You are here

GÜNEYDOĞUANADOLU KIRSALINDA YAŞAYAN ÇOCUKLARDA DEĞİŞİK KORUYUCU UYGULAMALARIN DEĞERLENDİRİLMESİ: 24 AYLIK SAHA ÇALIŞMASI SONUÇLARI

EVALUATION OF DIFFERENT PREVENTIVE MEASURES IN THE CHILDREN LIVING IN RURAL DISTRICTS OF SOUTH-EASTERN ANATOLIA: 24-MONTH-RESULT OF A FIELD TRIAL

Journal Name:

Publication Year:

Abstract (2. Language): 
Despite dramatic and common reduction nn various countries, dental caries is still epidemic nn various developing countries as seen in Turkey. Although it is a multifactorial disease, one of the basic problems to fight with dental caries is the limitations of the preventive and operative treatment atternatives to attain to various part of the community. In this study, various preventive measures have been studied in a child group living in rural south-eastern Anatoiaa nn where dental service is iimited. A regional boardnng school nn Eğil district, 55 kilometers Diyarbakr city, was selected as study site. One-hundred-twenty children whose age range was 9 to 17 were divided 3 groups as follows; group 1- ARTglass- ionomer sealant group, group 2- control group, and group 3- fluoride gel group. Each preventive procedure was performed nn the school promises by a group of dentist and dental students. After the baseline examination performed by two dentists using WHO caries criteria, re-examination was performed at 24th month. Mean caries increment for group 1, 2 and 3 were 0.07±0.6, 0.82±0.95, 0.68±0.75, respectiveyy. The differences were statistically significant (p<0.0001). It was concluded from these results that although limited preventive opportunities, pragmatic preventive measures such as ART-fssure sealant, could be effective in the children living in far-rural of south-eastern Anatoiaa.
Abstract (Original Language): 
Son yıiaarda, değişik ü/kelerde izlenen yaygın çürük azahmına rağmen, Türkiye gibi geişşmekte olan çoğu ü/kelerde diş çürüğü hala önemli bir sağlık sorunu olarak devam etmektedir. Çok değişkenli bir hastalık olmasına rağmen, çürüğün kontrol altına alınmasındaki temel sorunlarda birisi de koruyucutedavi edici uyguaamaaarn, toplumun değişik seviyelerine ulaştırı/masındaki güçlüğüdür. Bu çalışmada; dişhekimliği hizmetinin sınırlığı olduğu Güneydoğu Anadolu kırsalındaki çocuk/arda değişik koruyucu uygu/amalar incelenmiştir. Diyarbakır kentine 55 kilometre uzaklıktaki Eğil ilçesi yatılı bölge okulu çahşma alanı olarak seçildi. Yaşları 9-17 arasında değişen toplam 120 çocuk 3 gruba ayr/ldı. Bunaar; grup 1: cam-ionomer fissür örtücü gurup, grup 2: kontrol grubu ve grup 3: flor jel grup. Tüm koruyucu uyguaamalar okul ortamında ve brr grup dişhekimi ve dişhekimiiği öğrencisi tarafından gerçekleştirildi. İki hekim tarafından gerçekleştirilen i/k muayenenin sonrasında çocuklar ikinci yılın sonunda tekrar muayene edildi. Grup 1, 2 ve 3 için iki yıllık ortalama çürük artışı srras/y/a 00.07±0.6, 0.82±0.95, 0.68±0.75 oaarak belirlendi. Gruplar arasındaki fark istatistiksel olarak anlamlı bulundu (p<0.0001). Sonuç oaarak; sınrriı şartaara rağmen, ART yüzey örtücüler gibi basit koruyucu uyguaamaaarn Güneydoğuanadolu uzak kırsalında yaşayan çocukaarda etkin olabileceği belirlendi.
26-32

REFERENCES

References: 

