Zülfikar ÇİFTÇİ, Kübra BEKTAŞ, Kübra YILMAZ ÇALIŞIR, Özge GÜNGÖR, Hüseyin KARAYILMAZ

Batı Akdeniz Bölgesi’ndeki Çocuklarda Süt Dişi Çekim Nedenleri

Amaç: Bu çalışmanın amacı, Batı Akdeniz Bölgesinde yaşayan çocuklarda çekim endikasyonu konulmuş süt dişlerinin başlıca çekim nedenlerini ve diş tiplerine göre dağılımını araştırmaktır. Gereç ve Yöntemler: Akdeniz Üniversitesi Diş Hekimliği Fakültesi Pedodonti kliniğine, Ocak 2019 ile Nisan 2019 tarihleri arasında tedavi için başvuran 3-15 yaşları arasındaki hastaların diş kayıtları incelendi. Hastanın yaşı, cinsiyeti, çekim endikasyonu konulan diş tipi ve çekim nedenleri değerlendirildi. Bulgular: Dört ay boyunca 742 hastanın (400 erkek, 342 kız) toplam 1525 dişine çekim endikasyonu konulmuştur. Süt birinci azı dişler en sık çekim endikasyonu konulan diş tipidir ve toplam diş sayısının % 38’ini oluşturmaktadır. Çekilen diş tipi ve çekim nedenlerinde cinsiyete göre anlamlı farklılık yoktur (p > 0.05). En yüksek çekim endikasyon nedenlerini % 47.2 oranıyla eksfoliasyon zamanı, ardından % 46.4 oranıyla patolojik nedenler (geri dönüşümsüz pulpa iltihabı, dento-alveolar apse vb.) oluşturmuştur. Patolojik nedenlerle çekim endikasyonu konulmuş olan süt dişlerinin çoğunun, 6-8 yaş arasındaki çocuklarda olduğu görülmüştür (% 54). Sonuç: Çalışmamızda, süt dişlerinin büyük çoğunluğunun çekim nedeninin çürük ve çeşitli pulpal patolojilerden kaynaklı olduğu sonucuna varılmıştır. Çocukların, ağız diş sağlığı ile ilgili bilgilerinin geliştirilmesi ve erken çekimlerin önlenebilmesi için çalışmalar yapılmalıdır.

Anahtar Kelimeler:

çekim nedeni, çürük, süt dişleri

The Reasons For Primary Teeth Extractions In Children Living In West Mediterranean Region of Turkey

Background: The purpose of this study was to investigate the types of the teeth that have been indicated for extraction and the principal reasons for extractions in children and adolescent from West Mediterranean region of Turkey. Methods: The dental records of pediatric patients aged 3-15 years who attended the pediatric dental clinic of Akdeniz University Faculty of Dentistry for treatment from January 2019 to April 2019 were reviewed. Patient's age, gender, types of the teeth that have been indicated for extraction and the reason for the extraction were evaluated. Results: A total of 1525 teeth were indicated for extraction from 742 patients (400 male, 342 female) over 4 months. First primary molars were the most common tooth type extracted and comprised 38 % of teeth. There is no significant difference in the extracted tooth type and causes of extraction according to gender (p > 0.05). Exfoliation time with the rate of 47.2 % followed by pathological reasons (irreversible pulpitis, dentoalveolar abscess etc.) with a rate of 46.4 % constituted the highest indications for extraction. The majority of primary teeth indication for extractions for pathological reasons were performed in the age group of 6-8 years (54 %). Conclusion: From this study it can be concluded that caries and subsequent pulpal pathology are the most common reasons for extraction of teeth. Efforts must be made to improve the dental health awareness and status of children and prevent the early tooth extraction.

Keywords:

