Ebeveynlerin Çocuklarda Demir Takviyesinin Diş Lekelenmesi ve Çürük Üzerindeki Etkilerine Yönelik Farkındalığı
Abstract
Amaç: Bu çalışmada, ebeveynlerin çocuklarda demir takviyesinin diş lekelenmesi ve çürük üzerindeki etkilerine ilişkin bilgi ve tutumlarının değerlendirilmesi ve demografik faktörlerin bilgi ve davranışlar üzerindeki etkisinin incelenmesi amaçlanmıştır.
Gereç ve Yöntemler: Bu kesitsel çalışma, 2024 yılında İnönü Üniversitesi Diş Hekimliği Fakültesi Pedodonti Anabilim Dalı’na başvuran 281 ebeveyn üzerinde rastgele bir tasarımla gerçekleştirilmiştir. Veriler, demografik bilgiler ile demir takviyesine ilişkin bilgi ve tutumları değerlendiren üç bölümden oluşan 12 soruluk yapılandırılmış bir anket aracılığıyla toplanmıştır. Yanıtlar, doğru için 1, yanlış için 0 puanlanmış ve bilgi düzeyleri;>%66,7 (yeterli), %33,7–66,7 (orta) ve <%33,7 (yetersiz) olarak sınıflandırılmıştır. İstatistiksel analizler Chi-kare ve Fisher's Exact testleri ile gerçekleştirilmiş olup anlamlılık düzeyi p<0,05 olarak kabul edilmiştir.
Bulgular: Çalışmaya katılan 140 ebeveynin (%49,8) çocukları için demir takviyesi kullandığı belirlenmiş, ancak bunların yalnızca %50,4'ü düzenli kullanım programına uymuştur. Katılımcıların %47,7’si takviyeye başlanması gereken doğru zamanı bilirken, %16’sı demirin diş çürüğüne neden olmadığını doğru bilmiş ve %35’i demir takviyesini diş lekelenmesiyle ilişkilendirmiştir. Ebeveynlerin %60,9’u orta düzeyde bilgiye sahip olmasına rağmen, önerilen uygulamalara uyum oranı düşüktü ve yalnızca %16,3’ü yüksek uyum göstermiştir. Cinsiyetler arasında anlamlı farklılıklar gözlemlenmiş olup, anneler babalara kıyasla daha yüksek bilgi düzeyi ve uyum göstermiştir (p<0,01). Eğitim düzeyinin ebeveynlerin bilgi ve davranışları üzerinde olumlu bir etkisi olduğu belirlenmiştir.
Sonuçlar: Bu çalışma, ebeveynlerin demir takviyesi ve diş sağlığına ilişkin bilgi eksiklikleri ve yanlış inanışlarının takviye kullanımını etkilediğini ortaya koymuştur. Ebeveynlerin demir takviyesi hakkındaki yanlış inanışlarını gidermek ve doğru kullanım alışkanlıklarını teşvik etmek amacıyla kapsamlı eğitim programlarına ihtiyaç duyulmaktadır.
References
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- 6. Kılıçbay F, Güler S, Evim MS, Baytan B, Özarda Y, Güneş AM. Prevalence of iron deficiency and iron deficiency anemia in children aged 1-16 years in Bursa Province. Aksaray Univ J Sport Health Res 2022; 3:61-78.
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- 13. Pasdar N, Alaghehmand H, Mottaghi F, Tavassoli M. Experimental study of iron and multivitamin drops on enamel microhardness of primary tooth. Journal of International Society of Preventive and Community Dentistry. 2015;5(6):518-524.
- 14. Talebi M, Parisay I, Mokhtari N. The parents’ knowledge and behavior towards the effects of using iron supplements on tooth staining and dental caries in Mashhad, Iran. Dental research journal. 2012;9(6):715.
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- 17. Al-Jamri A, Al-Awainati F, Ali M, Jaafar M, Hussain M, Jassim GA. Parents' knowledge and practice of iron therapy for anemic infants in primary health care in Bahrain. Glob J Health Sci 2017; 9:99.
