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

Yıl 2017, , 194 - 203, 18.12.2017

Volkan Arıkan , Kamile Nur Vapur Aylin Akbay Oba

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

Öz

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.

 

Anahtar Kelimeler

Erosion, primary teeth, BEWE

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

Öz

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.

Anahtar Kelimeler

Erozyon, süt dişleri, BEWE

Kaynakça

• 1. Al-Malik MI, Holt RD, Bedi R. The Relationship Between Erosion, Caries and Rampant Caries and Dietary Habits in Preschool Children in Saudi Arabia. Int J Paediatr Dent. 2001;11:430-439
• 2. Ayers KM, Drummond BK, Thomson WM, Kieser JA. Risk indicators for tooth wear in New Zealand school children. Int Dent J. 2002;52(1):41–46
• 3. Bardsley PF .The evolution of tooth wear indices. Clin Oral Invest (in press). 2008.
• 4. Bartlett D, Ganss C, Lussi A. Basic Erosive Wear Examination (BEWE): new scoring system for scientific and clinical needs. Clin Oral Investig. 2008;12(Suppl 1):S65-S68
• 5. Civelek A, Özel E. Dental Erozyon ve Ayırıcı Tanısı. GÜ Dişhek Fak Derg. 2005;22(1):69-74.
• 6. El Aidi H, Bronkkhorst EM, Huysmans MC, Truin GJ. Dynamics of tooth erosion in adolescents: a 3-year longitudinal study. J Dent. 2010;38(2):131-37
• 7. El Aidi H, Bronkkhorst EM, Huysmans MC, Truin GJ. Multifactorial Analysis of Factors Associated with the Incidence and Progression of Erosive Tooth Wear. Caries Res. 2011;45(3):303-12
• 8. Ercan E, Kaya Demirbaş A. Dental Erozyon. İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2013;Cilt:47, Sayı:3 Sayfa:73-82
• 9. Ganss C, Klimek J, Giese K. Dental erosion in children and adolescents: a cross-sectional and longitudinal investigation using study models. Commun Dent Oral Epidemiol. 2001;29 264–271.
• 10. Ganss C, Klimek J, Giese K. Dental erosion in children and adolescents a cross-sectional and longitudinal investigation using study models. Community Dent Oral Epidemiol. 2001;29:264–271
• 11. Ganss C, Lussi A. Diagnosis of Erosive Tooth Wear. Monogr Oral Sci. 2006; 20:32-43
• 12. Gatou T, Mamai-Homata E. Tooth wear in the deciduous dentition of 5-7-year-old children: risk factors. Clin Oral Invest. 2012;16(3):923-33
• 13. Gilmour AG, Beckett HA. The voluntary reflux phenomenon. Br Dent J. 1993;104:178-190
• 14. Harding MA, Whelton H, O’Mullane DM, Cronin M. Dental erosion in 5-year-old Irish school children and associated factors: a pilot study. Community Dent Health. 2003;20(3):165-170
• 15. Holbrook WP, Ganss C. Is diagnosing exposed dentine a suitable tool for grading erosive loss? Clin Oral Invest. 2008;12(Suppl 1):S33–S39 

• 16. Imfeld T. Prevention of Progression of Dental Erosion by Professional and İndividual Prophylactic Measures. Eur J Oral Sci. 1996;104:215-220
• 17. Imfeld T. Dental erosion: Definitions, classification and links. Eur J Oral Sci. 1996;104:151-155
• 18. Johansson A. A cross-cultural study of occlusal tooth wear. Swed Dent J Suppl. 1992;86:1-59
• 19. Johansson AK, Omar R, Carlsson GE, Johansson A. Dental Erosion and its Growing Importance in Clinical Practice:From Past to Present. Int J Dent. 2012; 2012:32907.
• 20. Khan F, Young WG, Law V, Priest J, Daley TJ Cupped Lesion of Early onset Dental Erosion in Young Southeast Queensland Adults. Aust Dent J. 2001;46:100-107
• 21. Lussi A, Jaeggi T, Zero D. The Role of Diet in The Aetiology of Dental Erosion. Caries Res. 2004;38 Suppl 1:S 34-44
• 22. Lussi A, Jaeggi T. Dental Erosion in Children. Monogr Oral Sci. 2006; 20:140-151
• 23. Lussi A, Jaeggi T. Erosion-Diagnosis and Risk Factor. Clin Oral Investig. 2008;12 Suppl 1:S5-13
• 24. Lussi A. Dental erosion clinical diagnosis and case history taking. Eur J Oral Sci. 1996;104:191-198
• 25. Kreulen CM, Van't Spijker A, Rodriguez JM, Bronkhorst EM, Creugers NH, Bartlett DW Systematic review of the prevalence of tooth wear in children and adolescents. Caries Res. 2010;44(2):151–159

• 26. Maden Arat E. Dental Erozyonda Tanı ve Tedavi Yöntemleri. Gülhane Tıp Dergisi. 2012;54:86-91
• 27. Mantonanaki M, Koletsi-Kounari H, Mamai-Homata E, Papaioannou W, Dental erosion prevalence and associated risk indicators among preschool children in Athens, Greece. Clin. Oral. Invest. 2013;17:585–593.
• 28. Nunn JH, Gordon PH, Morris AJ, Pince CM, Walker A. Dental Erosion-Changing Prevalence? A Review of British National Children‘s Surveys. Int J Pediat Dent. 2003;13:98-105
• 29. O’Sullivan EA, Curzon ME. A Comparison of Acidic Dietary Factor in Children with and Without Dental Erosion. ASDC J Dent Child. 2000;67:186-192
• 30. Roberson TM, Sturdevant CM. Sturdevent’s, the Art and Science of Operative Dentistry. 4th ed., Missouri:Mosby, 2002, p.269-306
• 31. Taji S, Seow WK. A Literature Review of Dental Erosion in Children. Australian Dent J. 2010;55:358-367
• 32. Taji S, Seow K, Townsend G, Holcombre T. A controlled study of dental erosion in 2- to 4-year-old twins. Int J Paediatr Dent. 2010;20:400–409
• 33. Tschammler C, Müller-Pflanz C, Attin T, Müller J, Wiegand A. Prevalence and risk factors of erosive tooth wear in 3-6 year old German kindergarten children-A comparison between 2004/05 and 2014/15. J Dent. 2016 Sep;52:45-9. doi: 10.1016/j.jdent.2016.07.003.
• 34. Wiegand A, Muller J, Werner C, Attin T. Prevalence of Erosive Tooth Wear and Associated Risk Factor in 2-7-year-old German Kindergarten Children. Oral Diseases. 2006;12,117-124