ÇOCUK HASTALARDA ERKEN DİŞ KAYBININ YAŞA VE DİŞ GRUBUNA GÖRE İNCELENMESİ

Yıl 2020, Cilt: 47 Sayı: 1-3, 27 - 35, 31.12.2020

Esin Günal , Poyzan Bozkurt

Öz

Amaç: Bu çalışmanın amacı diş çekimi için Ankara Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi AD kliniğine başvuran pediatrik yaş grubundaki hastalarda erken çekimi yapılan süt dişlerinin ve daimi dişlerin grubunu ve çekimin yapıldığı yaşı belirlemektir.
Gereç ve Yöntem: Kasım 2017-Mart 2018 tarihleri arasında diş çekimi için Ankara Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi kliniğine başvuran hastalar kesit-sel olarak incelenmiştir. Başvuran toplam 1536 adet hastadan pediatrik yaş grubuna (0-16 yaş) ait olanlar ayrılmıştır (n=461). Hastaların yaşları ve çekimin yapıldığı diş grupları kaydedilmiştir. Buna göre süt dişleri çekimleri maksiller/mandibuler keser-kanin ve maksil-ler/mandibuler molar olarak 4 grup halinde gruplandırılmıştır. Daimi dişler ise maksiller/mandibuler keser, kanin, premolar ve molar şeklinde ayrılmıştır. Ayrıca diş çekimlerinin normal veya komplike olarak gerçekleşme durumları da kaydedilmiştir. Verilerin istatistik-sel analizi tanımlayıcı istatistik şeklinde gerçekleştirilmiştir.
Bulgular: Erken diş çekiminin en çok 10 yaşında, daha sonra sırasıyla 9 ve 8 yaşlarında ger-çekleştiği belirlenmiştir. Süt dişleri daimi dişlere oranla daha çok kaybedilmiş; sırasıyla süt üst molarlar, süt alt molarlar, süt üst keser-kaninler ve süt alt keser-kaninler şeklinde olmuştur. Daimi dişlerde en sık çekim alt molarlarda gerçekleştirilmiştir. Erken diş kayıpları süt dişlenme için maksillada daha sık meydana gelirken, daimi dişlenme için mandibulada daha fazla görülmüştür.
Sonuç: Toplumda oral hijyen eğitimleri ve farkındalık programlarıyla beraber diş çürüğü-nün önlenmesi ve dental tedavilerin erken dönemde yapılmasının önemi vurgulanarak çocuklarda ve ergenlerde gereksiz diş çekiminin önüne geçilmelidir.

Anahtar Kelimeler

Diş çekimi, Erken kayıp, Pediatrik hasta

Early Tooth Loss in Pediatric Patients: Analysis by Age and Tooth Group

Öz

Aim: The aim of this study is to determine the group of early extracted deciduous teeth and permanent teeth and the age at which the extraction was made among pediatric patients who applied to Ankara University Faculty of Dentistry, Oral and Maxillofacial Surgery Clinic for tooth extraction. Materials and Method: Patients who applied to Ankara University Faculty of Dentistry Oral and Maxillofacial Surgery clinic for tooth extraction between November 2017 and March 2018 were examined cross-sectionally. Of the 1536 patients who applied, those belonging to the pediatric age group (0-16 years) were separated (n=461). The ages of the patients and the tooth groups in which the extraction was made were recorded. Accordingly, deciduous tooth extractions are grouped in 4 groups as maxillary/mandibular incisor-canine and maxillary/mandibular molar. Permanent teeth are divided into maxillary/mandibular incisors, canines, premolar and molars. In addition, the normal or complicated cases of tooth extraction were also recorded. Statistical analysis of the data was carried out as descriptive statistics. Results: It was determined that early tooth extraction occurs mostly at the age of 10, then at the age of 9 and 8, respectively. Deciduous teeth were lost more than permanent teeth, respectively, deciduous upper molars, deciduous lower molars, deciduous upper incisors-canines and deciduous lower incisors-canines. The most frequent extraction of permanent teeth was done in the lower molars. While early tooth loss occurred more frequently in the maxilla for deciduous dentition, it was more common in the mandible for permanent dentition. Conclusion: Unnecessary tooth extraction in children and adolescents should be prevented by emphasizing the importance of preventing tooth decay and early dental treatments with oral hygiene training and awareness programs in the community.

