Yrd. Doç. Dr.esra Uzer ÇELİK, Dt. Burak ÇELİK, Uzm.dr.süleyman ÖNAL, Dt. Ahmet ÖRMECİ, Dt.haluk ULUTAŞ

ISPARTA İLİNDEKİ 11-12 YAŞINDAKİ ÇOCUKLARIN DİŞ ÇÜRÜĞÜ VE FLOROZİS PREVALANSININ DEĞERLENDİRİLMESİ

Amaç: Bu çalışmanın amacı Isparta ilindeki 11-12 yaşındaki çocukların diş çürüğü ve florozis prevalansını değerlendirmektir. Gereç ve Yöntem: Bu çalışmaya Isparta il merkezinde 6. sınıfa giden 11-12 yaşındaki 1041 ilköğretim öğrencisi dâhil edildi. Klinik incelemeler üç deneyimli Örgütü’nün (DSÖ) kriterlerine göre gerçekleştirildi. Florozisin çürük deneyimi üzerine etkisi bağımsız t-testi ile analiz edildi. Bulgular: Çalışmaya katılan çocukların %35’inin daimi dişlerinde tedavi edilmemiş çürük lezyonu gözlendi. Sıfır DMFT prevalansı bu yaş grubundaki çocuklarda %59 iken, çürük nedeniyle daimi dişlerinden en az birini çektiren çocukların oranı %2,8 idi. Çocukların %39’unda hafif, %6’sında orta ve %1’inde şiddetli florozise rastlandı. Florozisli ve florozis gözlenmeyen hastaların DMFT değerleri arasında anlamlı fark gözlenmedi. Sonuçlar: Isparta ilinde bu yaş grubundaki çocukların çürük prevalansı düşük bulunmuştur. Florozis hala yaygın bir sorundur; ancak florozisin çürük deneyimini etkilemediği belirlenmiştir

Anahtar Kelimeler:

çürük prevalansı, florozis, DMFT, Isparta

EVALUATION OF DENTAL CARIES AND FLUOROSIS PREVALENCE OF 11-12-YEAR-OLD CHILDREN IN ISPARTA

Keywords:

