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FARKLI ÇÜRÜK RİSK GRUPLARINDA YENİ ÇÜRÜK GELİŞİMİNİN İNCELENMESİ

DETERMINING THE FUTURE CARIES DEVELOPMENT IN DIFFERENT CARIES RISK GROUPS

Journal Name:

  • İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The aims of this study were to evaluate the development of new lesions in 117 children from different caries risk groups and to determine significant risk factors in a pediatric clinic of Istanbul University Faculty of Dentistry. The initial caries risk assessment was performed and follow-up visits were used to determine the future caries development. A multiple logistic regression analysis was performed with net caries increment as outcome measure. Brushing less than once a day and the consumption of more than two between-meal snacks per day were confirmed as risk factors (OR=l .58 and 1.89, respectively) in children who developed new caries. The total amount of new caries lesions in low-risk group was significantly less than in moderate and high-risk groups (p <05). The total amount of new caries surfaces in high and moderate groups was signif cantly higher than in low-risk subjects (p <05). The results suggest that in high risk subjects, operative treatments must be combined with control of the disease activity. In order to prevent caries increament, it is important that children at high risk of developing caries are identified and targeted for specific individual or group preventive measures.
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Abstract (Original Language): 
Bu çalışmanın amacı, İstanbul Üniversitesi Dişhekimliği Fakültesi Pedodonti kliniğine başvuran farklı çürük risk gruplarında olan 117 çocuk hastada yeni çürük gelişimini tespit etmek ve anlamlı çürük risk faktörlerini belirlemektir. Çocuk hastalarda ilk olarak çürük risk grupları belirlendi ve kontrol randevulannda yeni çürük gelişimleri saptandı. Sonuç ölçümleri olarak diş çürüğü artışı ile multipl lojistik regresyon analizi düzenlendi. Yeni çürük oluşumu saptanan çocuklarda, diş fırçalama sıklığının günde birden az ve atıştırma sıklığının günde ikiden fazla olması risk faktörleri (OR=1.58 ve 1.89, sırasıyla) olarak belirlendi. Düşük risk grubunda total yeni çürük oluşumunun, orta ve yüksek risk grubundakilerden anlamlı derecede az olduğu saptandı (p <05). Orta ve yüksek risk grubunda total yeni çürük yüzeyi oluşumunun düşük risk grubundakilerden anlamlı decede fazla olduğu belirlendi (p <05). Çürük risk gruplarında, tedavi uygulamalarının yanı sıra hastalığın kontrol altına alınması hedeflenmelidir. Çürük sayısı artışının önlenmesi için, yüksek risk grubundaki çürük geliştiren çocukların belirlenmesi, neden olan risk faktörlerinin elimine edilmesi ve kişiye özgü koruyucu uygulama programlarına yönlendirilmesi hedeflenmelidir.
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  • Turkish

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