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Pediatristlerin Çocuklarda Gözlenen Periodontal Hastalıklar ve Ağız Sağlığına İlişkin Bilgi, Tutum ve Farkındalıklarının Değerlendirilmesi

Year 2022, Volume: 9 Issue: 2, 435 - 444, 24.08.2022
https://doi.org/10.15311/selcukdentj.997374

Abstract

Amaç: Pediatrist hekimlerin dental ve periodontal hastalıkların teşhisi, tedavisi ve koruyucu ağız sağlığı hakkında bilgi sahibi olması, hastalara bu bilgiyi doğru aktarabilmesi ve hastalarını teşvik edebilmesi çocukların ağız sağlığının dolayısı ile genel sağlıklarının korunmasında önem arz etmektedir. Bu anket esaslı kesitsel çalışmanın amacı pediatrist hekimlerin çocukların ağız sağlığı ve periodontal hastalıklar ile ilgili bilgi ve tutumlarını değerlendirmektir.
Gereç ve Yöntem: Bu çalışmaya 129 pediatrist hekim (80 kadın, 49 erkek; yaş ort:37,87 ± 8,21) katıldı. Katılımcılara yaş, cinsiyet, mesleki bilgileri, periodontal hastalıklar ve ağız sağlığına ilişkin bilgileri ve klinik uygulama rutinleri hakkında 20 sorudan oluşan bir anket yönlendirildi. Verilerin değerlendirilmesinde Pearson Ki-Kare, Fisher-Freeman-Halton, Kruskal Wallis ve Dunn-Bonferroni testleri kullanıldı.
Bulgular: Çalışma sonuçlarına göre, %62,8 pediatrist dişlerle birlikte periodontal sağlığı değerlendirmektedir ve bu değerlendirmeyi yapan kadın doktor sayısı erkek doktorlardan daha fazladır (p<0,05). Hekimlerin %58,9’u diş fırçalamayı ilk süt dişi çıktığında önermekle beraber; %34,1’i diş fırçalama ile birlikte diş ipi kullanımını tavsiye etmektedir. Hekimlerin %54,3’ü ilk diş hekimine ziyaretini 2,5-3 yaş aralığında önermektedir. Hekimlerin büyük bir kısmı (%88,4) periodontal hastalıklar konusunda daha fazla bilgiye ihtiyaç duymaktadırlar.
Sonuç: Pediatrist hekimler için ağız sağlığı bilgilendirme programlarının geliştirilmesi ve böylece periodontal sağlık ve ağız sağlığı konusunda çocuk doktorlarının bilgi ve farkındalıklarının arttırılması periodontal hastalıkların teşhisi, tedavisi ve önlenmesinde önemli bir basamak olacaktır.

