Genç Yetişkinlerde Ağız Bakımı Uygulamaları, Besin Tüketimi ve Diş Çürükleri Arasındaki İlişkinin Değerlendirilmesi

Abstract

Amaç: Diş çürükleri dünya nüfusunun büyük bir bölümünü etkileyen önemli bir halk sağlığı sorunudur. Bu çalışmada genç yetişkinlerde ağız bakımı uygulamaları, gıda tüketimi ve DMFT (D: çürük, M: eksik, F: dolgulu, T: diş) indeksi arasındaki ilişkinin değerlendirilmesi amaçlanmıştır. Gereç ve yöntem: Anket formu ile bireylerin genel özellikleri, ağız bakım uygulamaları, antropometrik ölçümleri ve besin tüketim sıklıkları sorgulanmıştır. Bireylerin çürük, eksik ve dolgulu diş sayıları sorgulanarak DMFT indeksi hesaplanmıştır. Bulgular: Kadınların ortalama DMFT indeksi 2.5±1.6, erkeklerin 2.0±1.6 olup, ortalama DMFT indeksi açısından cinsiyetler arasında anlamlı fark saptanmıştır (p<0,05). Lineer regresyon analizine göre yaş, cinsiyet, diş fırçalama sıklığı, diş muayenesi olma ve sigara içme durumu DMFT indeksi üzerinde etkilidir (R2=0.098; p<0.001). Karyojenik besinlerden bal, reçel, pekmez, hamur işi tatlılar, şeker eklenmiş çay/kahve, meyve suları, asitli içecekler, alkollü içecekler ve paketli gıdalar tüketim sıklığı ile DMFT indeksi arasında pozitif yönde istatistiksel olarak anlamlı korelasyon saptanmıştır (p<0.05). Sonuç: Diş çürüğünün önlenmesinde ağız bakım uygulamaları kadar beslenme alışkanlıkları da önemlidir. Anahtar Kelimeler: Antikaryojenik Besinler, Karyojenik Besinler, DMFT İndeksi, Karyostatik Besinler, Ağız Bakımı

Keywords

• Antikaryojenik Besinler
• Karyojenik Besinler
• DMFT İndeksi
• Karyostatik Besinler
• Ağız Bakımı

Evaluation of the Relationship between Oral Care Practices, Food Consumption and DMFT Index in Young Adults

Abstract

Objective: Dental caries is an important public health problem that affects the majority of the world's population. In this study, it was aimed to evaluate the relationship between oral care practices, food consumption and DMFT index in young adults. Material and Methods: The general characteristics of individuals, oral care practices, anthropometric measurements and food consumption frequencies were questioned with the questionnaire form. The DMFT index was calculated by questioning the number of decayed, missing and filled teeth of the individuals. Results: The mean DMFT index of females was 2.5±1.6, and the mean of DMFT index of males was 2.0±1.6, and a significant difference was determined between the genders in terms of mean DMFT index (p<0.05). According to linear regression analysis, age, gender, frequency of tooth brushing, having a dental examination and smoking status were effective on DMFT index (R2=0.098; p<0.001). A positive statistically significant correlation was found between the frequency of consumption of cariogenic foods such as honey, jam, molasses, pastry desserts, sugar added tea/coffee, fruit juices, acidic beverages, alcoholic beverages and packaged foods and the DMFT index (p<0.05). Conclusion: Nutritional habits are as important as oral care practices in the prevention of dental caries. Keywords: Anticariogenic Foods, Cariogenic Foods, DMFT Index, Karyostatic Foods, Oral Care

Keywords

• Oral Care
• Cariogenic Foods
• Anticariogenic Foods
• Karyostatic Foods
• DMFT Index

