Çocuklarda Doğum Şekli, Maternal Faktörler ve Diş Çürüğü Arasındaki İlişki

Year 2021, Volume: 10 Issue: 2, 92 - 98, 25.05.2021

Banu Öter , Tuğba Kaya Kul , Ebru Tirali , Sevi Burçak Çehreli

Abstract

Amaç: Erken çocukluk çağı çürüklerinin risk faktörleri; doğum şekli, maternal faktörler, ailelerin tutumları ve farkındalıkları ve beslenme alışkanlıkları ile ilişkilendirilmiştir. Bu çalışmanın amacı, küçük çocuklarda doğum şekli, maternal faktörler ve diş çürükleri arasındaki ilişkiyi değerlendirmektir.

Gereç ve Yöntem: Bu çalışmaya Başkent Üniversitesi Diş Hekimliği Fakültesi Pedodonti Anabilim Dalı’na diş tedavisi için başvuran toplam 150 aile ve 2-12 yaş arasındaki çocukları dahil edildi. Annelerden 13 soruluk bir anket doldurmaları istendi. Çocukların ve annelerinin çürük prevalansı dmft indeksi ve DMFT indeksi kullanılarak ölçüldü. Hipoplazi, Modifiye Gelişimsel Mine Defektleri İndeksine göre teşhis edildi. Tanımlayıcı istatistiksel yöntemlerin yanı sıra Mann Whitney U testi, Fisher's Exact Ki-Kare testi kullanıldı. Anlamlılık p<0.05 güven düzeyinde değerlendirildi.

Bulgular: Çocukların yaş ortalaması 7.41 ± 2.27 yıldı. Ortalama df indeksi değeri 4.33 ± 4.13, ortalama DMFT indeksi değeri çocuklarda 0.45 ± 1.29, annelerinde 7.91 ± 5.17 idi. Sadece 10 dişte (%11.3) hipoplazi görüldü. Annelerin DMFT indeks değeri ile çocukların dft indeks değeri arasında pozitif yönde anlamlı bir korelasyon vardı (r: 0.174, p: 0.033; p <0.05). Çocukların dft ve DMFT indeks değerleri ile emzirme, kupa ile besleme ve biberonla besleme türü ve süresi arasında anlamlı bir fark yoktu (p> 0.05). Çocuğun dft ve DMFT indeks değerleri ile doğum zamanı, doğum şekli, doğum ağırlığı arasında ilişki yoktu (p>0.05). Erken doğan çocuklarda hipoplazi insidansı (% 21.4) zamanında doğan çocuklarda hipoplazi insidansından (%9.3) daha yüksekti ancak istatistiksel olarak anlamlı değildi (p>0.05).

Sonuç: Anneler çocukları için rol modellerdir ve çocuklarının tedavi edilmemiş çürükleri ve diş kayıpları ile ilişkili çürük deneyiminin farkında olmalıdır.

Keywords

doğum şekli, diş çürükleri, maternal faktörler

Supporting Institution

Başkent Üniversitesi Diş Hekimliği Fakültesi

Project Number

Project no: D-KA 12/15

The Association Between Mode of Delivery and Maternal Factors and Dental Caries in Children

Abstract

Introduction: The risk factors of early childhood caries has been associated with mode of delivery, maternal factors, parental attitudes and awareness and dietary habits. The aim of this study is to evaluate the relationship between mode of delivery, maternal factors and dental
caries in young children.

Material and Methods: A total of 150 parents and their children aged between 2-12 years old who attended for dental treatment to Baskent University Faculty of Dentistry Department of Pedodontics
were included in this study. This was designed as cross sectional questionnaire study. Mothers were asked to fill a 13 item questionnaire on the day when their children and themselves received a regular
dental check-up at the hospital. The severity of caries experience of children and their mother’s was measured using dmft index, the number of decayed, missing, and filled teeth for deciduous dentition;
and DMFT index for permanent dentition. Hypoplasia was diagnosed based on the Modified Index of Developmental Defects of Enamel when the loss of surface integrity of the enamel was observed.
Besides the descriptive statistical methods the Mann Whitney U, Fisher’s Exact Chi-Square test, Spearman’s rho correlation analysis was used. Significance was evaluated at confidence level p<0.05.

Results: The mean age+sd of children was 7.41±2.27 year. The mean df index value was 4.33±4.13 and mean DMFT index value was 0.45±1.29 in children and 7.91±5.17 in their mothers. Hypoplasia was seen on only 10 teeth in 89 teeth (11.3%). 44% born by vaginal delivery and 56% born by Caesarean section. There was a significant correlation between mothers DMFT index value and children’s dft index value in positive direction (r:0.174, p:0.033; p<0.05). There was no significant difference between children’s dft and DMFT index value and breastfeeding, cupfeeding and bottlefeeding type and duration (p>0.05). There was no relationship between child’s dft and DMFT index values and birth time, mode of delivery, birth weight (p>0.05). The incidence of hypoplasia in children born to preterm (21.4%) was
higher than the incidence of hypoplasia in children born in time (9.3%) but this difference was not statistically significant (p>0.05). Also no significance was found between the incidence of hypoplasia and birth weight (p> 0.05).

Conclusion: Mothers are role models for their children and should be aware of their child’s caries experience which is associated with their untreated caries and tooth loss.

Keywords

Dental caries, Maternal factors, Mode of delivery

Project Number

Project no: D-KA 12/15

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