Anne Sütü Alım Süresi, Emzik ve Biberon Kullanımının Erken Çocukluk Çağı Çürüğü ile İlişkisinin Değerlendirilmesi

Yıl 2023, , 214 - 221, 13.05.2023

Zeliha Hatipoğlu Palaz , Nagehan Aktaş

https://doi.org/10.54617/adoklinikbilimler.1199572

Öz

Amaç: Bu çalışmada amaç 3-5 yaş arası çocukların, anne sütü alma süresi, emzik ve biberon kullanım süresi, doğum şekli, çocuğun diş fırçalama alışkanlığı ve ailenin sosyoekonomik durumu ile erken çocukluk çağı çürüğü (EÇÇ) arasındaki ilişkinin araştırılmasıdır.
Gereç ve Yöntem: Kliniğimize başvuran 3-5 yaş aralığında süt dentisyon dönemindeki çocukların doğum şekli, anne sütü alma süresi ve dönemi, emzik ve biberon kullanımı, diş hekimi ziyareti ve çocuğun diş fırçalama sıklığı ebeveynlere yapılan anketler ile kaydedilmiş; ağız muayenesi ile de dmft değerleri belirlenmiştir. EÇÇ görülme riskine etki eden bağımsız değişkenlerin incelenmesinde Binary Lojistik Regresyon analizi kullanılmıştır.
Bulgular: Modeller çok değişkenli olarak incelendiğinde, 18- 36 ay biberon kullananlarda EÇÇ görülme riski daha yüksektir (p=0.027). Diş fırçalama sayısı arttıkça EÇÇ görülme riski azalmaktadır (p<0.05). Anne sütü alım süresi ve emzik kullanımı ile EÇÇ riskinin artması arasında anlamlı farklılık gözlenmemiştir (p>0.05). Sezaryen ve vajinal doğum yapanlar arasında EÇÇ değerleri arasında anlamlı farklılık izlenmemiştir (p>0.05).
Sonuç: Uzun süreli anne sütü ve emzik kullanımının erken çocukluk çağı çürüğü riskini artırmadığı söylenebilir; ancak biberonun uzun süreli kullanımına dikkat edilmelidir. Bununla birlikte annelerin emzirme dönemlerinde çocukların düzenli diş fırçalama ve ağız hijyeni konularına özen göstermeleri EÇÇ oluşma riskini azaltacaktır.

Anahtar Kelimeler

Anne sütü, Biberon, Emzik, Erken çocukluk çağı çürüğü

Evaluation of the Relationship Between Duration of Breast Feeding, Use of Pacifier, Bottle-feeding and Early Childhood Caries

Öz

Aim: The aim of this study is to investigate the relationship between the duration of breastfeeding, the duration of pacifier and bottle-feeding, the mode of delivery, the child’s tooth brushing habits and the socioeconomic status of the family and early childhood caries (ECC) in children.
Materials and Method: Delivery type, breastfeeding, pacifier use, bottle feeding and brushing frequency of 3-5 aged patients who applied to our department were collected through a questionnaire. dmft values of the patients were recorded. Binary Logistic Regression analysis was used to analyze the independent variables affecting the risk of ECC.
Results: The risk of ECC is higher in bottle feeding for 18-36 months (p<0.05). As the child’s tooth brushing habits increased, the number of ECC decreased (p<0.05). No increased caries risk was found in children with prolonged breastfeeding and pacifier (p>0.05). There was no significant difference in ECC values between cesarean section and vaginal delivery (p>0.05).
Conclusions: Long-term breastfeeding and pacifier don’t increase the risk of ECC; however, attention should be paid not the long-term use of bottle-feeding. Paying attention to regular tooth brushing and oral hygiene during breastfeeding will reduce the risk of ECC.

Anahtar Kelimeler

Bottle-feeding, Breastfeeding, Early childhood caries, Pacifiers

Kaynakça

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