- 18. De Rezende VS, Fonseca-Silva T, Drumond CL, Ramos-Jorge ML, Paiva SM, Vieira-Andrade RG. Do patients with extrinsic black tooth stains have a lower dental caries experience? A systematic review and meta-analysis. Caries Research. 2019;53(6):617-627.
- 19. Durna NB, Durna D. Investigation of parental attitudes in the prevention of dental caries in terms of various variables. Atatürk Univ J Inst Soc Sci 2021; 25:345-352.
- 20. Karaaslan F, Dikilitaş A, Yiğit U. Oral health status and associated factors in a subpopulation of Turkish patients. Cumhuriyet Dental Journal. 2019;22(2).
- 21. Demircan B, Demir P. Evaluation of Parental Awareness and Knowledge Level About Children's Oral Habits: A Survey Study. Cumhuriyet Dental Journal. 2024;27(1):8-14.
- 22. Onur, Sirin Guner, et al. "Assessment of caries prevalence and associated risk factors among Turkish children in Edirne, Turkey." Cumhuriyet Dental Journal 23.3 (2020): 200-208.
Parents’ Awareness of the Effects of Iron Supplementation on Tooth Staining and Dental Caries in Pediatric Populations
Abstract
Objectives: This study aimed to evaluate parents' knowledge and attitudes regarding the effects of iron supplementation on tooth staining and dental caries in children and to examine the influence of demographic factors on knowledge and behaviors.
Materials and Methods: This cross-sectional study was conducted in 2024 with a randomly selected group of 281 parents who visited the Department of Pediatric Dentistry at Inönü University Faculty of Dentistry. Data were collected using a structured 12-question survey consisting of three sections: demographic information, knowledge, and attitudes regarding iron supplementation. Responses were scored as 1 for correct answers and 0 for incorrect answers, with knowledge levels categorized as follows:>66.7% (adequate), 33.7–66.7% (moderate), and <33.7% (inadequate). Statistical analyses were performed using the Chi-square and Fisher’s Exact tests, with a significance level set at p<0.05.
Results: Among the 140 parents who participated in the study, 49.8% reported using iron supplements for their children; however, only 50.4% adhered to a regular usage schedule. While 47.7% correctly identified the appropriate time to start supplementation, only 16% accurately stated that iron does not cause dental caries, and 35% associated iron supplementation with tooth staining. Although 60.9% of parents had a moderate level of knowledge, adherence to recommended practices was low, with only 16.3% demonstrating high adherence. Significant differences were observed between genders, with mothers displaying higher knowledge levels and adherence than fathers (p<0.01). Additionally, parental education level had a positive effect on knowledge and behavior.
Conclusions: This study revealed that parents’ misconceptions and lack of knowledge regarding iron supplementation and oral health affect supplement use. Comprehensive educational programs are needed to address these misconceptions and promote proper supplementation practices among parents.
References
- 1. Saba C, Solidani M, Berlutti F, Vestri A, Ottolenghi L, Polimeni A. Black stains in the mixed dentition: a PCR microbiological study of the etiopathogenic bacteria. J Clin Pediatr Dent 2006;30:219-24.
- 2. De Rezende VS, Fonseca-Silva T, Drumond CL, Ramos-Jorge ML, Paiva SM, Vieira-Andrade RG. Do patients with extrinsic black tooth stains have a lower dental caries experience? A systematic review and meta-analysis. Caries Res 2019; 53:617-27.
- 3. Schuurs A, Matos T. Pathology of dental hard tissues. Druk 2013.
- 4. Reid J, Beeley J, MacDonald D. Investigations into black extrinsic tooth stain. J Dent Res 1977; 56:895-899.
- 5. Duyuran R, Kılınç M, Çiçek H. Investigation of iron deficiency, iron deficiency anemia and hemoglobinopathy frequency in Kahramanmaraş City. Euroasia J Math Eng Nat Med Sci 2022; 9:39-47.
