Türkiye'de Geçici Koruma Altındaki Suriyeli Ergen ve Genç Yetişkinlere sunulan Restoratif Diş Tedavileri: 5 Yıllık Karşılaştırmalı Retrospektif Araştırma

Öz

Amaç: Türkiye, Suriye Göç Krizi’nin başladığı 2011 yılından bu yana Suriyelilere açık kapı politikası uygulamakta ve geçici koruma kimlik belgesi ile ağız ve diş tedavisi hizmetleri sunmaktadır. Bu çalışma, Bursa ilinde 2017-2021 yılları arasında Suriyeli ve Türk ergenler ile genç yetişkinlerin restoratif diş tedavilerini değerlendirmeyi ve karşılaştırmayı amaçlamıştır. Yöntemler: Mevcut retrospektif çalışmanın verileri, Ocak 2017 ile Eylül 2021 tarihleri arasında Bursa Ağız ve Diş Sağlığı Eğitim ve Araştırma Hastanesi'nden elde edilmiş ve tedavi kodları, yaş [erken ergenlik (10-15 yaş), geç ergenlik (16-19 yaş) ve genç yetişkinler (20-24 yaş)], cinsiyet, uyruk (Türk vatandaşları ve geçici koruma kimlik belgesine sahip Suriyeliler), diş hekimi randevu tarihi ve restoratif tedavi türleri analiz edilmiştir. Bulgular: Tüm restoratif tedavilerin (n=174657) %4,26'sının Suriyeli hastalara (n=2993) uygulandığı tespit edilmiştir. Suriyelilere yönelik arka grup dişlerde (posterior) çok yüzlü amalgam (%33,4) ve ön grup (anterior) kompozitlerin (%25,3) grup içi yüzdeleri, Türklere kıyasla (sırasıyla %31,8 ve %18,5) anlamlı derecede yüksek bulunmuştur (p<0,001). Restoratif tedavilerin yaşa göre dağılımı Suriyeliler ve Türklerde benzer tespit edilmiştir (p=0,782). Suriyeliler ve Türklere sunulan restoratif tedaviler 2020 yılında (COVID-19 salgını sırasında) sırasıyla %76,5 ve %80,0 oranında keskin bir düşüş göstermiştir. Suriyeli ve Türk kadın hastalar (OR: 1,17, %95 GA: 1,13-1,20), geç ergenler ve genç yetişkinler (OR: 1,33, %95 GA: 1,27-1,38) diğer gruplara kıyasla yılda 1’den fazla diş hekimi ziyaretinde bulunmuştur (p<0.001). Sonuç: Suriyelilere daha yüksek oranda sunulduğu tespit edilen posterior çok yüzlü amalgam ve anterior kompozit restorasyonlar, diş çürüğünün yaygın/geniş ve ilerlemiş olduğuna işaret etmekte ve kötü ağız hijyenini göstermektedir.

Anahtar Kelimeler

• Ağız ve Diş sağlığı araştırmaları
• ergen
• genç yetişkin
• Suriye
• mülteci

Restorative Dental Care of Syrian Adolescents and Young Adults with Temporary Protection Identity in Türkiye: A 5-Year Comparative Retrospective Survey

Öz

Objectives: Türkiye has implemented an open-door policy for Syrians since the beginning of the Syrian crisis in 2011 and has been providing dental services via temporary protection identity. This study aimed to assess and compare the restorative dental treatments of Syrian and Turkish adolescents and young adults during 2017-2021 in Bursa City, Türkiye. Methods: Data of present retrospective study were extracted from the Bursa Oral and Dental Health Training and Research Hospital between January 2017 and September 2021 and reviewed by procedure codes, age [early adolescence (10-15 years), late adolescence (16-19 years), and young adults (20-24 years)], sex, nationality (Turkish citizens and Syrians with temporary protection IDs), date of dental appointment, and type restorative treatments. Results: Of all restorative treatments (n=174,657), 4.26% were administered to Syrian patients (n=2993). The intra-group percentages of posterior multi-surface amalgam (33.4%) and anterior composites (25.3%) delivered to the Syrians were significantly higher than those to the Turkish (31.8% and 18.5%, respectively) (p<0.001). Distribution of the restorative treatments by age was similar (p=0.782) in Syrians and Turkish. There was a sharp decrease of 76.5% and 80.0% observed in restorative treatments for Syrians and Turkish, respectively, in 2020. Syrian and Turkish female patients (OR: 1.17, 95% CI: 1.13-1,20), late adolescents, and young adults (OR: 1.33, 95% CI: 1.27-1.38) were more likely to have dental visit>1/year. Conclusion: Posterior multi-surface amalgam and anterior composite restorations, which were found to be at a higher rate in Syrians, indicate extensive/severe dental caries and poor oral hygiene.

Anahtar Kelimeler

• dental health survey
• adolescent
• young adult
• Syria
• refugees

Kaynakça

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