Anahtar Kelimeler

Early loss, Pediatric patient, Tooth extraction

Kaynakça

• 1. Hulland SA, Lucas JO, Wake MA. Eruption of the primary dentition in human infants: A prospective descriptive study. Pediatr Dent 2000; 22: 415-421.
• 2. Mouadian WE, Wehr EJD, Crall JJ. Disparities in children’s oral health and access to dental care. JAMA 2000; 284: 2625-2631.
• 3. Brussola JAC. Ortodontiaclinica. Barcelona, Moia: Sabat Editors, 1989; 508.
• 4. Pedersen J, Stensgaard K, Melsen B. Prevalence of malocclusion in relation to premature loss of primary teeth. Community Dent Oral Epidemiol 1978; 6: 204-209.
• 5. Brothwell DJ. Guidelines on the use of space maintainers following premature loss of primary teeth. J Can Dent Assoc 1997; 63: 753: 757-760, 764-766.
• 6. Ngan P, Alkire RG, Fields H Jr. Management of space problems in the primary and mixed dentitions. J Am Dent Assoc 1999; 130: 1330-1339.
• 7. Owen DG. The incidence and nature of space closure following the premature extraction of deciduous teeth: A literature review. Am J Orthod 1971; 59: 37-49. 8. Kay EJ, Blinkhorn AS. The reasons underlying the extraction of teeth in Scotland. Br Dent J 1986; 160: 287-290.
• 9. George B, John J, Saravanan S, Arumugham IM. Prevalence of permanent tooth loss among children and adults in a suburban area of Chennai. Indian J Dent Res 2011; 22(2): 364.
• 10. Chrysanthakopoulos NA. Reasons for extraction of permanent teeth in Greece: a five-year follow-up study. Int Dent J 2011; 61: 19-24.
• 11. Silva-Junior MF, Sousa ACC, Batista MJ, Sousa MDLR. Oral health condition and reasons for tooth extraction among an adult population (20-64 years old). Cien Saude Colet 2017; 22(8): 2693-2702.
• 12. McDonald RE, Avery DR, Dean JA. Eruption of Teeth: Local, systemic and congenital factors that influence the process. Dent Child Adolesc 2005; 8: 174–202.
• 13. Leite-Cavalcanti A, Menezes SA, Granville-Garcia AF, Correia-Fontes LB. Prevalence of early loss of primary molars: Study retrospective. Acta Sci Health Sci 2008; 30: 139–143.
• 14. Ahamed SS, Reddy VN, Krishnakumar R, Mohan MG, Sugumaran DK, Rao AP. Prevalence of early loss of primary teeth in 5-10-year-old school children in Chidambaram town. Contemp Clin Dent 2012; 3(1): 27-30.
• 15. Olatosi OO, Sote EO. Causes and pattern of tooth loss in children and adolescents in a Nigerian tertiary hospital. Nig Q J Hosp Med 2012; 22(4): 258-262.
• 16. Cardoso L, Zemburski C, Fernandes DS. Evaluation of prevalence of precocious loss of desiduous molars. Braz Res Pediatr Dent Integr Clin 2005; 5: 17-22.
• 17. Kelner N, Rodrigues MJ, Miranda K. Prevelance of early loss of desiduous molars in children attending the FOP/UPE in 2002 and 2003. Dent Clin Sci Recife 2005; 4: 213-218.
• 18. Cavalcanti AL, Alencar CRBD, Bezerra P, Granville-Garcia AF. Prevalence of early loss of primary molars in school children in campina grande, Brazil. Pak Oral Dent J 2008; 28(1): 113-116.
• 19. 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.
• 20. Dosumu OO, Denloye OO. Pattern of permanent tooth loss in Nigerian children and their prosthetic replacement. Afri J Med Med Sci 1999; 28: 31-33.
• 21. Oginni FO. Tooth loss in a sub-urban Nigerian population: causes and pattern of mortality revisited. Int Dent J 2005; 55: 17-23.
• 22. George B, John J, Saravanan S, Arumugham IM. Pattern of permanent tooth loss among children and adults in a suburban area of Chennai. AOSR 2011; 1: 72-78.
• 23. Ashiwaju MO, Folayan MO, Sote EO, Isiekwe MC. Pattern of tooth extraction in children attending tertiary health care centers in Nigeria: a prospective study. J Clin Pediatr Dent 2011; 36: 107-110.
• 24. Andronic AI. (2017). Prevalence of early loss of primary teeth in 6-10 year old school children in Sibiu. Acta Medica Transilvanica 22(4): 128-129.