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Cengiz, T. Endodonti. 4. Baskı, İzmir; Barış Yayınları; 1996. p.89-162.
Hicks J, Garcia-Godoy F, Flaitz C. Biological factors in dental caries: role of saliva and dental plaque in the dynamic process of demineralization and remineralization (part 1). J Clin Pediatr Dent 2003; 28(1): 47-52.
Ismail AI, Tanzer JM, Dingle JL. Current trends of sugar consumption in developing societies. Community Dent Oral Epidemiol 1997; 25(6): 438- 443.
Yabao RN, Duante CA, Velandria FV, Lucas M, Kassu A, Nakamori M, Yamamoto S. Prevalence of dental caries and sugar consumption among 6-12- y-old schoolchildren in La Trinidad, Benguet, Philippines. Eur J Clin Nutr 2005; 59(12): 1429- 1438.
Global Goals for the Year 2000 and 2020. http:// www.whocollab.od.mah.se/expl/globgoals20.html# Global%20goals%20for%202000. (erişim tarihi: 30.05.2010).
Aggeryd T. Goals for oral health in the year 2000: cooperation between WHO, FDI and the national dental associations. Int Dent J 1983; 33(1): 55-59.
Hobdell M, Petersen PE, Clarkson J, Johnson N. Global goals for oral health 2020. Int Dent J 2003; 53(5): 285-288.
World Health Organization. Oral health surveys: Basic methods. 3rd ed., Geneva; WHO; 1987. p. 5- 9.
Flor. http://tr.wikipedia.org/wiki/Flor. (erişim tarihi: 30.05.2010).
Koray F. Diş Çürükleri. İstanbul; Dünya Tıp Kitap- evi: 1981. p. 41-43.
Seppä L. Fluoride varnishes in caries prevention. Med Princ Pract 2004; 13(6): 307-311.
Whelton H, Crowley E, O'Mullane D, Donaldson M, Kelleher V, Cronin M. Dental caries and enamel fluorosis among the fluoridated and non- fluoridated populations in the Republic of Ireland in 2002. Community Dent Health 2004; 21(1): 37- 44.
Horowitz HS. The future of water fluoridation and other systemic fluorides. J Dent Res 1990; 69(Spec No): 760-764.
Newbrun E. Topical fluorides in caries prevention and management: a North American perspective. J Dent Educ 2001; 65(10): 1078-1083.
Ciketic S, Hayatbakhsh MR, Doran CM. Drinking water fluoridation in South East Queensland: a cost-effectiveness evaluation. Health Promot J Austr 2010; 21(1): 51-56.
Pendrys DG, Haugejorden O, Bårdsen A, Wang NJ, Gustavsen F. The risk of enamel fluorosis and caries among Norwegian children: implications for Norway and the United States. J Am Dent Assoc 2010; 141(4): 401-414.
World Health Organization. Oral health surveys: Basic methods. 3rd ed., Geneva; WHO; 1987. p. 39-44.
Campus G, Solinas G, Cagetti MG, Senna A, Minelli L, Majori S, Montagna MT, Reali D, Castiglia P, Strohmenger L. National Pathfinder survey of 12- year-old Children's Oral Health in Italy. Caries Res 2007; 41(6): 512-517.
Schulte AG, Momeni A, Pieper K. Caries prevalence in 12-year-old children from Germany. Results of the 2004 national survey. Community Dent Health 2006; 23(4): 197-202.
de Almeida CM, Petersen PE, André SJ, Toscano A. Changing oral health status of 6- and 12-year-old schoolchildren in Portugal. Community Dent Health 2003; 20(4): 211-216.
Pitts NB, Evans DJ, Nugent ZJ, Pine CM. The dental caries experience of 12-year-old children in England and Wales. Surveys coordinated by the British Association for the Study of Community Dentistry in 2000/2001. Community Dent Health 2002; 19(1): 46-53.
Tramini P, Molinari N, Tentscher M, Demattei C, Schulte AG. Association between caries experience and body mass index in 12-year-old French children. Caries Res 2009; 43(6): 468-473.
Güçiz Doğan BG, Gökalp S. Türkiye’de diş çürüğü durumu ve tedavi gereksinimi, 2004. Hacettepe Diş Hek Fak Derg 2008; 32(2): 45-57.
Significant Caries Index. http://www.whocollab.od.mah.se/sicdata.html. (erişim tarihi: 30.05.2010).
Newbrun E. Fluoride in caries prevention and remineralization of partially demineralized enamel and dentin. In: Tissue Preservation in Caries Treatment. Eds. Albrektsson TO, Brathall D, Glantz PJ, Lindhe JT. Surrey, Quintessence Co., 2001. p.19-35.
Stephen KW, Macpherson LM, Gilmour WH, Stuart RA, Merrett MC. A blind caries and fluorosis prevalence study of school-children in naturally fluoridated and nonfluoridated townships of Morayshire, Scotland. Community Dent Oral Epidemiol 2002; 30(1): 70-79.
Ruan JP, Yang ZQ, Wang ZL, Astrİm AN, Bårdsen A, Bjorvatn K. Dental fluorosis and dental caries in permanent teeth: rural schoolchildren in high- fluoride areas in the Shaanxi province, China. Acta Odontol Scand 2005; 63(5): 258-265.
Ibrahim YE, Bjorvatn K, Birkeland JM. Caries and dental fluorosis in a 0.25 and a 2.5 ppm fluoride area in the Sudan. Int J Paediatr Dent 1997; 7(3): 161-166.
Jackson RD, Kelly SA, Katz BP, Hull JR, Stookey GK. Dental fluorosis and caries prevalence in children residing in communities with different levels of fluoride in the water. J Public Health Dent 1995; 55(2): 79-84.
Angelillo IF, Romano F, Fortunato L, Montanaro D. Prevalence of dental caries and enamel defects in children living in areas with different water fluoride concentrations. Community Dent Health 1990; 7(3): 229-236.
Mackay TD, Thomson WM. Enamel defects and dental caries among Southland children. N Z Dent J 2005; 101(2): 35-43.
Menon A, Indushekar KR. Prevalence of dental caries and co-relation with fluorosis in low and high fluoride areas. J Indian Soc Pedod Prev Dent 1999; 17(1): 15-20.
Ermiş RB, Koray F, Akdeniz BG. Dental caries and fluorosis in low- and high-fluoride areas in Turkey. Quintessence Int 2003; 34(5): 354-360.
Narbutaité J, Vehkalahti MM, Milciuviené S. Dental fluorosis and dental caries among 12-yr-old children from high- and low-fluoride areas in Lithuania. Eur J Oral Sci 2007; 115(2): 137-142.
Grobler SR, Von Wyk CW, Kotze D. Relationship between enamel fluoride levels, degree of fluorosis and caries experience in communities with a nearly optimal and a high floride level in drinking water. Caries Res 1986; 20(3): 284-288.
Heller KE, Eklund SA, Burt BA. Dental caries and dental fluorosis at varying water fluoride concentrations. J Public Health Dent 1997; 57(3): 136-143.
Aoba T, Fejerskov O. Dental fluorosis: chemistry and biology. Crit Rev Oral Biol Med 2002; 13(2): 155-170.
Robinson C, Connell S, Kirkham J, Brookes SJ, Shore RC, Smith AM. The effect of fluoride on the developing tooth. Caries Res 2004; 38(3): 268- 276.
Ekanayake L, van der Hoek W. Prevalence and distribution of enamel defects and dental caries in a region with different concentrations of fluoride in drinking water in Sri Lanka. Int Dent J 2003; 53(4): 243-248.