Şiddetli Erken Çocukluk Çağı Çürüğü ve Demir Eksikliği Anemisi İlişkisi

Öz

Erken çocukluk çağı çürüklerinin agresif formunda özellikle düşük sosyoekonomik duruma bağlı olarak ağrı, enfeksiyon, çiğnemede zorluk sonucu beslenme yetersizliği görülmektedir. Beslenme yetersizliğine bağlı olarak demir eksikliği anemisi gelişmekte ve çocuğun yaşam kalitesini önemli ölçüde etkilenmektedir. Diş hekimleri özellikle küçük çocuklarda diş çürüğü gelişimini önlemek için koruyucu uygulamalara önem vermelidir. Bu çalışmanın amacı şiddetli erken çocukluk çağı çürükleri ile demir eksikliği anemisi arasındaki ilişkiyi güncel literatüre dayanarak ortaya koymaktır. Erken çocukluk çağı çürükleri ile demir eksikliği anemisi arasındaki ilişkiyi değerlendirmek için literatür taraması yapılmıştır. Bu amaçla PubMed, Google Scholar, SpingerLink, Web of Science, Elsevier ScienceDirect, Scopus elektronik veri tabanlarında indekslenen makalelere “early childhood caries” ve “iron deficiency anemia” anahtar kelimeleri kullanılarak erişim sağlanmış ve değerlendirme yapılmıştır. Literatürdeki çalışmalarda özellikle şiddetli erken çocukluk çağı çürükleri olan çocukların çürüksüz kontrol grubuna göre düşük ferritin ve hemoglobin düzeyleri sonucu demir eksikliği anemisine daha yatkın olduğu bildirilmektedir. Buna dayanarak şiddetli erken çocukluk çağı çürüklerinin çocuklarda malnütrisyon ve demir eksikliğine bağlı anemi için risk faktörü oluşturduğu sonucuna ulaşılmıştır. Diş hekimleri ve pediatristler demir içeren gıdaların tüketimi konusunda ebeveynlere önerilerde bulunmalıdır. Ayrıca demir eksikliği anemisi riskini azaltmak için erken çocukluk çağı çürüklerini önlemeye yönelik stratejiler geliştirilmelidir. Bu konu ile ilgili yetersiz beslenme durumu, yaşam tarzı ve sosyoekonomik risk faktörlerini incelemek için daha fazla çalışmaya ihtiyaç vardır.

Anahtar Kelimeler

• demir eksikliği anemisi
• erken çocukluk çağı çürüğü
• malnütrisyon

The Relationship of Severe Early Childhood Caries and Iron Deficiency Anemia

Öz

In the aggressive form of early childhood caries, especially due to low socioeconomic status, are observed nutritional deficiencies as a result of pain, infection, difficulty in chewing. Iron deficiency anemia develops due to nutritional deficiency and affects the quality of life of the child significantly. Dentists should attach importance to preventive practices to avoid the development of dental caries, especially in young children. The aim of this study is to reveal the relationship between severe early childhood caries and iron deficiency anemia based on the current literature. A literature review was conducted to evaluate the relationship between early childhood caries and iron deficiency anemia. For this purpose, the articles indexed in PubMed, Google Scholar, SpingerLink, Web of Science, Elsevier ScienceDirect, Scopus electronic databases were accessed and evaluated using the keywords "early childhood caries" and "iron deficiency anemia". In studies in the literature, it has been reported that children with especially severe early childhood caries are more prone to iron deficiency anemia as a result of low ferritin and hemoglobin levels compared to the control group without caries. Based on this, it was concluded that severe early childhood caries constitutes a risk factor for malnutrition and iron deficiency anemia in children. Dentists and pediatricians should advise parents on the consumption of foods containing iron. In addition, strategies to prevent early childhood caries should be developed to reduce the risk of iron deficiency anemia. More studies are needed to examine the malnutrition status, lifestyle and socioeconomic risk factors related to this issue.

Anahtar Kelimeler

• iron deficiency anemia
• early childhood caries
• malnutrition

Kaynakça

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