EARLY CHILDHOOD CARIES RISK FACTORS

EARLY CHILDHOOD CARIES RISK FACTORS

Özet: Diş çürüğü, çocukluk çağında en sık görülen kronik hastalıklardan biridir. Süt dişlerindeki çürükler tedavi edilmediğinde ağrıya, bakteriyemiye, yüksek tedavi maliyetlerine, azalmış büyüme ve gelişmeye, konuşma bozukluklarına, erken diş kaybına ve buna bağlı olarak çiğneme fonksiyonlarında azalmaya, çocuklarda öz güven kaybına ve daimi dişlenmede problemlere neden olmaktadır.Yetmiş bir aylık ve daha küçük çocuklardaki bir veya daha fazla kavite oluşmuş ya da oluşmamış çürük lezyonu, çürüğe bağlı diş kaybı veya dolgulu süt dişinin olması erken çocukluk çağı çürüğü (EÇÇ)olarak tanımlanmaktadır. EÇÇ çocukların ve ailelerinin yaşam kalitesini etkileyen çok faktörlü enfeksiyöz bir rahatsızlıktır. EÇÇ etiyolojisi karmaşık ve çok faktörlüdür. Geleneksel olarak öğretilen karyojenik bakterilerin, karbonhidratların ve diş yüzeylerinin oluşturduğu etiyolojik çürük triadına ilaveten; çok sayıda biyolojik, fizyolojik, ağız bakımı davranışları, şeker alımı ve tedavi hizmetlerine erişim gibi sosyo-kültürel, davranışsal ve çevresel risk faktörleri ile ilişkili olan multifaktöriyel bir rahatsızlıktır.Bu derlemenin amacı; okul öncesi çocuklarda görülen yaygın ve agresif hastalıkların başında gelen erken çocukluk çağı çürüklerinin risk faktörleri ile alakalı güncel literatür bilgilerinin aktarılmasıdır. Erken çocukluk çağı çürüklerini önlemek için çocuklar ve ailelerin bu konu hakkında bilgilendirilmesi ve eğitilmesi, uygun ağız hijyeni ve beslenme alışkanlıklarının kazandırılması gereklidir. Anahtar Kelime:Diş çürüğü, Erken çocukluk çağı, Risk faktörleri ABSTRACT : Dental caries is one of the most common chronic diseases in childhood. Caries in primary teeth cause pain, bacteremia, high treatment costs, decreased growth and development, speech disorders, premature tooth loss, and consequently decreased chewing functions, loss of self-confidence, and problems with permanent dentition.The presence or absence of one or more cavities in children aged 71 months and younger, caries lesions, caries-related tooth loss or filled primary teeth is defined as early childhood caries (ECC).ECC is a multi-factor infectious disease that affects the quality of life of children and their families.ECC etiology is complex and multi-factor. In addition to the traditionally taught cariogenic bacteria, carbohydrates and tooth surfaces, etiological caries triad; It is a multifactorial disorder that is associated with many biological, physiological, oral care behaviors, sugar intake and access to treatment services, socio-cultural, behavioral and environmental risk factors.The purpose of this review is; This is the transfer of current literature information related to the risk factors of early childhood caries, which is one of the common and aggressive diseases seen in preschool children.In order to prevent early childhood caries, children and families should be informed and educated about this issue, and appropriate oral hygiene and eating habits should be gained.

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