References

1. Referans1 AM, G. S., & Nieto, G. (2013). Dental health: relationship between dental caries and food consumption. Nutricion Hospitalaria, 28, 64-71. https://doi.org/10.3305/nh.2013. 28.sup4.6798
2. Referans2 Baniasadi, K., Armoon, B., Higgs, P., Bayat, A. H., Mohammadi Gharehghani, M. A., Hemmat, M., Schroth, R. J. (2021). The association of oral health status and socio‐economic determinants with oral health‐related quality of life among the elderly: A systematic review and meta‐analysis. International Journal of Dental Hygiene, 19(2), 153-165. https://doi.org/10.1111/idh.12489
3. Referans3 Cascaes, A. M., da Silva, N. R. J., dos Santos Fernandez, M., Bomfim, R. A., & dos Santos Vaz, J. (2022). Ultra-processed food consumption and dental caries in children and adolescents: a systematic review and meta-analysis. British Journal of Nutrition, 1-10. https://doi.org/10.1017/ S0007114522002409
4. Referans4 Ceylan, S., Açikel, C. H., Okçu, K. M., Kiliç, S., Tekbas, Ö. F., & Ortakoğlu, K. (2004). Evaluation of the dental health of the young adult male population in Turkey. Military Medicine, 169(11), 885-889. https://doi.org/10.7205/milme d.169.11.885
5. Referans5 Chi, D. L., & Scott, J. M. (2019). Added sugar and dental caries in children: A scientific update and future steps. Dental Clinics of North America, 63(1), 17-33. https://doi.org/10. 1016/j.cden.2018.08.003
6. Referans6 Costacurta, M., Di Renzo, L., Bianchi, A., Fabiocchi, F., De Lorenzo, A., & Docimo, R. (2011). Obesity and dental caries in paediatric patients. A cross-sectional study. European Journal of Paediatric Dentistry, 12(2), 112.
7. Referans7 Galhotra, V., Sofat, A., Dua, H., & Rohila, S. (2014). Anticariogenic and cariostatic potential of components of diet: A review. Indian Journal of Dental Sciences, 6(4). https://doi.org/2231-2293
8. Referans8 Gibson, R. S. (2005). Principles of nutritional assessment (2nd ed., pp.263-64). USA:Oxford University Press.

