Türk Ailelerinin Florlu Diş Macunu ve Topikal Flor Uygulamaları Hakkında Bilgi ve Görüşlerinin Değerlendirilmesi: Pilot Çalışma
GİRİŞ ve AMAÇ: Türk ailelerinin florlu diş macunu ve topikal flor uygulamaları hakkında bilgi ve görüşlerinin tarafımızdan hazırlanan ankete verilen cevaplar doğrultusunda tespit edilmesi amaçlanmıştır. YÖNTEM ve GEREÇLER: Çalışmamızda kliniğimize ilk muayene/tedavi amacı ile başvuran 6 aylık -14 yaş arası çocuk hasta ve 186 gönüllü veli yer almıştır. Hastalarımızın ağız içi muayeneleri ayna, sond ve tükrük emiciler kullanılarak yapılmıştır. Çürük tespitleri WHO (1997) kriterlerine göre değerlendirilip dmft, DMFT değerleri kaydedilmiştir. Ankette, demografik bilgiler, diş hekimine gelme nedenleri ve ziyaret sıklığı, diş fırçalama alışkanlıkları, kullandıkları diş macunlarının flor içerip içermediği soruldu. Ailelere, florlu diş macunları, topikal flor uygulamaları, diş sağlığı üzerine etkileri hakkında bilgi ve görüşleri soruldu. Elde edilen verilerin istatiksel analizi Ki-Kare ve Exact testleri uygulanarak yapıldı. BULGULAR: Ailelerin %59’ u diş macunlarının içerikleri ve etkileri ile ilgili bilgilendirilmediklerini belirtmiştir. Topikal flor uygulamaları hakkında%70’ inin bilgi sahibi olmadığı rapor edilmiştir.Ebeveynlerin eğitim durumunun artması ile flor içerikli diş macunlarının toksik/ zararlı olduğuna dair görüşün arttığı ve florsuz diş macunu tercih edildiği saptanmıştır (p=0,04). TARTIŞMA ve SONUÇ: Diş hekimleri ve doğru bilgi kaynaklarından, florun optimum dozaj ve aralıklarla çürük önleyici etkisiyle ilgili toplumun bilinçlendirilmesi amaçlanmalıdır. Konu ile ilgili ileri çalışmaların yapılması gerekmektedir.
Evaluation of Turkish Parents' Knowledge and Opinions About Fluoride Toothpaste and Topical Fluoride Applications: A Pilot
INTRODUCTION: The aim of this study was to determine the knowledge and opinions of the Turkish families about fluoride toothpaste and topical fluoride applications. METHODS: Oral examinations were performed according to the criteria of WHO (1997) and dmft and DMFT values were recorded. Demographic information, frequency of dental visits, brushing habits were reported. Their choice of fluoride/non fluoride toothpastes were recorded. The families were asked about their opinions about fluoride toothpastes and topical fluoride applications and their effects on dental health. Statistical analysis of the obtained data their opinionswas performed by using Chi-Square and Exact tests. RESULTS: 59% of the families stated that they were not informed about the contents and effects of fluoride toothpastes. 70% of parents stated that they had no knowledge about the topical fluoride applications. With the increase in the education level of the parents, both the opinion that the fluoride toothpastes are toxic / harmful and use of non-fluoride toothpaste increased (p = 0.04). DISCUSSION AND CONCLUSION: Dentist should aim to raise the awareness of caries effectiveness of fluoride toothpaste use and topical fluoride applications at optimum dosages and intervals. Further studies are required.
___
- Tenuta LM, Cury JA. Fluoride: its role in dentistry.
Braz Oral Res 2010; 24 Suppl 1: 9-17.
- Kim FM, Hayes C, Williams PL et al. An
assessment of bone fluoride and osteo sarcoma. J
Dent Res 2011; 90: 1171-1176.
- Sebastian ST, Sunitha S. A cross-sectional study to
assess the intelligence quotient (IQ) of school going
children aged 10-12 years in villages of
Mysoredistrict, India with different fluoride levels.
J Indian Soc Pedod Prev Dent 2015; 33: 307-311.
- Heath K, Singh V, Logan R, McIntyre J. Analysis
of fluoride levels retained intra orally oringested
following routine clinical applications of topical
fluoride products. Aust Dent J 2001; 46: 24-31.
- Bruun C, Lambrou D, Larsen MJ, Fejerskov O,
Thylstrup A. Fluoride in mixed human saliva after
different topical fluoride treatments and
possiblerelation to caries inhibition. Community
Dent Oral Epidemiol.1982 Jun;10(3):124-129.
- Kundu H, Basavaraj P, Singla A, Gupta R, Singh K,
Jain S. Effect of fluoride in drinking water on
children's intelligence in high and low fluoride areas
of Delhi. J Indian Assoc Public Health Dent 2015;
13: 116-121.
- Borysewicz-Lewicka M, Opydo-Szymaczek J,
Opydo J. Fluoride ingestion after brushing with a
gel containing a high concentration of fluoride.
BiolTrace Elem Res 2007; 120: 114-120.
- Opydo-Szymaczek J, Opydo J. Salivary fluoride
concen trations and fluoride ingestion following
application of preparations containing high
concentration of fluoride. Biol Trace Elem Res
2010; 137:159-167.
- Guideline on fluoride therapy Pediatr Dent. 2013
Sep-Oct;35(5):E165-8.
- Carpiano RM, Chi DL. Parents' attitudes towards
topical fluoride and vaccines for children: Are these
distinct or overlapping phenomena? Prev Med Rep
2018 Mar 6;10: 123-128.
- Cury JA, Tenuta LM. Evidence-based
recommendation on toothpaste use. Braz Oral Res.
2014;28 Spec No:1-7.
- Chi DL. Parent Refusal of Topical Fluoride for
Their Children: Clinical Strategies and Future
Research Priorities to Improve Evidence-Based
Pediatric Dental Practice. Dent Clin North Am 2017
Jul;61(3):607-617.
- Chi DL, Richman J, Senturia K, Zahlis E.
Caregivers' understanding of fluoride varnish:
implications for future clinical strategies and
research on preventive care decision making. J
Public Health Dent 2018 Aug 28. doi:
10.1111/jphd.12277
- Szpunar SM, Burt BA. Dental caries, fluorosis and
fluoride exposure in Michigan school children. J
Dent Res 1988; 67(5):802-6.
- Budipramana ES, Hapsoro A, Irmawati ES, Kuntari
S. Dental fluorosis and caries prevalence in the
fluorosis endemic area of Asembagus, Indonesia.
Int J PaediatrDent 2002;12(6):415-22.
- 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 Dec 29; 13:74.
- Fisher-Owens SA, Gansky SA, Platt LJ, Weintraub
JA, Soobader MJ, Bramlett MD, Newacheck PW.
Influences on children's oral health: a conceptual
model Pediatrics. 2007 Sep;120(3):e510-20.