Evaluation of Dental Erosion Prevalence in Primary Teeth of 3-6 Years Old Children Living in

Year 2017, , 194 - 203, 18.12.2017

Volkan Arıkan , Kamile Nur Vapur Aylin Akbay Oba

https://doi.org/10.24938/kutfd.324245

Abstract

Objective: The aim of the present study was to
investigate dental erosion prevalence and risk factors in primary teeth of
children living in Kırıkkale province and to help taking necessary precautions
with early diagnosis.

Materials
and Methods: The study included
300 children between 3-6 years old. A survey, which had 30 questions, was implemented
to each patient and their parents before the clinical examination.  The survey comprised questions related to
socio-demographic data, and some factors that can affect erosion such as
dietary habits, systemic diseases and using medications. The clinical
examination was made by a researcher (K.N.V.) using a mouth mirror under the
reflector Dental erosion was assessed by the Basic Erosive Wear
Examination Index (ΒΕWE), where buccal/facial, occlusal and lingual/palatal
surfaces of all teeth were examined, and the highest score found was recorded
for each sextant. Mann
Whitney U and Kruskal Wallis-H tests were used since the variables were not
normally distributed when the differences between groups were examined.

Results: Erosion prevalence
in the primary teeth of children that were included in the study was 96% in the
present study. At least one surface that was effected by erosion was found in
288 of the patients and 12 of the children did not have erosion in their
primary dentition. Mean total BEWE score was found to be 3.06. The lowest mean
score was in 3 year-olds and the 5 year-olds had the highest mean scores. Total
anterior scores of families those had 2000TL and higher monthly outcome was
lower than those had less monthly outcome. Children without
xerostomia had lower anterior and maxillary BEWE scores when compared to those
did not have xerostomia.

Conclusions: The prevalence of dental erosion in primary
teeth of 3-6 year old children living in Kırıkkale was found to be high.

 

Keywords

Erosion, primary teeth, BEWE

KIRIKKALE İLİNDE YAŞAYAN 3-6 YAŞLARI ARASINDAKİ ÇOCUKLARDA SÜT DİŞİ DENTAL EROZYON PREVALANSININ DEĞERLENDİRİLMESİ

Abstract

Amaç: Bu araştırmanın amacı Kırıkkale’deki çocukların süt dişlerinde dental
erozyonun prevelansını ve risk faktörlerini belirleyerek erken teşhis ile
gerekli önlemlerin alınmasına yardımcı olmaktır.

Gereç ve Yöntem: Çalışmaya, 3-6 yaşları
arasındaki 300 adet çocuk dahil edilmiştir. Klinik muayene öncesinde, 30 soruluk bir anket hasta ve velisine
uygulanmıştır. Anket; hastaya ait sosyodemografik bilgiler, beslenme
alışkanlıkları, sistemik hastalıklar ve kullanılan ilaçlar gibi erozyonda
etkisi olabilecek faktörleri içermektedir. Klinik inceleme reflektör altında,
dental ayna kullanılarak bir araştırmacı (K.N.V) tarafından yapılmıştır. Eroziv
lezyonların değerlendirilmesinde Basic Erosive Wear Examination (B.E.W.E)
skorlama sistemi kullanılmıştır. 6 bölgeden kaydedilen skorlar toplanarak
Toplam BEWE Skoru elde edilmektedir. Çalışmada elde edilen veriler SPSS 20
paket programı ile analiz edilmiştir. Gruplar arasındaki farklılıklar
incelenirken değişkenlerin normal dağılım göstermemesi nedeniyle Mann Whitney U
ve Kruskal Wallis-H Testlerinden yararlanılmıştır.

Bulgular: Araştırmaya dahil edilen çocukların süt dişlerinde erozyon prevelansı %96
olarak tespit edilmiştir. Değerlendirme sonucunda, 288 çocukta dental
erozyondan etkilenmiş en az bir yüzey gözlenirken, 12 çocukta herhangi bir
aşınma tespit edilmemiştir. Toplam BEWE skorunun ortalama değeri 3,06 olarak
hesaplanmış, en düşük ortalama skor 3 yaşındaki çocuklarda, en yüksek ortalama
skor ise 5 yaşındaki çocuklarda gözlenmiştir. Araştırmamızda, sosyoekonomik
durum arasında istatistiksel olarak anlamlı ilişki bulunmuş, sosyoekonomik
düzeyi 2000 TL ve üzerinde olan hastaların toplam anterior skor değerlerinin
1000 TL ve altı ve 1500-2000 TL arasında olanlara göre anlamlı derecede düşük
olduğu gözlenmiştir. Ağız kuruluğu olmayan çocukların Toplam Maksiller Skor
değeri ve Toplam Anterior Skor değeri ağız kuruluğu olanlara göre anlamlı
derecede düşük bulunmuştur (p<0.05).

Sonuç: İç Anadolu bölgesinde yaşayan 3-6 yaş arasındaki çocukların süt
dişlerinde dental erozyon prevelansının yüksek olduğu tespit edilmiştir.

Keywords

Erozyon, süt dişleri, BEWE

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