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References

  • 1. American Academy of Pediatrics. Maintaining and improving the oral health of young children. Pediatrics 2014;134(6):1224-1229.
  • 2. Lopez R, Fernandez O, Baelum V. Social gradients in periodontal diseases among adolescents. Community Dent Oral Epidemiol 2006;34(3):184-196.
  • 3. Pari A, Ilango P, Subbareddy V, Katamreddy V, Parthasarthy H. Gingival diseases in childhood - a review. J Clin Diagn Res 2014;8(10):ZE01-04.
  • 4. Bimstein E, Huja PE, Ebersole JL. The potential lifespan impact of gingivitis and periodontitis in children. J Clin Pediatr Dent 2013;38(2):95-99.
  • 5. Hale KJ. American Academy of Pediatrics Section on Pediatric D. Oral health risk assessment timing and establishment of the dental home. Pediatrics 2003;111(5 Pt 1):1113-1116.
  • 6. American Academy of Pediatric Dentistry. Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents. Pediatr Dent 2018;40(6):194-204.
  • 7. Akyıldız MB, Doğusal G, Sönmez I. Aydın ve İzmir İllerindeki Pediatristlerin Ağız-Diş Sağlığı Hakkındaki Bilgilerinin Araştırılması. The Journal of Pediatric Research 2015;2(1):21-5.
  • 8. Arıkan V, Tuğba S, Yelken N, Döğer C. Pediatristlerin Ağiz Ve Diş Sağliği Konusundaki Bilgi Düzeylerinin Değerlendirilmesi. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 2018; 20(1): 73-83.
  • 9. Sezer RG, Paketci C, Bozaykut A. Paediatricians' awareness of children's oral health: Knowledge, training, attitudes and practices among Turkish paediatricians. Paediatrics & child health 2013;18:15-9.
  • 10. Goyal A, Nishant, Morankar R, Gauba K, Jaiswal M. Awareness among pediatricians regarding oral health care in children including those with special health care needs: A cross- sectional survey. J Family Med Prim Care 2020;9(8):4151-4155.
  • 11. Hadjipanayis A, Grossman Z, Del Torso S, Michailidou K, Van Esso D, Cauwels R. Oral health training, knowledge, attitudes and practices of primary care paediatricians: a European survey. Eur J Pediatr.2018;177(5):675-681.
  • 12. Indira MD, Dhull KS, Nandlal B. Knowledge, Attitude and Practice toward Infant Oral Healthcare among the Pediatricians of Mysore: A Questionnaire Survey. Int J Clin Pediatr Dent 2015;8(3):211-214.
  • 13. Wagner Y, Heinrich-Weltzien R. Pediatricians' oral health recommendations for 0- to 3-year-old children: results of a survey in Thuringia, Germany. BMC Oral Health 2014;14:44.
  • 14. American Academy of Pediatrics. Preventive oral health intervention for pediatricians. Pediatrics 2008;122(6):1387-1394.
  • 15. Zimmer S, Didner B, Roulet JF. Clinical study on the plaque-removing ability of a new triple-headed toothbrush. J Clin Periodontol 1999;26(5):281-285.
  • 16. Dickson-Swift V, Kenny A, Gussy M, McCarthy C, Bracksley-O'Grady S. The knowledge and practice of pediatricians in children's oral health: a scoping review. BMC Oral Health 2020;20(1):211.
  • 17. Bottenberg P, Van Melckebeke L, Louckx F, Vandenplas Y. Knowledge of Flemish paediatricians about children's oral health--results of a survey. Acta Paediatr 2008;97(7):959-963.
  • 18. Brickhouse TH, Unkel JH, Kancitis I, Best AM, Davis RD. Infant oral health care: a survey of general dentists, pediatric dentists, and pediatricians in Virginia. Pediatr Dent 2008;30(2):147-153.
  • 19. Herndon JB, Tomar SL, Lossius MN, Catalanotto FA. Preventive oral health care in early childhood: knowledge, confidence, and practices of pediatricians and family physicians in Florida. J Pediatr 2010;157(6):1018-1024 e1011-1012.
  • 20. Virdi M, M Kaur, S Mittal. Pediatricians Take On Oral Health Care Of Children. The Internet Journal of Pediatrics and Neonatology 2010;(13):1.
  • 21. American Academy of Periodontology. Parameter on plaque‐induced gingivitis. J Periodontol 2000;71(5):851–852.
