarken, uygulama yapılan çocuklarda bu oranın %62 olduğu görüldü. Sonuç: Yaptığımız bu çalışmada florürlü vernik uygulamasına izin vermeyen ailelerin eğitim seviyelerinin izin verenlere göre daha yüksek olduğu belirlendi. Florürlü vernik uygulaması yapılan çocukların yapılmayanlara göre çürük diş sayısının daha fazla, diş fırçalama sıklığının daha az olduğu belirlendi. Ayrıca diş hekimine gitme oranının uygulama yapılan çocuklarda yapılmayanlara göre daha az oldu belirlendi.

Evaluation of Fluoride Varnish Application with Dental Health Screening Results

Objective Oral and dental diseases are common in our society, which can affect general health and these diseases can be inhibited by preventive precautions. The aim of this study is to examine dental health screening results of children with and without fluoride varnish application and to evaluate the application of varnish with fluoride in terms of the number of caries in the deciduous molar teeth, the frequency of brushing the teeth, the reasons for going to the dentist and the educational status of the families. Material and Methods: In this study, data were collected with the fluoride varnish application carried out by the District Health Directorate. 200 children were randomly selected from the first-year students in the 2017-2018 academic year and included in the study. The results of the survey and dental health screening were evaluated in children with and without fluoride varnish application and the Decay index, frequency of tooth brushing, reasons for going to the dentist, and the educational status of the families were compared. Results: There was no statistically significant difference between the tooth decay index and tooth brushing frequency of children with and without fluorine treatment. Tooth decay was found in 60% of children included in the study. The awareness of the families about dental health was evaluated. While 30% of the families who do not allow the application of fluoride varnish has higher education, it was found that higher education was 21% for the families that did allow. It was found that 46% of the children who are not allowed to apply fluoride varnish have no caries, while 34% of the children who are allowed do not have any caries. In addition, it was found that 48.5% of the children included in the study never went to a dentist. While 68% of the children regularly brush their teeth in the group who were not applied fluoride varnish , it was observed that this rate was 62% in the children who were applied fluoride varnish. Conclusion In this study, it was determined that the education level of the families who did not allow fluoride varnish application was higher than those who allowed. It was found that children who were applied fluoride varnish had more decayed teeth and less tooth brushing frequency than the children who were not applied. In addition, it was found that the rate of going to the dentist was lower in children who were applied fluoride varnish than those who did not.

