ERKEN ÇOCUKLUK ÇAĞI ÇÜRÜĞÜ MİKROBİYOTASINDA GÜNCEL TÜRLER: DERLEME

71 aylık ve daha küçük çocuklarda en az iki adet kaviteli veya kavitesiz çürük, çürük nedeniyle kaybedilmiş diş ya da dolgulu diş yüzeyinin varlığı; erken çocukluk çağı çürüğü (ECC) olarak ifade edilmektedir. Çocuklarda; en fazla gözlenen kronik hastalıklardan biri ECC’ dir. Bu çürükler erken evrede teşhis edildiklerinde genellikle geri dönüşümlü enfeksiyonlar olup, önlenebilir özellik taşımaktadır. Etkin korunma stratejileri ile bu dönemde çocukların ağız sağlığı kalitelerinin geliştirilebilir olması kadar hastalığın mikrobiyal, dental ve fizyolojik yaklaşımlarının bilinmesi de gerekmektedir. ECC tedavi edilmediği takdirde ise ağrı, bakteriyemi, büyüme ve gelişim geriliği, erken süt dişi kaybı gibi komplikasyonların yanında sonuçların doğurduğu yüksek maliyetli tedavilere sebep olmaktadır. Ağız mikrobiyotası; 700 çeşitten fazla bakteri, mantar, virüs ve parazitlerin bir arada bulunduğu mikroorganizma topluluğu olup; diş fırçalama ve diyet alışkanlığına ek olarak yaşla birlikte çeşitlilik göstermektedir. Doğum anında steril kabul edilen ağız mikroflorası çocuğun annesi veya bakıcısı tarafından vertikal geçişle kontamine olması sonucu bu özelliğini kaybeder. Bu çalışmamızda değişen dinamiklere sahip olan oral mikrobiyotanın ECC ile olan ilişkisi ile ilgili güncel literatür verilerinin derlenmesi amaçlanmıştır. Sonuç olarak ECC ile oral mikrobiyota ilişkisinin doğru yorumlanması erken dönemde çocuklarda gözlenen çürük lezyonlarının durdurulması ve biyomimetik şekilde tedavi edilmesi açısından büyük önem taşımaktadır.

Anahtar Kelimeler:

diş çürükleri, mikrobiota, ağız sağlığı

NOVEL SPECIES IN MICROBIOTA OF EARLY CHILDHOOD CARIES: A REVIEW

Presence of at least two caries with or without cavities, teeth lost due to caries or filled tooth surfaces in children 71 months of age and younger; is referred to as early childhood caries (ECC). In children; ECC is one of the most common chronic diseases. When these caries are diagnosed at an early stage, they are usually reversible infections and are preventable. It is necessary to know the microbial, dental and physiological approaches of the disease as well as to improve the oral health quality of children in this period with effective prevention strategies. If ECC is not treated, it causes complications such as pain, bacteremia, growth and developmental retardation, early loss of primary teeth, as well as costly treatments with consequences. Oral microbiota; is a microorganism community that contains more than 700 types of bacteria, fungi, viruses and parasites; in addition to tooth brushing and dietary habits, it varies with age. Oral microflora, which is considered sterile at the time of birth, loses this feature as a result of vertical contamination by the child's mother or caregiver. In this study, it is aimed to compile the current literature data on the relationship between the oral microbiota, which has changing dynamics, and ECC. As a result, the correct interpretation of the relationship between ECC and oral microbiota is of great importance in terms of preventing caries lesions observed in children in the early period and treating them in a biomimetic manner.

Keywords:

dental caries, oral microbiota, oral health,

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