  • 22. Nagy P, Kover K, Gera I, Horvath A. [Evaluation of the efficacy of powered and manual toothbrushes in preventing oral diseases (Systematic review with meta-analysis)]. Fogorv Sz 2016;109(1):3-22.
  • 23. Surtel A, Klepacz R, Wysokinska-Miszczuk J. [The influence of breathing mode on the oral cavity]. Pol Merkur Lekarski 2015;39(234):405-407. 24. Aslanova M, Ali R, Zito PM. Herpetic Gingivostomatitis. In: StatPearls. Treasure Island (FL) 2021.
  • 25. Taieb A, Diris N, Boralevi F, Labreze C. [Herpes simplex in children. Clinical manifestations, diagnostic value of clinical signs, clinical course]. Ann Dermatol Venereol 2002;129(4 Pt 2):603-608.
  • 26. Butler RT, Kalkwarf KL, Kaldahl WB. Drug-induced gingival hyperplasia: phenytoin, cyclosporine, and nifedipine. J Am Dent Assoc 1987;114(1):56-60.
  • 27. Caufield PW, Cutter GR, Dasanayake AP. Initial acquisition of mutans streptococci by infants: evidence for a discrete window of infectivity. J Dent Res 1993;72(1):37-45.
  • 28. Dasanayake AP, Wiener HW, Li Y, Vermund SH, Caufield PW. Lack of effect of chlorhexidine varnish on Streptococcus mutans transmission and caries in mothers and children. Caries Res 2002;36(4):288-293.
  • 29. Murthy GA, Mohandas U. The knowledge, attitude and practice in prevention of dental caries amongst pediatricians in Bangalore: a cross-sectional study. J Indian Soc Pedod Prev Dent 2010;28(2):100-103.
  • 30. Aaltonen AS, Tenovuo J. Association between mother-infant salivary contacts and caries resistance in children: a cohort study. Pediatr Dent 1994;16(2):110-116.
  • 31. Brambilla E, Felloni A, Gagliani M, Malerba A, Garcia-Godoy F, Strohmenger L. Caries prevention during pregnancy: results of a 30-month study. J Am Dent Assoc 1998;129(7):871-877.
  • 32. Walsh T, Worthington HV, Glenny AM, Appelbe P, Marinho VC, Shi X. Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2010(1):CD007868.
  • 33. American Academy of Pediatric Dentistry. Fluoride therapy. The Reference Manual of Pediatric Dentistry. Chicago, III.: American Academy of Pediatric Dentistry 2020:288-91.
  • 34. Balaban R, Aguiar CM, da Silva Araujo AC, Dias Filho EB. Knowledge of paediatricians regarding child oral health. Int J Paediatr Dent 2012;22(4):286-291.
  • 35. Kim Seow W. Environmental, maternal, and child factors which contribute to early childhood caries: a unifying conceptual model. Int J Paediatr Dent 2012;22(3):157-168.
  • 36. Palmer CA, Kent R, Jr., Loo CY, et al. Diet and caries-associated bacteria in severe early childhood caries. J Dent Res 2010;89(11):1224-1229.
  • 37. Plonka KA, Pukallus ML, Barnett AG, Holcombe TF, Walsh LJ, Seow WK. A longitudinal case-control study of caries development from birth to 36 months. Caries Res 2013;47(2):117-127.
  • 38. Tinanoff N, Reisine S. Update on early childhood caries since the Surgeon General's Report. Acad Pediatr 2009;9(6):396-403.
  • 39. Twetman S, Dhar V. Evidence of Effectiveness of Current Therapies to Prevent and Treat Early Childhood Caries. Pediatr Dent 2015;37(3):246-253.
  • 40. ten Cate JM. Models and role models. Caries Res 2015;49 Suppl 1:3-10.
  • 41. Zaura E, Twetman S. Critical Appraisal of Oral Pre- and Probiotics for Caries Prevention and Care. Caries Res 2019;53(5):514-526.
  • 42. Sen-Tunc E, Acikel H, Sonmez IS, Bayrak S, Tuloglu N. Eruption cysts: A series of 66 cases with clinical features. Med Oral Patol Oral Cir Bucal 2017;22(2):e228-e232.
  • 43. Pachonski M, Jarosz-Chobot P, Koczor-Rozmus A, Lanowy P, Mocny-Pachonska K. Dental caries and periodontal status in children with type 1 diabetes mellitus. Pediatr Endocrinol Diabetes Metab.2020;26(1):39-44.
  • 44. Lewis CW, Boulter S, Keels MA, Krol DM, Mouradian WE, O'Connor KG et al. Oral health and pediatricians: results of a national survey. Acad Pediatr 2009;9(6):457-461.
Year 2022, Volume: 9 Issue: 2, 435 - 444, 24.08.2022
https://doi.org/10.15311/selcukdentj.997374

