Afyonkarahisar’da Yaşayan Altı Yaş Çocuk Popülasyonunda Daimi Birinci Büyük Azı Dişlerinin Sürme Evrelerinin Vücut Kitle Indeksine Göre Değerlendirilmesi

Yıl 2023, Cilt: 9 Sayı: 3, 31 - 38, 01.12.2023

Burcu Güçyetmez Topal , İsmail Haktan Çelik , Tuğba Tasa Yiğit

Öz

Amaç: Çocukluk çağı obezitesi küresel bir halk sağlığı sorunu olarak ortaya çıkmaktadır. Aşırı kilolu çocukların diş tedavilerinin özel olarak değerlendirilmesi gerekmektedir. Bu çalışma, 6 yaşındaki çocuk popülasyonunda daimi birinci azı (DBA) dişlerinin sürme aşamalarını ve bunların vücut kitle indeksi (VKİ) ile ilişkisini değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntem: Çalışma, sistemik olarak sağlıklı, altı yaşında, 700 Türk çocuğu (311 kız, 389 erkek) üzerinde yapılan kesitsel bir çalışmadır. Çocuklar, yaşlarına özgü VKİ değerlerine göre üç gruba ayrılmıştır (zayıf, normal kilolu ve aşırı kilolu/obez). Daimi birinci molar dişlerin sürme aşamaları kaydedilmiştir. Her aşamadaki ortalama diş sayısının cinsiyet ve VKİ'ye göre karşılaştırılması değerlendirilmiştir. İstatistiksel analiz SPSS kullanılarak gerçekleştirilmiştir.
Bulgular: Ortalama tam sürmüş DBA sayısı kadınlarda 2.4±1.53, erkeklerde 0.6±1.23 bulundu (p<0.001). Aşırı kilolu çocukların normal kilolu çocuklara göre sürmüş DBA'larının daha fazla olduğu (p<0.001) ve normal kilolu çocukların da zayıf çocuklara göre sürmüş DBA’larının daha fazla olduğu bulundu (p<0.001). Aşırı kilolu çocuklarda sürmemiş daimi birinci molar diş bulunmamıştır.
Sonuç: Altı yaşındaki bir grup Türk çocuk popülasyonunda daimi birinci büyük azı dişlerinin sürme evreleri VKİ ile ilişkili bulunmuştur. Aşırı kilolu/obez çocuklarda koruyucu dental prosedürlerin daha erken kronolojik yaşlarda uygulanması gerekebilir.

Anahtar Kelimeler

Vücut kitle indeksi, obezite, daimi dişler, diş sürmesi

Assessment of the Eruption Stages of Permanent First Molars According to Body Mass İndex in A Six-Year-Old Child Population Living in Afyonkarahisar, Turkey

Öz

Objective: Childhood obesity is emerging as a global public health concern. The dental treatment of overweight children needs to be specially arranged. This study aimed to evaluate the eruption stages of permanent first molars and their association with body mass index (BMI) in a 6-year-old child population.
Materials and Methods: The study was a cross-sectional study conducted on systemically healthy, six years old, 700 Turkish children (311 female, 389 male). Based on individual BMI for age values, the children were divided into three groups (Underweight, normal-weight, overweight/obese). The eruption stages of permanent first molars were recorded. The comparison of the mean number of teeth at each stages according to gender and BMI was evaluated. The statistical analysis was performed using SPSS.
Results: The mean number of fully erupted PFMs was 2.4±1.53 in females, 0.6±1.23 in males(p<0.001) Overweight children had more mean erupted PFMs than normal-weight children(p<0.001), and normal-weight children had more mean erupted PFMs than underweight children (p<0.001). Overweight children had no unerupted permanent first molar.
Conclusion: The eruption stages of permanent first molars were associated with BMI among a group of 6-year-old Turkish children. Preventive dental procedures may need to perform at earlier chronologic ages, in overweight/obese children.