- 6. Kılıçbay F, Güler S, Evim MS, Baytan B, Özarda Y, Güneş AM. Prevalence of iron deficiency and iron deficiency anemia in children aged 1-16 years in Bursa Province. Aksaray Univ J Sport Health Res 2022; 3:61-78.
- 7. Sayyari A, Sheikhol Eslam R, Abdollahi Z. Prevalence of anaemia in 2-12-year-old Iranian children. EMHJ East Mediterr Health J 2006; 12:804-808.
- 8. Dayan D, Heifferman A, Gorski M, Begleiter A. Tooth discoloration--extrinsic and intrinsic factors. Quintessence Int 1983; 14:2.
- 9. Sheikh C, Erickson P. Evaluation of plaque pH changes following oral rinse with eight infant formulas. Pediatr Dent 1996; 18:200-204.
- 10. Bowen W, Pearson S. Residual effects of fluoride on a severe cariogenic challenge in rats. Caries Res 1994; 28:246-250.
- 11. Martinhon CCR de Moraes Italiani F, de Magalhães Padilha P, Bijella MFTB, Delbem ACB, Buzalaf MAR. Effect of iron on bovine enamel and on the composition of the dental biofilm formed "in situ". Arch Oral Biol 2006; 51:471-475.
- 12. Miguel J, Bowen W, Pearson S. Influence of iron alone or with fluoride on caries development in desalivated and intact rats. Caries Res 1997; 31:244-248.
- 13. Pasdar N, Alaghehmand H, Mottaghi F, Tavassoli M. Experimental study of iron and multivitamin drops on enamel microhardness of primary tooth. Journal of International Society of Preventive and Community Dentistry. 2015;5(6):518-524.
- 14. Talebi M, Parisay I, Mokhtari N. The parents’ knowledge and behavior towards the effects of using iron supplements on tooth staining and dental caries in Mashhad, Iran. Dental research journal. 2012;9(6):715.
- 15. Petersson L, Derand T. Development of artificial carious lesions in enamel after F-varnish (Duraphat) and F-Fe-Al-solution treatment. Swed Dent J 1981; 5:219-223.
- 16. Esmaeilzadeh M, Mojarad F, Donyavi Z, Yousefi MR, Khezri SN. Using iron supplements for prevention of dental caries: An experimental study. 2015.
- 17. Al-Jamri A, Al-Awainati F, Ali M, Jaafar M, Hussain M, Jassim GA. Parents' knowledge and practice of iron therapy for anemic infants in primary health care in Bahrain. Glob J Health Sci 2017; 9:99.
- 18. De Rezende VS, Fonseca-Silva T, Drumond CL, Ramos-Jorge ML, Paiva SM, Vieira-Andrade RG. Do patients with extrinsic black tooth stains have a lower dental caries experience? A systematic review and meta-analysis. Caries Research. 2019;53(6):617-627.
- 19. Durna NB, Durna D. Investigation of parental attitudes in the prevention of dental caries in terms of various variables. Atatürk Univ J Inst Soc Sci 2021; 25:345-352.
- 20. Karaaslan F, Dikilitaş A, Yiğit U. Oral health status and associated factors in a subpopulation of Turkish patients. Cumhuriyet Dental Journal. 2019;22(2).
- 21. Demircan B, Demir P. Evaluation of Parental Awareness and Knowledge Level About Children's Oral Habits: A Survey Study. Cumhuriyet Dental Journal. 2024;27(1):8-14.
- 22. Onur, Sirin Guner, et al. "Assessment of caries prevalence and associated risk factors among Turkish children in Edirne, Turkey." Cumhuriyet Dental Journal 23.3 (2020): 200-208.
Details
| Primary Language | English |
|---|---|
| Subjects | Paedodontics |
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | June 30, 2025 |
| Submission Date | January 8, 2025 |
| Acceptance Date | April 7, 2025 |
| Published in Issue | Year 2025Volume: 28 Issue: 2 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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