İLKÖĞRETİM OKULLARINDA STANDART BİR KORUYUCU YÖNTEM OLARAK FIRÇA İLE FLOR JEL UYGULAMASININ DEĞERLENDİRİLMESİ: DÖRT YILLIK ALAN ÇALIŞMASI SONUÇLARI

Çoruh Dülgergil; Mehmet Hamidi; Mehmet Dallı; Ertuğrul Ercan; Özge Türkoğlu

doi:10.7126/cdj.58140.5000046185

EN TR

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Abstract

Objectives: The aim of this study was to evaluate the medium-and long-term effect of “brush on fluoride gel” application which is a simplified preventive method in a city center including whole primary schools. Materials and Methods: In 2007, of the 2348 first grade primary school children (born in 1999) being teached at 37 primary school at Kirikkale city center, 480 were selected, and equally divided as control and study groups. While in study group, all children had routinely get brush on fluoride gel application four-times a year during 3 years (total 12 times), using 2 percent neutral fluoride gel; others were subjected to oral hygiene education at least one time a year. All the examination procedures were yearly performed using World Health Organization (WHO) criteria at the first-second and fourth year. Results: While there was no statistically significant difference between the groups at baseline, it was not true at 4th years DMFT results (DMFT values for control and study groups were 0,33±0,72 and 0,69±1,15, respectively. p=0,001). Similar trend was observed at baseline and 4th year results for caries prevalence (p values for baseline and 4th year comparisons were p=0,049 and p=0,004, respectively). Conclusions: Considering as a simplified oral health preventive programs which may be important to established tooth-brushing habit could lead to an observational difference in caries prevalence. However, various primitive preventive methods could need to be supported by the risk-based additional preventive applications in high risk population

Keywords

Dental caries, DMFT, Fluoride-gel, Brush-on fluoride application

İLKÖĞRETİM OKULLARINDA STANDART BİR KORUYUCU YÖNTEM OLARAK FIRÇA İLE FLOR JEL UYGULAMASININ DEĞERLENDİRİLMESİ: DÖRT YILLIK ALAN ÇALIŞMASI SONUÇLARI

Öz

Amaç: Bu çalışma; bir il merkezindeki tüm ilköğretim okullarını kapsayan, basitleştirilmiş bir koruyucu diş hekimliği yöntemi olan “Fırça ile florlu jel” uygulamasının orta ve uzun süreçteki etkilerinin değerlendirilmesi amacıyla planlanmıştır.

Gereç ve Yöntemler: 2007 yılında Kırıkkale ili merkezine bağlı ilköğretim birinci sınıfta öğrenim gören çocuklardan, çalışma ve kontrol grubuna eşit dağılmak üzere toplam 480 çocuk çalışmaya dâhil edildi. Çalışma grubuna %2’lik nötral florlu jelin diş fırçası ile çocuklara birebir fırçalatılması (brush-on gel application) yöntemi ile yılda 4 defa ve 3 yıl boyunca olmak üzere toplam 12 uygulama yapılırken, kontrol grubuna ise yılda en az bir kere sınıf ortamında fırçalama eğitimi verildi. Grupların başlangıç, birinci, ikinci ve dördüncü yıl muayeneleri Dünya Sağlık Örgütü’nün (DSÖ) muayene kriterlerine göre gerçekleştirildi.

Bulgular: Grupların başlangıç, birinci ve ikinci yıldaki DMFT değerleri arasında istatistiksel olarak anlamlı farklılık mevcut değilken, dördüncü yıldaki DMFT değerleri (sırasıyla 0,33±0,72 ve 0,69±1,15) arasında anlamlı farklılık bulundu (p=0,001). Grupların başlangıç ve ikinci yıldaki çürük yaygınlık yüzdeleri arasında anlamlı farklılık gözlenmezken, ikinci ve dördüncü yılındaki çürük yaygınlık yüzdeleri arasında anlamlı farklılık mevcuttur (sırasıyla p=0,049 ve p=0,004).

Sonuç: İlköğretim okullarında gecikmiş tip hijyen eğitiminin de verilebildiği basitleştirilmiş koruyucu uygulamalar, çürük artışının kontrol altına alınabilmesi açısından bir fırsat oluşturabilir. Bununla beraber bu tip basit yöntemler, yüksek çürük riskli hastalarda yetersizdirler ve risk bazlı koruyucu yöntemlerin desteğine ihtiyaç duyarlar.

Anahtar Kelimeler

Diş çürüğü, DMFT, flor-jel, fırça ile florlu jel uygulaması

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Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Çoruh Dülgergil

Mehmet Hamidi

Mehmet Dallı

Ertuğrul Ercan

Özge Türkoğlu

Publication Date

February 11, 2015

Submission Date

July 12, 2014

Acceptance Date

-

Published in Issue

Year 2015 Volume: 18 Number: 1

DOI

https://doi.org/10.7126/cdj.58140.5000046185

IZ

https://izlik.org/JA89JP45TN

Cite

RIS / Bibtex

EndNote

Dülgergil Ç, Hamidi M, Dallı M, Ercan E, Türkoğlu Ö (February 1, 2015) İLKÖĞRETİM OKULLARINDA STANDART BİR KORUYUCU YÖNTEM OLARAK FIRÇA İLE FLOR JEL UYGULAMASININ DEĞERLENDİRİLMESİ: DÖRT YILLIK ALAN ÇALIŞMASI SONUÇLARI. Cumhuriyet Dental Journal 18 1 37–46.