9. Referans9 Gökalp, S., Doğan, B., Tekçiçek, M., Berberoğlu, A., & Ünlüer, Ş. (2006). Türkiye ağız-diş sağlığı profili 2004. (2nd ed., pp.31-32). Ankara: TC Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Basımevi.
10. Referans10 Imfeld, T. (2008). Nutrition, diet and dental health—de-and remineralisation of teeth. Therapeutische Umschau, 65(2), 69-73. https://doi.org/10.1024/0040-5930.65.2.69
11. Referans11 Kazemi, S., Savabi, G., Khazaei, S., Savabi, O., Esmaillzadeh, A., Keshteli, A. H., & Adibi, P. (2011). Association between food intake and oral health in elderly: SEPAHAN systematic review no. 8. Dental Research Journal, 8(l1), 15.
12. Referans12 Kazemi, H. H., Zadeh, M. Z., Farsam, F., Khafri, S., & Matloubi, N. (2016). Pregnant women's self-report of oral health condition and its relation with oral clinical status. Iranian Journal of Obstetrics, Gynecology and Infertility, 18(186).
13. Referans13 Kesim, S., Çiçek, B., Aral, C. A., Öztürk, A., Mazıcıoğlu, M. M., & Kurtoğlu, S. (2016). Oral health, obesity status and nutritional habits in Turkish children and adolescents: an epidemiological study. Balkan Medical Journal, 33(2), 364-372.
14. Referans14 Kim, S., Park, S., & Lin, M. (2017). Permanent tooth loss and sugar‐sweetened beverage intake in US young adults. Journal of Public Health Dentistry, 77(2), 148-154. https:// doi.org/10.1111/jphd.12192
15. Referans15 Koletsi-Kounari, H., Tzavara, C., & Tountas, Y. (2011). Health-related lifestyle behaviours, socio-demographic characteristics and use of dental health services in Greek adults. Community Dental Health, 28(1), 47-52.
16. Referans16 Lagerweij, M., & van Loveren, C. (2020). Chapter 7: Sugar and Dental Caries. Monographs in Oral Science, 28, 68-76. https://doi.org/10.1159/000455373
17. Referans17 Levin, L., Shpigel, I., & Peretz, B. (2013). The use of a self-report questionnaire for dental health status assessment: a preliminary study. British Dental Journal, 214(5).
18. Referans18 Liliana, H. L., Irina, G., Ion, H., Raluca, J., Carina, B., Adina, A. O., Lăcrămioara, Ș. I. (2019). Correlations between nutritional factors and oro-dental health. Romanian Journal of Medical and Dental Education, 8(12).
19. Referans19 Lula, E. C., Ribeiro, C. C., Hugo, F. N., Alves, C. M., & Silva, A. A. (2014). Added sugars and periodontal disease in young adults: an analysis of NHANES III data. The American Journal of Clinical Nutrition, 100(4), 1182-1187. https:// doi.org/10.3945/ajcn.114.089656
20. Referans20 Mohan, A. (2015). WHO recommends reducing intake of 'free sugars' by adults and children. The National Medical Journal of India, 28(3), 165.
21. Referans21 Moradi, G., Bolbanabad, A. M., Moinafshar, A., Adabi, H., Sharafi, M., & Zareie, B. (2019). Evaluation of oral health status based on the decayed, missing and filled teeth (DMFT) index. Iranian Journal of Public Health, 48(11), 2050. https://doi.org/10.18502/ijph.v48i11.3524
22. Referans22 Moynihan, P. (2016). Sugars and dental caries: evidence for setting a recommended threshold for intake. Advances in Nutrition, 7(1), 149-156. https://doi.org/10.3945/an.115. 009365
23. Referans23 Moynihan, P., Makino, Y., Petersen, P. E., & Ogawa, H. (2018). Implications of WHO guideline on sugars for dental health professionals. Community Dentistry and Oral Epidemiology, 46(1), 1-7. https://doi.org/10.1111/cdoe.12 353
24. Referans24 Moynihan, P. J., & Kelly, S. A. (2014). Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines. Journal of Dental Research, 93(1), 8-18. https:// doi.org/10.1177/0022034513508954
25. Referans25 Murshid, E. Z. (2014). Diet, oral hygiene practices and dental health in autistic children in Riyadh, Saudi Arabia. Oral Health Dental Management, 13(1), 91-96.
26. Referans26 Myers-Wright, N., Cheng, B., Tafreshi, S. N., & Lamster, I. B. (2018). A simple self-report health assessment questionnaire to identify oral diseases. International Dental Journal, 68(6), 428-432.
27. Referans27 World Health Organization. (2017). Sugars and dental caries. Erişim:12.12.2022. https://www.who.int/news-room/fact-sheets/detail/sugars-and-dental-caries
28. Referans28 Peres, M. A., Macpherson, L. M. D., Weyant, R. J., Daly, B., Venturelli, R., Mathur, M. R., Watt, R. G. (2019). Oral diseases: a global public health challenge. Lancet, 394(10194), 249-260. https://doi.org/10.1016/s0140-6736 (19)31146-8
29. Referans29 Petersen, P. E., Bourgeois, D., Bratthall, D., & Ogawa, H. (2005). Oral health information systems--towards measuring progress in oral health promotion and disease prevention. Bulletin of the World Health Organization, 83(9), 686-693.
30. Referans30 Pyle, M. A., & Stoller, E. P. (2003). Oral health disparities among the elderly: interdisciplinary challenges for the future. Journal of Dental Education, 67(12), 1327-1336. https: //doi.org/10.1002/j.0022-0337.2003.67.12.tb03726.x
31. Referans31 Ruottinen, S., Karjalainen, S., Pienihäkkinen, K., Lagström, H., Niinikoski, H., Salminen, M., Simell, O. (2004). Sucrose intake since infancy and dental health in 10-year-old children. Caries Research, 38(2), 142-148. https://doi.org/10.1159/000075938
32. Referans32 Sağlık Bakanlığı. (2021). Türkiye Ağız ve Diş Sağlığı Profili Araştırma Raporu 2018. Erişim:12.12.2022. https:// shgm.saglik.gov.tr/Eklenti/42552/0/tadsppdf.pdf?_tag1=398CC88DDD02EA768C966A034ACC5F05F6CEB732
33. Referans33 Sanz, Á., Nieto, B., & Nieto, E. (2013). Dental health; the relationship between tooth decay and food consumption. Nutricion Hospitalaria, 28(4), 64-71. https://doi.org/ 10.3305/nh.2013.28.sup4.6783
34. Referans34 Shetty, A. (2021). Significance of sugar intake in young adults: a review. International Journal of Adolescent Medicine and Health, 33(6), 375-378. https://doi.org/10.1515/ijamh-2021-0116
35. Referans35 Tsai, A. C., & Chang, T.-L. (2011). Association of dental prosthetic condition with food consumption and the risk of malnutrition and follow-up 4-year mortality risk in elderly Taiwanese. The Journal of Nutrition, Health & Aging, 15(4), 265-270. https://doi.org/10.1007/s12603-010-0299-z
36. Referans36 Walls, A., & Steele, J. (2004). The relationship between oral health and nutrition in older people. Mechanisms of Ageing and Development, 125(12), 853-857. https://doi.org/10. 1016/j.mad.2004.07.011
37. Referans37 Worthington, H. V., & Craven, R. C. (1998). Relationship between the care index and mean dmft/DMFT. Community Dental Health, 15(4), 248-251.
38. Referans38 Zahara, A., Fashihah, M., & Nurul, A. (2010). Relationship between frequency of sugary food and drink consumption with occurrence of dental caries among preschool children in Titiwangsa, Kuala Lumpur. Malaysian Journal of Nutrition, 16(1), 83-90.