Araştırma Makalesi
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ÇOCUKLAR VE EBEVEYNLER MOLAR İNSİZÖR HİPOMİNERALİZASYONU AĞIZ SAĞLIĞI SORUNU OLARAK ALGILIYOR MU?

Yıl 2021, Cilt: 8 Sayı: 2, 372 - 378, 31.08.2021
https://doi.org/10.15311/selcukdentj.660748

Öz

Amaç: Bu çalışma MIH gözlenen çocuklarda ve ebeveynlerinde; dişlerinin sağlık durumu, tedavi gereksinimi, dişlerin görünüşünden dolayı oluşan memnuniyetsizlik, endişe gibi etkilerinin belirlenerek hayat kalitelerinin gözlenmesi, MIH’ın fiziksel ve psikolojik etkilerinin ebeveyn ve çocuklar üzerinde yarattığı algılardaki farklılıkların tespit edilmesi amaçlanmıştır.
Gereç ve Yöntem: Bu araştırma, dişlerinde MIH saptanan çocuklar ve bu çocukların ebeveynleri ile gerçekleştirilen bir anket çalışmasıdır. Bireylerden ve ailelerden bilgilendirilmiş onam formu alındıktan sonra, araştırmaya katılmayı kabul eden bireylere MIH’a karşı yaklaşımı ve MIH’ın bir ağız sağlığı sorunu olarak algılanıp algılanmadığını ölçen anket soruları yöneltilmiş ve eksiksiz bir şekilde anketleri cevaplamaları sağlanmıştır. Çocuklar kendi kararlarını verebilecek yeterlilikte olmadıkları için ebeveynlerinin de bu konu hakkında görüşleri ve aralarındaki görüş farklılıkları istatistiksel olarak spearman korelasyon testi, Mann Whitney U testi, Ki kare ve Fisher exact testi kullanılarak analiz edilmiştir.
Bulgular: Anket skorları karşılaştırıldığında MIH’ın ebeveynler ve çocuklar arasında farklı oranlarda bir ağız sağlığı sorunu olarak algılandığı görülmüştür. Ebeveyn skor ortalaması 22,63, çocuk skor ortalaması 20,85 (p=0,026) (p<0,05). Bu algı farkının, hastalık ancak yüksek şiddetli aşamaya geldiğinde ortaya çıktığı belirlenmiştir. Çocuklar ile ebeveynler arasında algı farkının ortaya çıkmasının altında yatan sebepler ise fiziksel etkenler olarak belirlenmiştir (r=0,446; p<0,05). Psikolojik skor ortalaması ebeveynlerde 11,77, çocuklarda 10.78 olarak saptanmıştır.
Sonuç: MIH görülen çocukların ebeveynleri, dişlerin görünüşü hakkında çocuklarına oranla daha üzgün ve daha endişeli hissetmektedir. Buna paralel olarak aileler çocuklarından daha fazla oranda tedavi gerektiği düşüncesindedirler.

