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

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

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