Eskişehir İlindeki Çocuklarda Diş Çürüğü ve Florozis Görülme Sıklığının Değerlendirilmesi

Year 2019, Volume: 6 Issue: 3, 297 - 308, 17.12.2019

Elmas Egemen Nuray Tüloğlu

https://doi.org/10.15311/selcukdentj.481321

Cited By: 1

Abstract

Amaç: Bu araştırmada, Eskişehir
ilindeki çocuklarda diş çürüğü ve dental florozis görülme sıklığının
değerlendirilmesi amaçlandı. Ayrıca dental florozisin etiyolojik faktörleri ve dental
florozis görülme sıklığının diş çürüğü ile ilişkisi de değerlendirildi. 

Gereç ve Yöntemler: Araştırmaya, Eskişehir ilindeki 8-12 yaş arasındaki
toplam 4936 çocuk dahil edildi. Diş çürüğünün değerlendirilmesinde dft/DMFT
indeksi, dental florozisin değerlendirilmesinde ise Thylstrup-Fejerskov İndeksi
kullanıldı. Ayrıca çocukların ebeveynleri tarafından dental florozise neden
olabileceği öne sürülen etiyolojik faktörleri içeren anamnez formu dolduruldu.
Kullanılan içme sularının florür konsantrasyonları iyon kromatografi cihazı
kullanılarak tespit edildi. Elde edilen verilerin istatistiksel
değerlendirmesinde Mann Whitney-U Testi, Kruskal Wallis Testi ve Spearman
Korelasyon testi kullanıldı.

Bulgular:Araştırmaya katılan çocukların
ortalama DMFT değeri 2.18±2.00, dental florozis görülme sıklığı ise % 1.9
olarak belirlendi. Dental florozis görülme sıklığı ile ilçeler arasında anlamlı
bir fark olduğu (p<0.001) ve en yüksek dental florozis görülme oranının
sudaki florür konsantrasyonunun optimum dozun üzerinde olan Çifteler ilçesinde
(% 15.2) olduğu saptandı. Dental florozis görülmesi ile diş çürüğü arasında
negatif korelasyon olduğu tespit edildi (p<0.01). Ayrıca anne/babanın eğitim
düzeyi, doğumdan itibaren aynı bölgede yaşaması, anne sütü ile beslenme süresi,
içme suyunun tipi, okulda kullanılan suyun tipi, macun tipi ile çocukta dental
florozis görülme sıklığı arasında anlamlı bir ilişki olduğu belirlendi
(p<0.05).

Sonuçlar: Sonuç olarak, dental florozis görülmesinde içme suyundaki
florür konsantrasyonunun yanı sıra anne sütü ile beslenme süresi ve kullanılan
macun tipi gibi diğer faktörlerin de rol oynadığı ve dental florozis
önlenmesinde tüm etiyolojik faktörlerin gözönünde bulundurulması gerektiğini
düşünmekteyiz.

Anahtar Kelimeler: Çocuk, Dental Florozis, Diş Çürüğü, Eskişehir

Keywords

Çocuk, Dental Florozis, Diş Çürüğü, Eskişehir

Evaluation of Dental Caries and Fluorosis Prevalence of Children in Eskisehir

Abstract

Background:This study aimed to evaluate the prevalence of the dental caries and dental
fluorosis in children living in Eskisehir. The etiological factors of the dental
fluorosis and the correlation of the prevalence of dental fluorosis between
dental caries were also determined. 

Methods: 4936 children between 8-12 years-old
in Eskisehir were included. dft/DMFT and Thylstrup-Fejerskov index were used
for the evaluation of the dental caries and fluorosis. Furthermore, the parents
of the children were asked to fulfill an anamnesis form including the
etiological factors, which were considered as the possible cause of the dental
fluorosis. The fluoride concentrations of the drinking water were determined by
the ion-chromatography. Statistical analysis was performed using Mann
Whitney-U, Kruskal Wallis and the Spearman's Correlation Tests.

Results: The mean DMFT score was
2.18±2.00, dental fluorosis prevalence was 1.9 % in the participating children.
There was a significant difference between the towns regarding the prevalence of the dental
fluorosis (p<0.001). The highest prevalence
of dental fluorosis was determined in Cifteler (15.2 %), where the flour
concentration in the water was above the optimal dose. A negative correlation
was determined between the prevalence of the
dental fluorosis and caries (p<0.01). Furthermore, a significant correlation
was also determined between the dental fluorosis and the parental education
level, living in the same region since birth, duration of the feeding with the
mother's milk, the type of the drinking water, the type of the water used in
the school and the type of the toothpaste (p<0.05).

Conclusions: We conclude that along with
the fluoride concentration in the drinking water also other factors such as the
duration of the feeding with the mother's milk and the type of the used
toothpaste are playing an important role in the prevalence of the dental
fluorosis and all etiological factors should be taken into the consideration
for the prevention it.

Keywords:Child, Dental Fluorosis, Dental Caries, Eskisehir.

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