Extraction reason, caries, primary teeth,

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1. Alsheneifi T, Hughes CV. Reasons for dental extractions in children. Pediatr Dent. 2001;23(2):109-12.
2. Mansour Ockell N, Bagesund M. Reasons for extractions, and treatment preceding caries-related extractions in 3-8 year-old children. Eur Arch Paediatr Dent. 2010;11(3):122-30.
3. Klingberg G, Berggren U, Noren JG. Dental fear in an urban Swedish child population: prevalence and concomitant factors. Community Dent Health. 1994;11(4):208-14.
4. Chen MS. Oral health status and its inequality among education groups: comparing seven international study sites. Int J Health Serv. 2002;32(1):139-61.
5. Demiriz L, Bodrumlu EH. Reasons for the Extraction of Primary Teeth in Primary School-age Children in Zonguldak, Turkey: A Retrospective Study. Meandros Medical and Dental Journal. 2018;19:32-8.
6. Otuyemi OD, Ndukwe KC. Pattern of tooth loss among pediatric patients in Ile-Ife. Nigerian Medical Journal. 1997;32:10-3.
7. Adekoya-Sofowora CA. Traumatized anterior teeth in children: a review of the literature. Niger J Med. 2001;10(4):151-7.
8. Esan TA, Olusile AO, O. OE, Udoye CI, Olasoji HO. Pattern of tooth loss in Nigerian children: A national survey. Pediatric Dental Journal. 2009;19(2):165-73.
9. Haddad I, Haddadin K, Jebrin S, Ma'ani M, Yassin O. Reasons for extraction of permanent teeth in Jordan. Int Dent J. 1999;49(6):343-6.
10. Mohammed A. Causes of Primary and Permanent Teeth Extraction in Children Aged 3–12 Years in Mosul City. Al-Rafidain Dental Journal. 2008;8(2):24-9.
11. Nsour HF, Masarweh NA. Reasons for extraction of primary teeth in Jordan-a study. Pakistan Oral & Dental Journal. 2013;33(2):336-9.
12. Montandon A, Zuza E, Toledo BE. Prevalence and reasons for tooth loss in a sample from a dental clinic in Brazil. Int J Dent. 2012;2012:719750.
13. Kay EJ, Blinkhorn AS. The reasons underlying the extraction of teeth in Scotland. Br Dent J. 1986;160(8):287-90.
14. Frencken JE, Sharma P, Stenhouse L, Green D, Laverty D, Dietrich T. Global epidemiology of dental caries and severe periodontitis - a comprehensive review. J Clin Periodontol. 2017;44 Suppl 18:S94-S105.
15. Angelillo IF, Nobile CG, Pavia M. Survey of reasons for extraction of permanent teeth in Italy. Community Dent Oral Epidemiol. 1996;24(5):336-40.
16. Murray H, Clarke M, Locker D, Kay EJ. Reasons for tooth extractions in dental practices in Ontario, Canada according to tooth type. Int Dent J. 1997;47(1):3-8.
17. Ashiwaju MO, Folayan MO, Sote EO, Isikwe MC. Pattern of tooth extraction in children attending tertiary health care centers in Nigeria: a prospective study. J Clin Pediatr Dent. 2011;36(1):107-10.
18. Koruyucu M, Bayram M, Bekiroglu N, Seymen F. Reasons for tooth extraction in 3-8 year-old Turkish children. Oral Health and Care. 2017;2(1):1-4.
19. Moles DR, Ashley P. Hospital admissions for dental care in children: England 1997-2006. Br Dent J. 2009;206(7):E14; discussion 378-9.
20. Ak G, Sepet E, Pinar A, Aren G, Turan N. Reasons for early loss of primary molars. Oral Health Prev Dent. 2005;3(2):113-7.
21. Bani M, Akal N, Bodur H, Odabas ME, Tuzuner T, Delilbasi AE, et al. The reasons for extractions of primary teeth in Turkish children. Eur J Paediatr Dent. 2015;16(3):187-90.
22. Al-Assadi AH. Patterns and Causes of Teeth Extraction among Children Attending Baghdad Dental Teaching Hospital: Original Article. International Journal of Medical Research & Health Sciences. 2018;7(5):88-95.
23. Chukwumah N, Azodo C, Orikpete E. Analysis of tooth mortality among nigerian children in a tertiary hospital setting. Ann Med Health Sci Res. 2014;4(3):345-9.
24. Anyanechi C, Chukwuneke F. Survey of the reasons for dental extraction in eastern Nigeria. Ann Med Health Sci Res. 2012;2(2):129-33.
25. Denloye OO, Dosumu OO, Arotiba JT. Causes and pattern of tooth extraction in children treated at the University College Hospital, Ibadan. West Afr J Med. 1999;18(4):261-4.
26. Folayan MO, Otuyemi OD, Esan TA, Adeleke AA, Adedigba MA. Pattern of dental extraction in children in a Nigerian tertiary hospital. J Contemp Dent Pract. 2005;6(2):80-90.
27. Samuel SS, Selvaraj DSS, Ebenezer J, Rebekah G, Koshy S. Nature and pattern of primary teeth extractions in a tertiary care hospital setting in South India. Indian J Dent Res. 2018;29(2):186-9.
28. Taiwo OA, Sulaiman AO, Obileye MF, Akinshipo A, Uwumwonse AO, Soremi OO. Patterns and reasons for childhood tooth extraction in Northwest Nigeria. Journal of Pediatric Dentistry 2014;2(3):83-7.