Abstract

Project Number

destekleyen kurum bulunmamaktadır.

References

  • 1. American Academy of Pediatrics. Maintaining and improving the oral health of young children. Pediatrics 2014;134(6):1224-1229.
  • 2. Lopez R, Fernandez O, Baelum V. Social gradients in periodontal diseases among adolescents. Community Dent Oral Epidemiol 2006;34(3):184-196.
  • 3. Pari A, Ilango P, Subbareddy V, Katamreddy V, Parthasarthy H. Gingival diseases in childhood - a review. J Clin Diagn Res 2014;8(10):ZE01-04.
  • 4. Bimstein E, Huja PE, Ebersole JL. The potential lifespan impact of gingivitis and periodontitis in children. J Clin Pediatr Dent 2013;38(2):95-99.
  • 5. Hale KJ. American Academy of Pediatrics Section on Pediatric D. Oral health risk assessment timing and establishment of the dental home. Pediatrics 2003;111(5 Pt 1):1113-1116.
  • 6. American Academy of Pediatric Dentistry. Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents. Pediatr Dent 2018;40(6):194-204.
  • 7. Akyıldız MB, Doğusal G, Sönmez I. Aydın ve İzmir İllerindeki Pediatristlerin Ağız-Diş Sağlığı Hakkındaki Bilgilerinin Araştırılması. The Journal of Pediatric Research 2015;2(1):21-5.
  • 8. Arıkan V, Tuğba S, Yelken N, Döğer C. Pediatristlerin Ağiz Ve Diş Sağliği Konusundaki Bilgi Düzeylerinin Değerlendirilmesi. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 2018; 20(1): 73-83.
  • 9. Sezer RG, Paketci C, Bozaykut A. Paediatricians' awareness of children's oral health: Knowledge, training, attitudes and practices among Turkish paediatricians. Paediatrics & child health 2013;18:15-9.
  • 10. Goyal A, Nishant, Morankar R, Gauba K, Jaiswal M. Awareness among pediatricians regarding oral health care in children including those with special health care needs: A cross- sectional survey. J Family Med Prim Care 2020;9(8):4151-4155.
  • 11. Hadjipanayis A, Grossman Z, Del Torso S, Michailidou K, Van Esso D, Cauwels R. Oral health training, knowledge, attitudes and practices of primary care paediatricians: a European survey. Eur J Pediatr.2018;177(5):675-681.
  • 12. Indira MD, Dhull KS, Nandlal B. Knowledge, Attitude and Practice toward Infant Oral Healthcare among the Pediatricians of Mysore: A Questionnaire Survey. Int J Clin Pediatr Dent 2015;8(3):211-214.
  • 13. Wagner Y, Heinrich-Weltzien R. Pediatricians' oral health recommendations for 0- to 3-year-old children: results of a survey in Thuringia, Germany. BMC Oral Health 2014;14:44.
  • 14. American Academy of Pediatrics. Preventive oral health intervention for pediatricians. Pediatrics 2008;122(6):1387-1394.
  • 15. Zimmer S, Didner B, Roulet JF. Clinical study on the plaque-removing ability of a new triple-headed toothbrush. J Clin Periodontol 1999;26(5):281-285.
  • 16. Dickson-Swift V, Kenny A, Gussy M, McCarthy C, Bracksley-O'Grady S. The knowledge and practice of pediatricians in children's oral health: a scoping review. BMC Oral Health 2020;20(1):211.
  • 17. Bottenberg P, Van Melckebeke L, Louckx F, Vandenplas Y. Knowledge of Flemish paediatricians about children's oral health--results of a survey. Acta Paediatr 2008;97(7):959-963.
  • 18. Brickhouse TH, Unkel JH, Kancitis I, Best AM, Davis RD. Infant oral health care: a survey of general dentists, pediatric dentists, and pediatricians in Virginia. Pediatr Dent 2008;30(2):147-153.
  • 19. Herndon JB, Tomar SL, Lossius MN, Catalanotto FA. Preventive oral health care in early childhood: knowledge, confidence, and practices of pediatricians and family physicians in Florida. J Pediatr 2010;157(6):1018-1024 e1011-1012.
  • 20. Virdi M, M Kaur, S Mittal. Pediatricians Take On Oral Health Care Of Children. The Internet Journal of Pediatrics and Neonatology 2010;(13):1.
  • 21. American Academy of Periodontology. Parameter on plaque‐induced gingivitis. J Periodontol 2000;71(5):851–852.
  • 22. Nagy P, Kover K, Gera I, Horvath A. [Evaluation of the efficacy of powered and manual toothbrushes in preventing oral diseases (Systematic review with meta-analysis)]. Fogorv Sz 2016;109(1):3-22.
