Examination of Oral - Dental Health in Twins

Year 2019, Volume: 3 Issue: 1, 20 - 24, 28.06.2019

Nil Ceren Mungan , Ayşen Yarat , Serap Akyüz

https://doi.org/10.35333/ERD.2019.9

Abstract

Abstract

Objectives: Nowadays in pediatric dentistry, a raise in oral-dental health studies in twins, had been observed with the increasing twin births. The aim of this study was to investigate the differences in terms of oral-dental health between twin children and singleton children.

Materials and Methods: A total of 180(105girls, 75 boys)children,120 of them twins and 60 of them singleton, aged 4 to 14 years,were included to the study.All children were healthy.A questionnaire,with 30 items, including the educational level of the parents, age, gender and brushing habits of the children was applied.The df-t /df-s index for primary teeth and DMF-T /DMF-S index ​​for permanent teeth were recorded.Streptococcus Mutans(SM) values ​​of all children were recorded with the help of chairside kits.

Results: In-vitro fertilization(IVF) birth rate was 28.3% in the whole group.Furthermore, 33.3%of the children were monozygotic twins,66.6% of them were dizygotic twins.There were no statistically significant relationship between the DMFT-dft values and daily teeth brushing of children(p>0.05).A statistically significant correlation was found between mothers’ education levels and DMFT values ​​of children(p>0.05).DMFT values ​​of children whose mothers’ were university graduates were found to be significantly lower than those of primary and high school graduates (p>0.05).In the monozygotic group; in SM positive cases,the level of dft-dfs was statistically significantly higher than those of SM negative cases(p<0.05).In dizygotic twins and singleton children;DMFT-DMFS levels were significantly higher in SM positive cases than those of SM negative cases(p<0.05).In singleton children the DMFT-DMFS values were statistically significantly higher than twins whereas there was no statistically difference between monozygotic and dizygotic twins.

Conclusions: As a result of this study, despite that there was no significant difference in teeth brushing habits between twin and singleton children, the SM values ​​and DMFT-DMFS values ​​were found higher in singleton children. Considering the multifactorial dynamics of dental caries formation, many factors such as saliva, nutrition, immune system, as well as oral hygiene habits should be considered as a whole. 

Keywords

Twin children, dental caries, Streptococcus Mutans

Supporting Institution

BAPKO

Project Number

SAG-C-DRP-131217-0649

References

• [1] K. Esra, N. Özalp, Çocuklara Streptokokkus mutans geçişinin değerlendirilmesi: Etkili faktörler ve enfektivite penceresi, Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 25(11) 71-76.
• [2] E. Joury, E. Bernabe, W. Sabbah, K. Nakhleh, K. Gurusamy, Systematic review and meta-analysis of randomised controlled trials on the effectiveness of school-based dental screening versus no screening on improving oral health in children, Journal of dentistry 58 (2017) 1-10.
• [3] E.U. Çelik, D.B. Çelik, U.D.S. Önal, D.A. Örmeci, D.H. Ulutaş, Isparta İlindeki 11-12 Yaşindakİ Çocuklarin Diş Çürüğü Ve Florozis Prevalansinin Değerlendirilmesi, Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 2010(3) (2010) 170-175.
• [4] Y. Okutan, M.B. Dönmez, M.T. Yücel, Sosyoekonomik şartların diş hekimliği öğrencilerinin ağız sağlığına olan etkisi: Anket çalışması, Selcuk Dental Journal 4 (2017) 59-67.
• [5] F.Y. Çakır, S. Gürgan, N. Attar, Çürük mikrobiyolojisi, H Diş Hek Fak Derg 34(3) (2010) 78-91.
• [6] S. Bektaş, M. Turgut, Çocuk Diş Hekimliğinde Çürük Risk Tayini, Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi Dergisi 11(3) (2010) 109-118.
• [7] C.K.-Y. Yiu, N.M. King, An overview of dental caries-preventives approaches for children, Hong Kong Dental Journal 8 (2011) 29-39.
• [8] B. Koçanalı, A.T. Ak, D. Çoğulu, Çocuklarda diş çürüğüne neden olan faktörlerin incelenmesi, Pediatric Research 1(2) (2014) 76-9.
• [9] B. Preethi, D. Reshma, P. Anand, Evaluation of flow rate, pH, buffering capacity, calcium, total proteins and total antioxidant capacity levels of saliva in caries free and caries active children: an in vivo study, Indian Journal of Clinical Biochemistry 25(4) (2010) 425-428.
• [10] D. Bartlett, C. Ganss, A. Lussi, Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs, Clinical oral investigations 12(1) (2008) 65-68.
• [11] M. Bayram, F. Seymen, Diş Çürüğüne Genetik Yaklaşım, Turkiye Klinikleri. Dishekimligi Bilimleri Dergisi 20(2) (2014) 129-135.
• [12] R.A. Jackson, K.A. Gibson, Y.W. Wu, M.S. Croughan, Perinatal outcomes in singletons following in vitro fertilization: a meta-analysis, Obstetrics & Gynecology 103(3) (2004) 551-563.
• [13] E. Karaağaç, Ç. Küçükeşmen, Çocukların ve Ebeveynlerinin Oral Hijyen Alışkanlık (OHA) Düzeylerinin Karşılaştırılması ve Değerlendirilmesi, SDÜ Tıp Fakültesi Dergisi 25(1) (2018) 42-49.
• [14] H.C. Borges, C.A.S. Garbín, O. Saliba, N.A. Saliba, S.A.S. Moimaz, Socio-behavioral factors influence prevalence and severity of dental caries in children with primary dentition, Brazilian oral research 26(6) (2012) 564-570.
• [15] P. Subramaniam, K.G. Babu, B. Vardhana, Assessment of dental caries and oral hygiene status among twins, Journal of Forensic Science and Medicine 4(1) (2018) 18.
• [16] D. Sümer, M. Çetin, A. Yenicesu, A. Yanık, Spontan ve IVF ikiz gebeliklerin obstetrik ve perinatal sonuçlarının karşılaştırılması, Cumhuriyet Medical Journal 35(4) (2013) 526-531.
• [17] A.D. Kulkarni, D.J. Jamieson, H.W. Jones Jr, D.M. Kissin, M.F. Gallo, M. Macaluso, E.Y. Adashi, Fertility treatments and multiple births in the United States, New England Journal of Medicine 369(23) (2013) 2218-2225.