Anahtar Kelimeler

Body mass index, obesity, permanent teeth, tooth eruption

Kaynakça

• Boucher, C.O. and Zwemer, T.J. Boucher’s clinical dental terminology: A glossary of accepted terms in all disciplines of dentistry.3rd edition. St. Louis: Mosby; 1983.
• Prijatmoko D, Zakiyah, F. Role of body composition on the eruption time of first permanent molars. J Int Dent Med Res. 2019;12:1563-7.
• Pahel BT, Vann WF, Divaris K, Rozier RG. A contemporary examination of first and second permanent molar emergence. J Dent Res. 2017;96:1115-21.
• Mejàre I, Axelsson S, Dahlén G, Espelid I, Norlund A. Caries risk assessment: a systematic review. Acta Odontol Scand. 2014;72:81-91.
• Wedl JS, Schoder V, Blake FAS, Schmelzle R, Friedrich RE. Eruption times of permanent teeth in teenage boys and girls in İzmir (Turkey). J Clin Forensic Med 2004;11:299–02.
• Oznurhan F, Ekci ES, Ozalp S, Deveci C, Delilbasi AE. Time and sequence of eruption of permanent teeth in Ankara, Turkey. Pediatr Dent J. 2016;26:1-7.
• Bayrak S, Sen Tunc E, Tuloglu N, Acikgoz A. Timing of permanent teeth eruption in Turkish children. J Clin Pediatr Dent. 2012;37:207-11.
• Hilgers KK, Akridge M, Scheetz JP, Kinane, DE. Childhood obesity and dental development. Pediatr Dent. 2006;28:18-22.
• Psoter W, Gebrian B, Prophete S, Reid B, Katz R. Effect of early childhood malnutrition on tooth eruption in Haitian adolescents. Community Dent Oral Epidemiol. 2008;36:179-89.
• Must A, Phillips SM, Tybor DJ, Lividini K, Hayes C. The association between childhood obesity and tooth eruption. Obes.2012;20:2070-4.
• Hedayati Z, Khalafinejad F. Relationship between body mass index, skeletal maturation and dental development in 6- to 15-year-old orthodontic patients in a sample of Iranian population. J Dent. (Shiraz).2014;15:180-6
• Nuttall FQ. Body mass index obesity, BMI, and health: a critical review. Nutr Today.2015;50:117–28.
• Lailasari D, Zenab Y, Herawati E, Wahyuni IS. Correlation between permanent teeth eruption and nutrition status of 6-7-years-old children. Padjadjaran J Dent. 2018;30:116-23.
• Khan N. Eruption time of permanent teeth in Pakistani Children. Iran J Public Health. 2011;40:63–73.
• Sánchez-Pérez L, Irigoyen ME, Marco Z. Dental caries, tooth eruption timing and obesity: a longitudinal study in a group of Mexican schoolchildren. Acta Odontol Scand. 2010;68:57–64.
• Bagewadi NB, Kumar H, Bagewadi SB, Kumar V, Panchmal GS, Mohnish ZM. Comparison of chronology of teeth eruption with body mass index among school children at Mangalore: A cross-sectional study. J Indian Assoc Public Health Dent. 2016;14:276.
• Anu V, Brindha JR, Carol PT, Diana PC, Elsy JD, Garima S. Does body mass index affect tooth eruption sequence? A study among 6–7 years old schoolchildren in Chennai, India. Int J Clin Pediatr Dent. 2020;13:261.
• Mohamedhussein N, Busuttil-Naudi A, Mohammed H. Association of obesity with the eruption of first and second permanent molars in children: a systematic review. Eur Arch Paediatr Dent. 2020;21:13–23.
• Cantekin K, Gurbuz T, Demirbuga S, Demirci T, Duruk G. Dental caries and body mass index in a sample of 12-year-old eastern Turkish children. J Dent Sci. 2012;7:77-80.
• Kızılcı E, Demiroğlu C, Duman B, Ayhan B. Is body mass index for-age related with dental caries in children? J Pediatr Res. 2022:9:1.
• Gokkaya B, Kargul B. Assessment of the eating disorders and relationship with dental caries, age, gender, and body mass index in a sample of turkish adolescents aged 9 through 15. Niger J Clin Pract 2022;25:695-701.
• Cinar AB, Murtomaa H. Interrelation between obesity, oral health and life-style factors among Turkish school children. Clin Oral Invest. 2011;15:177–84.
• Frankl S, Shiere F, Fogels H. Should the parent remain with the child in the dental operatory. J Dent Child. 1962;29:150-63.
• About Child and Teen BMI. (2021): [https://www.cdc.gov/ healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi. html]. Accessed: 25.01.2021
• Ekstrand KR, Christiansen J, Christiansen MEC. Time and duration of eruption of first and second permanent molars: a longitudinal investigation. Community Dent Oral Epidemiol. 2013;31:344-50.
• World Health Organization. Oral Health Surveys: Basic Methods. Geneva: World Health Organization,2013.
• Kochhar R, Richardson A. The chronology and sequence of eruption of human permanent teeth in Northern Ireland. Int J Paediatr Dent. 1998;8:243-52.
• Diamanti J, Townsend GC. New standards for permanent tooth emergence in Australian children. Austr Dent J. 2003;48:39-42.
• Moslemi M. An epidemiological survey of the time and sequence of eruption of permanent teeth in 4-15-year-olds in Tehran, Iran. Int J Paediatr Dent. 2004;14:432-38.
• Lakshmappa A, Guledgud MV, Patil K. Eruption times and patterns of permanent teeth in school children of India. Indian J Dent Res. 2011;22:755-63.
• Raghavan A, Srinivasan N, Sherif AS, Somasundaram N, Govindhan M. Association between mean age of eruption of the permanent teeth and body mass index among school-going children of 7–17 years of age in Chennai city. JOCHD. 2019;13:40.
• Almonaitiene R, Balciuniene I, Tutkuviene J. Factors influencing permanent teeth eruption. Part one–general factors. Stomatol. 2010;12:67-72.
• Sabharwal R, Sengupta S, Sharma B, Singh S, Rastogi V. Correlation of body mass index with eruption time of permanent first molars and incisors and caries occurrence: A cross-sectional study in school children in Uttar Pardesh, India. Eur J Dent.2013;2:114.
• Shaweesh AI. Timing and sequence of emergence of permanent teeth in the Jordanian population. Arch Oral Biol. 2012;57:122-30.
• Eid RMR, Simi R, Friggi MNP, Fisberg M. Assessment of dental maturity of Brazilian children aged 6 to 14 years using Demirjian’s method. Int J Paediatr Dent. 2002;12:423-8.
• Kjellberg H, Beiring M, Albertsson Wikland K. Craniofacial morphology, dental occlusion, tooth eruption, and dental maturity in boys of short stature with or without growth hormone deficiency. Eur J Oral Sci. 2000;108:359–67.
• Leroy R, Bogaerts K, Lesaffre E, Declerck D. The emergence of permanent teeth in Flemish children. Community Dent Oral Epidemiol. 2003;31:30–9.
• Folayan M, Owotade F, Adejuyigbe E, Sen S, Lawal B. The timing of eruption of the primary dentition in Nigerian children. Am J Phys Anthropol. 2007;134:443-8.