VOLKAN ARIKAN, Kamile Nur VAPUR, AYLİN AKBAY OBA

KIRIKKALE İLİNDE YAŞAYAN 3-6 YAŞLARI ARASINDAKİ ÇOCUKLARDA SÜT DİŞİ DENTAL EROZYON PREVALANSININ DEĞERLENDİRİLMESİ

Amaç: Bu araştırmanın amacı Kırıkkale’deki çocukların süt dişlerinde dental erozyonun prevelansını ve risk faktörlerini belirleyerek erken teşhis ile gerekli önlemlerin alınmasına yardımcı olmaktır. Gereç ve Yöntem: Çalışmaya, 3-6 yaşları arasındaki 300 adet çocuk dahil edilmiştir. Klinik muayene öncesinde, 30 soruluk bir anket hasta ve velisine uygulanmıştır. Anket; hastaya ait sosyodemografik bilgiler, beslenme alışkanlıkları, sistemik hastalıklar ve kullanılan ilaçlar gibi erozyonda etkisi olabilecek faktörleri içermektedir. Klinik inceleme reflektör altında, dental ayna kullanılarak bir araştırmacı (K.N.V) tarafından yapılmıştır. Eroziv lezyonların değerlendirilmesinde Basic Erosive Wear Examination (B.E.W.E) skorlama sistemi kullanılmıştır. 6 bölgeden kaydedilen skorlar toplanarak Toplam BEWE Skoru elde edilmektedir. Çalışmada elde edilen veriler SPSS 20 paket programı ile analiz edilmiştir. Gruplar arasındaki farklılıklar incelenirken değişkenlerin normal dağılım göstermemesi nedeniyle Mann Whitney U ve Kruskal Wallis-H Testlerinden yararlanılmıştır. Bulgular: Araştırmaya dahil edilen çocukların süt dişlerinde erozyon prevelansı %96 olarak tespit edilmiştir. Değerlendirme sonucunda, 288 çocukta dental erozyondan etkilenmiş en az bir yüzey gözlenirken, 12 çocukta herhangi bir aşınma tespit edilmemiştir. Toplam BEWE skorunun ortalama değeri 3,06 olarak hesaplanmış, en düşük ortalama skor 3 yaşındaki çocuklarda, en yüksek ortalama skor ise 5 yaşındaki çocuklarda gözlenmiştir. Araştırmamızda, sosyoekonomik durum arasında istatistiksel olarak anlamlı ilişki bulunmuş, sosyoekonomik düzeyi 2000 TL ve üzerinde olan hastaların toplam anterior skor değerlerinin 1000 TL ve altı ve 1500-2000 TL arasında olanlara göre anlamlı derecede düşük olduğu gözlenmiştir. Ağız kuruluğu olmayan çocukların Toplam Maksiller Skor değeri ve Toplam Anterior Skor değeri ağız kuruluğu olanlara göre anlamlı derecede düşük bulunmuştur (p<0.05).Sonuç: İç Anadolu bölgesinde yaşayan 3-6 yaş arasındaki çocukların süt dişlerinde dental erozyon prevelansının yüksek olduğu tespit edilmiştir.

Anahtar Kelimeler:

Erozyon, süt dişleri, BEWE

Evaluation of Dental Erosion Prevalence in Primary Teeth of 3-6 Years Old Children Living in

Objective: The aim of the present study was to investigate dental erosion prevalence and risk factors in primary teeth of children living in Kırıkkale province and to help taking necessary precautions with early diagnosis.Materials and Methods: The study included 300 children between 3-6 years old. A survey, which had 30 questions, was implemented to each patient and their parents before the clinical examination. The survey comprised questions related to socio-demographic data, and some factors that can affect erosion such as dietary habits, systemic diseases and using medications. The clinical examination was made by a researcher (K.N.V.) using a mouth mirror under the reflector Dental erosion was assessed by the Basic Erosive Wear Examination Index (ΒΕWE), where buccal/facial, occlusal and lingual/palatal surfaces of all teeth were examined, and the highest score found was recorded for each sextant. Mann Whitney U and Kruskal Wallis-H tests were used since the variables were not normally distributed when the differences between groups were examined. Results: Erosion prevalence in the primary teeth of children that were included in the study was 96% in the present study. At least one surface that was effected by erosion was found in 288 of the patients and 12 of the children did not have erosion in their primary dentition. Mean total BEWE score was found to be 3.06. The lowest mean score was in 3 year-olds and the 5 year-olds had the highest mean scores. Total anterior scores of families those had 2000TL and higher monthly outcome was lower than those had less monthly outcome. Children without xerostomia had lower anterior and maxillary BEWE scores when compared to those did not have xerostomia. Conclusions: The prevalence of dental erosion in primary teeth of 3-6 year old children living in Kırıkkale was found to be high.

Keywords:

Erosion, primary teeth, BEWE,

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