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ÇOCUKLARDA AĞIZDAN SOLUNUMUN AĞIZ DİŞ SAĞLIĞINA VE ÇEVRE DOKULARA ETKİLERİNİN DEĞERLENDİRİLMESİ

EVALUATION OF THE EFFECTS OF MOUTH BREATHING ON ORODENTAL HEALTH AND SURROUNDING TISSUES IN CHILDREN

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Abstract (2. Language): 
The purpose of this study is to evaluate the effects of mouth breathing on orodcntal health and surrounding tissues in children. A total of 100 mouth and nose breathing children, aged 5-12. were investigated for df, df-s, DMF. DMF-S. bleeding and plaque indexes, marginal gingivitis, facial form, lip posture, nose, tongue, chin positions, general conditions, sleep disturbances, habits and behavioral disorders No significant differences (p>0.05) were determined between df, df-s, DMF. DMF-S values in mouth and nose breathing children. Significantly (p<0.05) higher caries prevalence in anterior primary teeth was found in mouth breathing children: bleeding and plaque index values were determined higher (p<0.0l) in nose breathers than mouth breathers. Significant differences were determined for facial form (p<0.00l). nose form (p<0.01), lip posture (p<0.00ll. chin position (p<0.00l). gummy smile (p<0.00l) between children with mouth and nose breathing. In addition, in mouth breathing children snoring, sleep apnea syndrome, open mouth posture frequencies were found higher than control groups; however no significancy in behavioural disorders was observed between two groups. Data have demonstrated that mouth breathing could cause significant differences in children's face. nose, lip and chin morphologies; furthermore, it has been determined that other parameters regarding oral hygiene besides mouth breathing have also important roles on health of teeth and gingiva.
Abstract (Original Language): 
Bu çalışma, çocuklarda ağızdan solunumun ağı/ diş sağlığına ve çevre dokulara etkilerinin değerlendirilmesi amacı ile gerçekleştirildi. Ağızdan ve burundan solunum yapan 5-12 yaşları arasında toplam 100 çocuk, df, df-S, DMF. DMF-S. kanama, plak indeksleri, marginal gingivitis, yüz şekli, burun, dudak, dil ve çene duruşları yanı sıra genel durum, uyku bozuklukları, alışkanlıklar, davranış bozuklukları açısından incelendi. Ağızdan veya normal solunum yapan çocuklarda df. df-s. DMF. DMF-S değerleri arasında anlamlı farklılıklar (p>0.05) saptanmadı. Ağızdan solunum yapan çocukların ön grup süt dişlerinde çürük görülme sıklığının anlamlı olarak daha fazla (p<0.05) olduğu, normal solunum yapan çocuklarda kanama ve plak indeks değerlerinin ağızdan solunum yapan çocuklara göre daha fazla (p<0.01) olduğu belirlendi. Ağızdan veya normal solunum yapan çocuklar arasında yüz şekli (p<0.001), burun şekli (p<0.01). dudak duruşu (p<0.001), çene yapısı (p<0.00l), gummy smile (p<0.00l) açısından anlamlı farklılıklar saptandı. Ayrıca ağızdan solunum yapan çocuklarda uyku sırasında horlama, apne görülme ve ağız açık uyuma sıklıklarının kontrol grubu çocuklara göre daha fazla olduğu; davranışsal bozukluklar açısından anlamlı farklılıklar bulunmadığı gözlendi. Ağızdan solunumun çocuklarda yüz. burun, dudak ve çene morfolojilerinde anlamlı değişiklikler oluşturabildiği; diş ve dişeti sağlığında ise ağızdan solunumun yanı sıra ağız. hijyenine ilişkin diğer parametrelerin de önemli rol oynadığı belirlendi.
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