Kaynakça

  • Referans1. Weerheijm KL, Jalevik B, Alaluusua S. Molar-incisor hypomineralisation. Caries Res 2001;35:390–391. Referans2. Leal SC., Oliveira TRM., Ribeiro APD, Do parents and children perceive molar–incisor hypomineralization as an oral health problem?, International Journal of Paediatric Dentistry 2016;27:372-379. Referans3. Rodd, H. D., Abdul‐Karim, A., Yesudian, G., O’Mahony, J., Marshman, Seeking children’s perspectives in the management of visible enamel defects. International journal of paediatric dentistry, 2011; 21: 89-95. Referans4. Mathu-Muju K, Wright JT. Diagnosis and treatment of molar incisor hypomineralization. Compend Contin Educ Dent 2006; 27:604-10. Referans5. Jälevik B. Prevalence and Diagnosis of Molar-Incisor- Hypomineralisation (MIH): A systematic review. Eur Arch Paediatr Dent 2010;11:59-64. Referans6. Koruyucu M, Özel S, Tuna EB. Prevalence and etiology of molar-incisor hypomineralization (MIH) in the city of Istanbul. J Dent Sci 2018;13:318-328. Referans7. Alaluusua S. Aetiology of Molar-Incisor Hypomineralisation: A systematic review. Eur Arch Paediatr Dent. 2010;11:53-8. Referans8. Kuscu OO, Caglar E, Sandalli N. The prevalence and aetiology of molar-incisor hypomineralisation in a group of children in Istanbul. Eur J Paediatr Dent 2008;9:139-144. Referans9. Beentjes VE, Weerheijm KL, Groen HJ. Factors involved in the aetiology of Molar-Incisor Hypomineralisation (MIH). Eur J Paediatr Dent 2002;1:9-13. Referans10. Jälevik B, Klıngberg G, Barregard L, Noren JG. The prevalance of demarcated opacities in permanent first molars in a group of Sweedish children. Acta Odontol Scand 2001;59:255-60. Referans11. Tapias-Ledesma MA, Jiménes R, Lamas F, et al. Factors associated with first molar dental enamel defects: a multivariate epidemiological approach. J Dent Child 2003;70:215-220. Referans12. Whatling R, Fearne JM. Molar incisor hypomineralisation: a study of aetiological factors in a group of UK children. Int J Paed Dent 2008;18:155-234. Referans13. Jeremias F, Koruyucu M, Kuchler EC, Bayram M, Tuna EB, Deeley K, et al. Genes expressed in dental animal development are associated with molar-incisorhypomineralization. Arch Oral Biol 2013;58:1434-42. Referans14. Kırzıoğlu Z, Ciftci Z. Diş yapısı ile ilgili genetik malformasyonlar. SDU Diş Hek Fak 2009; 1: 21-30. Referans15. Bilgin EŞ, Erdem AP. Gelişimsel Mine Defektleri ve Tedavi Yaklaşımları. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 2016;26:334-343 Referans16. William V, Messer LB, Burrow MF. Molar incisor hypomineralization:review and recommendations for clinical management. Pediatr Dent 2006;28:224-32. Referans17. Leppäniemi A, Lukinmaa PL, Alaluusua S. Nonfluoride hypomineralizations in the permanent first molars and their impact on the treatment need. Caries Res. 2001;35:36-40. Referans18. Jokovic A, Locker D, Guyatt G. How well do parents know their children? Implications for proxy reporting of child health-related quality of life. Qual Life Res 2004; 13:1297–1307. Referans19. Almeida MEL, Teixeira ANM, Paiva SM, de Abreu MHNG. Agreement between parents and adolescents on dental fluorosis: a population-based study. Braz Oral Res 2013; 27:91–96. Referans20. Chankanka O, Levy SM, Warren JJ, Chalmers JM. A literature review of aesthetic perceptions of dental fluorosis and relationships with psychosocial aspects/oral health-related quality of life. Community Dent Oral Epidemiol. 2010;38:97-109. Referans21. Eiser C, Morse R. Can parents rate their child’s health-related quality of life? Results of a systematic review. Qual Life Res 2001;10:347–357. Referans22. Berger T D, Kenny D J, Casas M J, Barrett E J, Lawrence H P. Effects of severe dentoalveolar trauma on the quality of life of children and parents. Dent Traumatol 2009; 25:462–469. Referans23. Dantas-Neta NB, Moura LF, Cruz PF, Moura MS, Paiva SM, Martins CC, Lima MD. Impact of molar-incisor hypomineralization on oral health-related quality of life in schoolchildren. Braz Oral Res. 2016;24;3:e117.

DO PARENTS AND CHILDREN PERCEIVE MOLAR-INCISOR HYPOMINERALIZATION AS AN ORAL HEALTH PROBLEM ?

Yıl 2021, Cilt: 8 Sayı: 2, 372 - 378, 31.08.2021
https://doi.org/10.15311/selcukdentj.660748

Öz

Background: The aim of this study was to investigate whether children with MIH and parents perceive MIH as a health problem and to investigate the physical and psychological effects of MIH on patients and their parents.
Methods: This study is an questionnaire research which is conducted with children with MIH. After the informed consent form was obtained from individuals and families, the questionnaire was applied and provided to answered completely that the attitude towards MIH and to determine whether MIH was perceived as an oral health problem. Since the children were not qualified to make their own decisions, their parents' views on this issue and their differences were analyzed statistically with Spearman correlation, Mann Whitney U, Chi square and Fisher exact test.
Results: When the results of the questionaires of the children and parents were compared, it was seen that MIH was perceived as an oral health problem among the parents and children. The mean parent score was 22.63, child score was 20.85 (p= 0.026; p<0.05). It was determined that this difference of perception occurs only when the disease is at a high level. The reasons underlying the difference in perception between children and parents were determined as physical factors (r=0.446; p<0.05). The mean psychological score was 11.77 in parents and 10.78 in children.
Conclusion: Parents of children with MIH feel more sad and anxious about the appearance of teeth than their children. Correspondingly the parents think that they need treatment more than their children.

