RENGİN KOSİF, Zeki GÜNALP, ZEHRA SAFİ ÖZ

Evaluation of the dental-gingival health in children with cerebral palsy in Zonguldak

Amaç: Bu çalışmada serebral palsi tanısı almış Zonguldakta yaşayan çocukların diş ve dişeti sağlığı prospektif bir çalışmayla değerlendirilmiştir. Materyal ve Metot: Araştırma amaçları doğrultusunda değişik yaş gruplarında serebral palsili 51 kız, 69 erkek toplam 120 çocuğun diş ve dişeti muayenesi yapılmıştır. Çürük, kayıp ve dolgu sayıları kaydedilmiş ve DMTF indeksleri hesaplanmıştır. Enamel defektleri, renkleri ve hipoplazi oranları araştırılmıştır. Diş etleri muayeneleri gingival indeks ile değerlendirilmiş ve ağız pHları incelenmiştir. Bulgular: DMTF indeksleri kız çocuklar için 6,08±3,79, erkek çocuklar için 6,22±3,43 bulunmuştur. Değişik tiplerde enamel defektleri kızlarda %82,67, erkeklerde %86,87 olarak hesaplanmıştır. Akut dişeti enfeksiyonu kızlarda %31,91, erkeklerde %22,72 oranında bulun-muştur. Hipoplazi kızlarda %46,80, erkeklerde %37,87 oranındadır. Ağız pHsı kızlarda 7,66±0,54, erkeklerde 7,96±0,60 olarak tespit edilmiştir. Sonuç: Ailelerin serebral palsili çocuklarda diş sağlığına dikkat etmedikleri görülmüştür. Bu çocukların dişlerini fırçalamadaki yetersizlikleri göz önüne alınarak düzenli olarak diş hekimine götürülmeleri önerilmiştir.

Zonguldakta yaşayan serebral palsili çocukların diş ve dişeti sağlığının değerlendirilmesi

Objectives: In this study it was aimed to define tooth and gum health of children with cerebral palsy (CP) through a prospective study. Material and Method: Tooth and gum examinations of 120 children of different age groups 51 females and 69 males with cerebral palsy. Numbers of Decays (D), Missings (M) and Fillings (F) were recorded and the DMFT index was evaluated. The enamel defect types were recorded, and also the enamel color defects and hipoplasy rates were investigated. The gums were evaluated via gingival index, and pHs of mouth were checked. Results: The DMFT index was found to be 6.08±3.79 for females and 6.22±3.43 for males. Various types of enamel defect were encountered in 82.67% of females and 86.87% of males. Acute gingival inflammation was diagnosed in 31.91% of females and 22.72% of males. Hipoplasy was found in 46.80% of females and 37.87% of males. pHs of mouth were found as 7.66 ± 0.54 for females, and 7.96±0.60 for males. Conclusions: It was realized that families did not pay attention to tooth health of individuals with cerebral palsy. It was suggested that these individuals who are not capable of brushing their teeth should regularly be taken to dentist. These studies will allow to make more informed recommendations to patients with CP and their parents that will improve the oral hygiene and reduce the risk of future dental decay in these children.

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