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  • 1.Jürgensen, N, Petersen, P.E, Promoting oral health of children through schools results from a WHO global survey 2012, Community Dental Health, 2013, 30, 204–18.
  • 2.Sköld-Larsson, K, Modée,r T, Twetman, S, Fluoride concentration in plaque in adolescents after topical application of different fluoride varnishes, Clinical Oral Investigations, 2000, 4, 31-34.
  • 3.Hicks, J, Garcia-Godoy, F, Flaitz, C, Biological factors in dental caries enamel structure and the caries process in the dynamic process of demineralization and remineralization (part 2), Journal of Clinical Pediatric Dentistry, 2004, 28, 119-124.
  • 4.Hellwig, E, Lennon, A.M, Systemic versus topical fluoride, Caries Research, 2004, 38, 258-262.
  • 5.Abanto Alvarez, J, Rezende, K.M, Marocho, S.M, Alves, F.B, Celiberti P, Ciamponi AL. Dental fluorosis: exposure, prevention and management, Medicina Oral, Patologia Oral, Cirugia Bucal, 2009, 14, 103-7.
  • 6.Adair, S.M, Evidence-based use of fluoride in contemporary pediatric dental practice, Pediatric Dental Journal, 2006, 28, 133- 142.
  • 7.American Academy of Pediatric Dentistry, Referance Manual, Fluoride Therapy, AAPD Clinical Guidelines 2008, 32, 143-146.
  • 8.Rozier, R.G, Adair, S, Graham, F, Iafolla, T, Kingman, A, Kohn, W. et al., Evidence-based clinical recommendations on the prescription of dietary fluoride supplements for caries prevention: a report of the American Dental Association Council on Scientific Affairs, The Journal of the American Dental Association, 2010, 141, 1480-1489.
  • 9.Riley, J.C, Lennon, M.A, Ellwood, R.P, The effect of water fluoridation and social inequalities on dental caries in 5-year-old children, International Journal of Epidemiology, 1999, 28, 300-5.
  • 10. Aoba, T, Fejerskov, O, Dental fluorosis: Chemistry and biology, Critical Reviews in Oral Biology & Medicine, 2002, 13, 155-70.
  • 11. Kargul, B, Cağlar, E, Tanboğa, İ, History of water fluoridation, Journal of Clinical Pediatric Dentistry 2003, 27, 213-7.
  • 12. Beltrán-Aguilar, E.D, Barker, L.K, Canto, M.T, Dye, B.A, Gooch, B.F, Griffin, S.O, et al. Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis-United States, 1988-1994 and 1999-2002, MMWR Surveillance Summaries, 2005, 54, 1-543.
  • 13. Petersen, P.E, Lennon, M.A, Effective use of fluorides for the prevention of dental caries in the 21st century: The WHO approach, Community Dentistry and Oral Epidemiology, 2004, 32, 319-21.
  • 14. Cury, J.A, Tenuta, L.M, Enamel remineralization: Controlling the caries disease or treating early caries lesions?, Brazilian Oral Research, 2009, 23, 23-30.
  • 15. Donly, K.J, Fluoride varnishes. Journal of the California Dental Association 2003, 31, 217-9.
  • 16. Hazelrigg, C.O, Dean, J.A, Fontana M, Fluoride varnish concentration gradient and its effect on enamel demineralization, Pediatric Dental Journal, 2003, 25, 119-26.
  • 17. Lussi, A, Megert, B. Eggenberger, D, Jaeggi, T, Impact of different toothpastes on the prevention of erosion, Caries Research, 2008, 42, 62–67.
  • 18. https://dosyaism.saglik.gov.tr/Eklenti/11019,florurlu-vernik- aydinlatilmis-onam-formupdf.pdf?0
  • 19. http://dosyahsm.saglik.gov.tr/Eklenti/11577,form-2apdf.pdf?0
  • 20. Saydam, G, Oktay, İ, Moller, I, Turkiye’de ağız diş sağlığı durum analizi, Sağlık bakanlığı ve Dünya sağlık örgütü tarafından desteklenen ulusal ağız diş sağlığı yönlendirici araştırmasının sonuçları, İstanbul, 1990.
  • 21. Gulhan, A, Akıncı, T, Aytepe, Z ve ark, Oral health status of children in İstanbul, European Journal of Paediatric Dentistry, 2000
  • 22. Chi, D.L, Parent Refusal of Topical Fluoride for Their Children: Clinical Strategies and Future Research Priorities to Improve Evidence-Based Pediatric Dental Practice, Dental Clinics of North America, 2017, 61, 607-617.
  • 23. Ota, J, Yamamoto, T, Ando, Y, Aida, J, Hirata, Y, Arai, S, Dental health behavior of parents of children using non-fluoride toothpaste: a cross sectional study, BMC Oral Health, 2013, 13, 74-79.
  • 24. Karabekiroğlu, S, Ünlü, N, Toplum Bazlı Koruyucu Ağız Diş Sağlığı Programlarında Erken Dönem Koruyucu Uygulamaların Yeri ve Önemi, Ege Üniversitesi Dişhekimliği Fakültesi Dergisi, 2017.
  • 25. Wong, M.C.M, Glenny, A.M, Tsang, B.W.K, Lo, E.C.M, Worthington, H.V, Marinho, V.C.C, Topical Fluoride As a Cause Of Dental Fluorosis in Children, The Cochrane Library, 2010.
  • 26. Clarkson, J.J, McLoughlin, J, Role of fluoride in oral health promotion, International Dental Journal, 2000, 50, 119-128.