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Amaç: Bu çalışmanın amacı, Trabzon ilindeki anaokullarında öğrenimine devam etmekte olan 1083 okul öncesi çocuğun çürük (decayed) kayıp (missing) dolgulu (filled) diş (teeth) (dmf-t) indeks değerlerinin yaş, cinsiyet, sosyoekonomik durum, ağız sağlığı alışkanlıkları ve beslenme gibi çeşitli risk faktörleri ile olan ilişkisini değerlendirmektir. Gereç ve Yöntem: Biri özel olmak üzere sekiz anaokulunda öğrenimine devam etmekte olan 3-6 yaş arası çocuklar bu araştırmaya dahil edildi. Gerekli verilerin elde edilebilmesi için çocukların beslenme ve ağız sağlığı alışkanlıkları ile ilişkili soruları içeren anket formları velilere gönderildi. Çocukların ağız içi muayeneleri Dünya Sağlık Örgütü (WHO) kriterlerine göre, gün ışığında ayna ve sond yardımıyla yapılarak dmf-t indeksleri kayıt altına alındı. Araştırmada elde edilen tüm veriler ki-kare testi uygulanarak hesaplandı. Akabinde istatistiksel olarak anlamlı bulunan verilere lojistik regresyon analizi yapıldı. Bulgular: Yapılan değerlendirmeler sonucunda, erken çocukluk çağı çürüğü (EÇÇ) ve şiddetli erken çocukluk çağı çürüğü (Ş-EÇÇ) prevalansları sırasıyla %63,1 ve 20,4 olarak tespit edildi. Ortalama dmf-t değeri 2,95±3,60 olarak bulundu. EÇÇ prevalansının ve ortalama dmf-t skorunun yaşla beraber anlamlı şekilde arttığı görüldü. EÇÇ sıklığının altı aydan fazla anne sütü alanlarda, dişlerini hiç fırçalamayanlarda ve daha önce hiç diş hekimine gitmeyen çocuklarda daha yüksek olduğu belirlendi. Yoğurt ve peynir tüketiminin ise çocuklarda diş çürüğünü önlemede ve çürüğün şiddetini azaltmada istatistiksel olarak önemli olduğu saptandı. Sonuç: Trabzon İlindeki okul öncesi çocuklardaki çürük prevalansının çok yüksek olduğu görüldü. Bir topluluğun dental tedavi ihtiyacının tespitinde gerekli olan en önemli bilgiler dmf-t indeksleri, ağız sağlığı alışkanlıkları, beslenme ve sosyodemografik unsurlardan elde edilmektedir. Bu yönde yapılan araştırmalar ile ağız sağlığı konusunda bilgi düzeyinin artmasına ve ebeveynlerin bilinçlendirilmesine katkıda bulunulabilir. Anahtar kelimeler: Erken çocukluk çağı çürüğü, okul öncesi çocuklar, çürük sıklığı, EÇÇ Prevalence of Early Childhood Caries and Associated Risk Factors among 3-6-year-old Children in Trabzon ABSTRACT Aim: The aim of this survey is to evaluate the relationship between dmf-t index and various risk factors such as age, gender, socioeconomic status, nutrition and oral health habits of 1083 preschool children who have been attending the preschools in Trabzon. Material and Methods: Children, ages between 3 and 6 years old from 7 state schools and 1 private school, have been included for this research. Questionnaires were used to collect the necessary data. Children were examined using an intraoral mirror and a probe in a day light. The chi-square test was used to analyze data. In addition, multivariable logistic regression analysis was performed to evaluate the magnitude of the relationship between dental caries and its associated risk factors. Results: The results revealed that the prevalence of ECC in preschool children was 63.1% and that of S-ECC was 20.4%. The mean dmf-t score was found to be 2.95 ± 3.60. It was shown that ECC prevalence and mean dmf-t increased significantly with age. The prevalence of ECC was significantly higher in children who were breastfed for longer than six months, those who had never brushed their teeth and those who had a previous dental visit. However, yogurt and cheese consumption was statistically significant in preventing ECC and affecting the severity of dental caries. Conclusion: The most important data which is necessary to determine the dental treatment requirements of communities is obtained from the dmft indicies, oral health habits, nutrition and socioeconomic status. Studies in this direction make contribution to raise oral health knowledge level and consciousness of parents. Key Words: Early childhood caries, preschool children, caries prevalence, ECC
Purpose: The aim of this study is to evaluate the relationship between the 1083 pre-school children’s filled teeth (dmf-t) index values with various risk factors such as age, gender, socio-economic status, oral health habits and nutrition. Tools and Methods: Children between 3 and 6 years of age who are continuing to study in eight kindergartens, one in particular, were included in this study. The survey forms containing questions related to the nutrition and oral health habits of children were sent to the guardians in order to obtain the necessary data. According to the World Health Organization (WHO), oral examinations of children were carried out with the help of mirrors and sonds in the daylight and the dmf-t index was recorded. All the data obtained in the study were calculated by the application of the ki-core test. In the end, the statistically meaningful data was logistically regressive analysis. Results: The results of the assessments were found that the prevalence of early childhood disorders and severe early childhood disorders was 63.1 and 20.4 per cent, respectively. The average dmf-t value was 2.95±3.60. The prevalence of ECHR and the average dmf-t score have been significantly increased with age. The frequency of eczema was higher in breast milk areas over six months, in children who never washed their teeth, and in children who never visited the dentist before. The consumption of yogurt and cheese is statistically important in preventing tooth fractures in children and reducing the severity of fractures. The result: the prevalence of malware in pre-school children in the province of Trabzon was very high. The important information necessary to identify a community’s dental treatment needs is obtained from dmf-t indices, oral health habits, nutrition and sociodemographic elements. Research in this direction can contribute to the level of knowledge about oral health and the awareness of parents. Keywords: Prevalence of Early Childhood Caries and Associated Risk Factors among 3-6-year-old Children in Trabzon ABSTRACT Aim: The aim of this survey is to evaluate the relationship between the dmf-t index and various risk factors such as age, gender, socioeconomic status, nutrition and oral health habits of 1083 preschool children who have been attending the preschools in Trabzon. Material and Methods: Children, ages between 3 and 6 years from 7 state schools and 1 private school, have been included for this research. Questionnaires were used to collect the necessary data. Children were examined using an intraoral mirror and a probe in a daylight. The chi-square test was used to analyze data. In addition, multivariable logistic regression analysis was performed to evaluate the magnitude of the relationship between dental caries and its associated risk factors. Results: The results revealed that the prevalence of ECC in preschool children was 63.1% and that of S-ECC was 20.4%. The mean dmf-t score was found to be 2.95 ± 3.60. It was shown that ECC prevalence and average dmf-t increased significantly with age. The prevalence of ECC was significantly higher in children who were breastfeed for longer than six months, those who had never brushed their teeth and those who had a previous dental visit. However, yogurt and cheese consumption was statistically significant in preventing ECC and affecting the severity of dental caries. The most important data which is necessary to determine the dental treatment requirements of communities is obtained from the dmft indices, oral health habits, nutrition and socioeconomic status. Studies in this direction make contribution to raise oral health knowledge level and consciousness of parents. Keywords: Early childhood caries, preschool children, caries prevalence, ECC
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