MALOKLÜZYONUOLAN OKUL ÖNCESİ ÇOCUKLARDA AĞIZ-DİŞ SAĞLIĞINA BAĞLI YAŞAM KALİTESİNİ ETKİLEYEN KLİNİK, SOSYO-DEMOGRAFİK VE DAVRANIŞSAL FAKTÖRLER

Year 2022, Volume: 9 Issue: 2, 479 - 487, 24.08.2022

Yelda Kasımoğlu , Zeynep Şeyda Yavşan , Kadriye Peker , Yeliz Güven , Elif Tuna

https://doi.org/10.15311/selcukdentj.987468

Abstract

Amaç: Bu kesitsel çalışmanın amacı, maloklüzyonu olan okul öncesi çocukların ağız sağlığına bağlı yaşam kalitesini etkileyen sosyo-demografik, klinik ve davranışsal faktörlerin incelenmesidir.
Gereç ve Yöntemler: Çalışmaya İstanbul Üniversitesi Diş Hekimliği Fakültesi Pedodonti Anabilim Dalı Kliniği’ne başvuran 113 çocuk (30-71 ay yaş aralığında) ve ebeveyni dahil edildi. Çalışma verileri, klinik muayeneler ile Erken Çocukluk Çağı Ağız Sağlığı Etki Ölçeği’nin (ECOHIS) Türkçe versiyonu, sosyo-demografik ve davranışsal faktörleri içeren bir anket aracılığı ile toplandı. Verilerin analizinde tanımlayıcı istatistik, Mann-Whitney-U testi, Spearman’ın sıralı korelasyon katsayısı ve çoklu doğrusal regresyon analizi kullanıldı.
Bulgular: İkili analizlerde, çürük ve dolgulu diş sayısı ile ECOHIS-toplam, çocuk ve aile alt boyutları skorları arasında anlamlı pozitif korelasyonlar bulundu. Distal basamak ve derin örtülü kapanış maloklüzyon tipi olan çocuklar ile beslenme dışı emme alışkanlığı olanların ağız sağlığına bağlı yaşam kaliteleri olmayanlara göre daha iyi bulundu. Regresyon analizinde, maloklüzyonla alakalı bir alışkanlığın olması, diş çürüğünün olması ve çocuk yaşının artması çocuğa bağlı yaşam kalitesini azaltan ve toplam varyansın %17,1’ini açıklayan faktörler olarak saptandı.
Sonuç: Çocuklarda periodontal durumun ve maloklüzyon tipinin ağız sağlığına bağlı yaşam kalitesini olumsuz etkilemediği saptandı. Diş çürükleri, dolgulu diş sayısı, parafonksiyonel alışkanlıklar, çocuğun yaşı ve eğitim kurumuna devamı ağız sağlığına bağlı yaşam kalitesini etkileyen önemli belirleyenler olarak tespit edildi.

Keywords

çocuk, erken çocukluk çağı çürüğü, maloklüzyon, yaşam kalitesi

CLINICAL, SOCIO-DEMOGRAPHIC AND BEHAVIORAL FACTORS AFFECTING THE ORAL-HEALTH RELATED QUALITY OF LIFE IN PRE-SCHOOL CHILDREN WITH MALOCCLUSION

Abstract

Background: The aim of this cross-sectional study is to investigate the socio-demographic, clinical and behavioral factors affecting the oral health related quality of life (OHRQoL) in preschool children with malocclusion.
Methods: This study was carried out with 113 children (30-to-71 months) and their parents attending to the clinics of the Pediatric Dentistry Department at Istanbul University. Data were collected through clinical examinations and a questionnaire including the Turkish version of the Early Childhood Oral Health Impact Scale (ECOHIS), socio-demographic and behavioral characteristics. Data were analyzed using descriptive statistics, Mann-Whitney-U test, Spearman’s rank correlation coefficient and the multiple linear stepwise regression analysis.
Results: In the bivariate analyses, significant positive correlations were found among the number of decayed and filled teeth, the scores for the total ECOHIS and its child and family sections. It was found that children with distal plane and deep bite malocclusion and those with non-nutritive sucking habit had better oral health-related quality of life than those without. In the regression analysis, having a habit related to malocclusion, presence of dental caries and increasing child age were determined as factors that decreased the child-related quality of life and explained 17.1% of the total variance.
Conclusion: It was determined that periodontal status and malocclusion type did not adversely affect oral health-related quality of life in children. The number of dental caries and filled teeth, having parafunctional habits, child's age and attendance at educational institution were identified as important determinants affecting oral health-related quality of life of children.

Keywords

children, early childhood caries, malocclusion, OHRQoL

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