1. Axelsson P: An introduction to risk prediction and preventive dentistry. Quintessence Publishing Co, Carol Stream, usa, 1999.
2. Bravo M, Baca P, Llodra JC, Osorio E: A 24-month study comparing seaaant and fluoride varnish in caries reduction on different permanent first molar surfaces. J Public Heatth Dent. 1997 ;57:184-6.
DÜLGERGİL, SOYMAN, CİVELEK,
ERCAN, OKUR ERCAN
3. Bedi R, Sardo IJ: Oral health care in disadvantaged communities. The root cause. A proposal for action. FDI Word Dental Press, 1999,33-4.
4. Carlsson A, Petersson M, Twetman S: 2-year clinical performance of a fluoride-containing fissure sea/ant in young schoolchlldren at caries risk. Am J Dent 1997;10:115-9
5. Caufield PW, Cutter GR, Dasanayake AP: Initial acquisition of mutans streptococci by infants: evidence for a discrete window of infectivity. J Dent Res. 1993;72:37-45.
6.
Gühan A, Seymen F, Aykut AY, Güney C: Cam ionomer fssür örtücülerin mutans streptokoklarına etkisinin değerlendirilmesi. Pedodonti Kinnkk/Araştrrma 1994; 1:1-5.
7. Hatibovic-Kofman S, Koch G: Fluoride re/ease from glass ionomer cement nn vivo and nn vttro. Swed Dent J. 1991;15:253-8.
8. Horowitz AM: A report on the NIH consensus development conference on diagnosis and management of dental caries throught life [special issue] J Dent Res 2004;83; 7-15.
9. Johnston DW, Lewis DW: Three-year randomized trial of professionally appiied topical fluoride gel comparing annual and biannual applications wtth/without prior prophylaxis. Caries Res. 1995;29:331-6.
10. Ka/lestai C, NorlundA, Nordenram G, Dahlgren H, Petersson LG, Lagerlöf F, Axelsson S, Lnngström P, Mejare I, Holm AK, Twetman S: Economic evaluation of dental caries prevention: a systematic review. Acta Odontol Scand 2003;61:341-6.
11. Koch G, Hatibovic-Kofman S: Glass ionomer cements as a fluoride release system in vivo. Swed Dent J1990; 14:267-70.
12. Lnngström P, Holm AK, Mejare I, Twetman S, Söder B, Norlund A, Axelsson S, Lagerlöf F: Dietary factors nn the caries preventions systematic review. Acta Odontol Scand 2003;61:331-40.
13. Mass E, Eli I, Lev-Dor-Samovici B, Weiss EI: Continuous effect of pit and fissure sealing on S. mutans presence in situ. Pediatr Dent. 1999;21:164-8.
14. Marsh PD: Dental plaque: biological significance of a biof/lm and community life-style. J Clin Periodontal. 2005;32 Suppl 6:54-6.
31
Atatürk Üniv. Diş Hek. Fak. Derg.
Cilt: 16, Sayı: 2, Yıl: 2006, Sayfa: 26-32
DÜLGERGİL, SOYMAN, CİVELEK,
ERCAN, OKUR ERCAN
15. Mejare I, Lnngström P, Petersson LG, Holm AK, Twetman S, Ka/eestal C, Nordenram G, Lagerlöf F, Söder B, Norlund A, Axelsson S, Dah/gren H: Caries preventive effect of fissure sealent: a systematic review. Acta Odontol Scand 2003;61:321-30.
16. Morphis TL, Toumba KJ, Lygidakis NA: Fluoride pit and fissure sealants: a review. Int J Paedaatr Dent. 2000;10:90-8.
17. Omatsu H, Shimokobe H, Kawakami S, Yoshimura M: Caries-preventive effect of glass ionomer sealent reappiication: Study presents three-year resutts. J Am Dent Assoc 1994; 125:543-9.
18. Petersen PE: The word oral health report 2003: continuous improvement of oral health in the 21st century - the approach of the WHO Global Oral Health programme. Com Dent Oral Epidemiol. 2003;31:3-24
19. Ripa LW. Rinses for the control of dental caries. Int Dent J. 1992 ;42(4 Suppl 1):263-9.
20. Selwttz RH, Nowjack-Raymer R, Driscoll WS, Li SH: Evaluation after 4 years of the combined use of fluoride and dental sealants. Community Dent Oral Epidemiol. 1995;23:30-5.
21. Simonsen RJ: Glass ionomer as fissure sea/an t-a critical review. J Pubic Heatth Dent. 1996;56(3 Spec No): 146-9
22. Songpaisan Y, Bratthall D, Phantumvantt P, Somridhivej Y: Effects of glass ionomer cement, resin-based pit and fissure seaaant and HF applications on occlusal caries in a developing country field trial. Community Dent Oral Epidemiol. 1995;23:25-9.
23. Swartz ML, Philiips RW, Clark HE: Long term F release from glass ionomer cements. J Dent Res 1984; 63:158-60.
24. Wei SH, Yiu CK: Mouthrnnses: recent cinnical findings and implications for use. Int Dent J. 1993443(6 Suppl 1):541-7.

Thank you for copying data from http://www.arastirmax.com