Evaluation of the Relationship Between Malocclusion and the Periodontal Health, Caries, Socio-economic Status of Children

Objective: In this study, it was aimed to evaluate the relationship between malocclusions and various factors such as periodontal treatment needs, dental caries, anterior segment crowding and parental socio-economic status of 12–14 year-old children. Materials and Methods: Classification of malocclusions of 534 patients aged 12-14 years who applied to our clinic in our study was done according to Angle malocclusion classification. Periodontal treatment requirements were assessed using community periodontal index of treatment needs (CPITN); dental caries were evaluated by decay, missing, filled teeth (DMFT). Statistical analysis was performed in SPSS Statistics Version 12.0 software package. P0.05). According to the CPITN, individuals with healthy periodontal disease (CPITN 0) accounted for 24.9% of patients. It was seen that only 6.4% of the patients without anterior segment crowding had CPITN 2 score. It was observed that the CPITN 0 score decreased as the anterior segment crowding increased. It was found that the correlation between CPITN scores and anterior segment crowding was statistically significant (p0.05). There was no statistically significant relationship between parental socio-economic status and malocclusion classifications of children (p>0.05). Conclusion: In our study, there is no correlation between malocclusions and dental caries. However, it has been observed that the lower anterior segment crowding are detrimental to periodontal health, laying the groundwork for the development of periodontal diseases. Oral health care and early interventions (preventive and preventive programs) are thought to help prevent orthodontic problems that can occur.

Çocuklarda Görülen Malokluzyonlar ile Periodontal Sağlık, Diş Çürükleri ve Sosyo-ekonomik Durum Arasındaki İlişkinin Değerlendirilmesi

Amaç: Bu çalışmada, 12-14 yaşları arasındaki çocuklarda maloklüzyonların periodontal tedavi gereksinimleri, diş çürükleri, ön segmentte yer darlığı ve ebeveynlerin sosyoekonomik durumları gibi birçok faktörle olan ilişkilerinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışmamızda, kliniğimize başvuran 12-14 yaşları arasındaki 534 sağlıklı hastanın malokluzyonlarının sınıflandırılması Angle malokluzyon sınıflamasına göre yapılmıştır. Periodontal tedavi gereksinimleri toplumda periodontal tedavi gereksinimi indeksi (CPITN), diş çürükleri çürük, kayıp, dolgulu dişler (DMFT) indeks değerleri kullanarak değerlendirilmiştir. İstatistiksel analizler SPSS Statistics Version 12 paket programında yapılmıştır. P0,05). CPITN’e göre, sağlıklı periodonsiyuma (CPITN 0) sahip olan bireyler hastaların %24,9’unu oluşturmuştur. Ön segmentte yer darlığı olmayan hastaların sadece %6,4’ünün CPITN 2 değerine sahip oldukları görülmüştür. Ön segmentte yer darlığı artıkça CPITN 0 değerinin azaldığı gözlenmiştir. Ön segmentte yer darlığı ile CPITN değerleri arasındaki ilişkinin istatistiksel olarak anlamlı olduğu görülmüştür (p0,05). Ailelerin sosyo-ekonomik seviyeleri ve çocukların maloklüzyon sınıflamaları arasında da istatistiksel olarak anlamlı ilişki bulunmamıştır (p>0,05). Sonuç: Çalışmamızda, malokluzyon ile diş çürükleri arasında ilişki görülmemiştir. Ancak, alt ön dişlerdeki çapraşıklıkların, periodontal sağlık üzerinde zararlı etkileri olduğu, periodontal hastalıkların oluşmasına zemin hazırladığı gözlenmiştir. Ağız sağlığı bakımları ve erken yaşlardaki müdahalelerin (koruyucu ve önleyici programlar) oluşabilecek ortodontik problemlerin önlenmesine yardımcı olabileceği düşünülmektedir.

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