  • 23. Surtel A, Klepacz R, Wysokinska-Miszczuk J. [The influence of breathing mode on the oral cavity]. Pol Merkur Lekarski 2015;39(234):405-407. 24. Aslanova M, Ali R, Zito PM. Herpetic Gingivostomatitis. In: StatPearls. Treasure Island (FL) 2021.
  • 25. Taieb A, Diris N, Boralevi F, Labreze C. [Herpes simplex in children. Clinical manifestations, diagnostic value of clinical signs, clinical course]. Ann Dermatol Venereol 2002;129(4 Pt 2):603-608.
  • 26. Butler RT, Kalkwarf KL, Kaldahl WB. Drug-induced gingival hyperplasia: phenytoin, cyclosporine, and nifedipine. J Am Dent Assoc 1987;114(1):56-60.
  • 27. Caufield PW, Cutter GR, Dasanayake AP. Initial acquisition of mutans streptococci by infants: evidence for a discrete window of infectivity. J Dent Res 1993;72(1):37-45.
  • 28. Dasanayake AP, Wiener HW, Li Y, Vermund SH, Caufield PW. Lack of effect of chlorhexidine varnish on Streptococcus mutans transmission and caries in mothers and children. Caries Res 2002;36(4):288-293.
  • 29. Murthy GA, Mohandas U. The knowledge, attitude and practice in prevention of dental caries amongst pediatricians in Bangalore: a cross-sectional study. J Indian Soc Pedod Prev Dent 2010;28(2):100-103.
  • 30. Aaltonen AS, Tenovuo J. Association between mother-infant salivary contacts and caries resistance in children: a cohort study. Pediatr Dent 1994;16(2):110-116.
  • 31. Brambilla E, Felloni A, Gagliani M, Malerba A, Garcia-Godoy F, Strohmenger L. Caries prevention during pregnancy: results of a 30-month study. J Am Dent Assoc 1998;129(7):871-877.
  • 32. Walsh T, Worthington HV, Glenny AM, Appelbe P, Marinho VC, Shi X. Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2010(1):CD007868.
  • 33. American Academy of Pediatric Dentistry. Fluoride therapy. The Reference Manual of Pediatric Dentistry. Chicago, III.: American Academy of Pediatric Dentistry 2020:288-91.
  • 34. Balaban R, Aguiar CM, da Silva Araujo AC, Dias Filho EB. Knowledge of paediatricians regarding child oral health. Int J Paediatr Dent 2012;22(4):286-291.
  • 35. Kim Seow W. Environmental, maternal, and child factors which contribute to early childhood caries: a unifying conceptual model. Int J Paediatr Dent 2012;22(3):157-168.
  • 36. Palmer CA, Kent R, Jr., Loo CY, et al. Diet and caries-associated bacteria in severe early childhood caries. J Dent Res 2010;89(11):1224-1229.
  • 37. Plonka KA, Pukallus ML, Barnett AG, Holcombe TF, Walsh LJ, Seow WK. A longitudinal case-control study of caries development from birth to 36 months. Caries Res 2013;47(2):117-127.
  • 38. Tinanoff N, Reisine S. Update on early childhood caries since the Surgeon General's Report. Acad Pediatr 2009;9(6):396-403.
  • 39. Twetman S, Dhar V. Evidence of Effectiveness of Current Therapies to Prevent and Treat Early Childhood Caries. Pediatr Dent 2015;37(3):246-253.
  • 40. ten Cate JM. Models and role models. Caries Res 2015;49 Suppl 1:3-10.
  • 41. Zaura E, Twetman S. Critical Appraisal of Oral Pre- and Probiotics for Caries Prevention and Care. Caries Res 2019;53(5):514-526.
  • 42. Sen-Tunc E, Acikel H, Sonmez IS, Bayrak S, Tuloglu N. Eruption cysts: A series of 66 cases with clinical features. Med Oral Patol Oral Cir Bucal 2017;22(2):e228-e232.
  • 43. Pachonski M, Jarosz-Chobot P, Koczor-Rozmus A, Lanowy P, Mocny-Pachonska K. Dental caries and periodontal status in children with type 1 diabetes mellitus. Pediatr Endocrinol Diabetes Metab.2020;26(1):39-44.
  • 44. Lewis CW, Boulter S, Keels MA, Krol DM, Mouradian WE, O'Connor KG et al. Oral health and pediatricians: results of a national survey. Acad Pediatr 2009;9(6):457-461.
There are 43 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research
Authors

Sibel Kayaaltı-yüksek 0000-0001-5817-540X

Sinem Yıldırım 0000-0002-8647-0534

Project Number destekleyen kurum bulunmamaktadır.
Publication Date August 24, 2022
Submission Date September 18, 2021
Published in Issue Year 2022 Volume: 9 Issue: 2

Cite

Vancouver Kayaaltı-yüksek S, Yıldırım S. Pediatristlerin Çocuklarda Gözlenen Periodontal Hastalıklar ve Ağız Sağlığına İlişkin Bilgi, Tutum ve Farkındalıklarının Değerlendirilmesi. Selcuk Dent J. 2022;9(2):435-44.