Kaynakça

  • Referans1. Weerheijm KL, Jalevik B, Alaluusua S. Molar-incisor hypomineralisation. Caries Res 2001;35:390–391. Referans2. Leal SC., Oliveira TRM., Ribeiro APD, Do parents and children perceive molar–incisor hypomineralization as an oral health problem?, International Journal of Paediatric Dentistry 2016;27:372-379. Referans3. Rodd, H. D., Abdul‐Karim, A., Yesudian, G., O’Mahony, J., Marshman, Seeking children’s perspectives in the management of visible enamel defects. International journal of paediatric dentistry, 2011; 21: 89-95. Referans4. Mathu-Muju K, Wright JT. Diagnosis and treatment of molar incisor hypomineralization. Compend Contin Educ Dent 2006; 27:604-10. Referans5. Jälevik B. Prevalence and Diagnosis of Molar-Incisor- Hypomineralisation (MIH): A systematic review. Eur Arch Paediatr Dent 2010;11:59-64. Referans6. Koruyucu M, Özel S, Tuna EB. Prevalence and etiology of molar-incisor hypomineralization (MIH) in the city of Istanbul. J Dent Sci 2018;13:318-328. Referans7. Alaluusua S. Aetiology of Molar-Incisor Hypomineralisation: A systematic review. Eur Arch Paediatr Dent. 2010;11:53-8. Referans8. Kuscu OO, Caglar E, Sandalli N. The prevalence and aetiology of molar-incisor hypomineralisation in a group of children in Istanbul. Eur J Paediatr Dent 2008;9:139-144. Referans9. Beentjes VE, Weerheijm KL, Groen HJ. Factors involved in the aetiology of Molar-Incisor Hypomineralisation (MIH). Eur J Paediatr Dent 2002;1:9-13. Referans10. Jälevik B, Klıngberg G, Barregard L, Noren JG. The prevalance of demarcated opacities in permanent first molars in a group of Sweedish children. Acta Odontol Scand 2001;59:255-60. Referans11. Tapias-Ledesma MA, Jiménes R, Lamas F, et al. Factors associated with first molar dental enamel defects: a multivariate epidemiological approach. J Dent Child 2003;70:215-220. Referans12. Whatling R, Fearne JM. Molar incisor hypomineralisation: a study of aetiological factors in a group of UK children. Int J Paed Dent 2008;18:155-234. Referans13. Jeremias F, Koruyucu M, Kuchler EC, Bayram M, Tuna EB, Deeley K, et al. Genes expressed in dental animal development are associated with molar-incisorhypomineralization. Arch Oral Biol 2013;58:1434-42. Referans14. Kırzıoğlu Z, Ciftci Z. Diş yapısı ile ilgili genetik malformasyonlar. SDU Diş Hek Fak 2009; 1: 21-30. Referans15. Bilgin EŞ, Erdem AP. Gelişimsel Mine Defektleri ve Tedavi Yaklaşımları. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 2016;26:334-343 Referans16. William V, Messer LB, Burrow MF. Molar incisor hypomineralization:review and recommendations for clinical management. Pediatr Dent 2006;28:224-32. Referans17. Leppäniemi A, Lukinmaa PL, Alaluusua S. Nonfluoride hypomineralizations in the permanent first molars and their impact on the treatment need. Caries Res. 2001;35:36-40. Referans18. Jokovic A, Locker D, Guyatt G. How well do parents know their children? Implications for proxy reporting of child health-related quality of life. Qual Life Res 2004; 13:1297–1307. Referans19. Almeida MEL, Teixeira ANM, Paiva SM, de Abreu MHNG. Agreement between parents and adolescents on dental fluorosis: a population-based study. Braz Oral Res 2013; 27:91–96. Referans20. Chankanka O, Levy SM, Warren JJ, Chalmers JM. A literature review of aesthetic perceptions of dental fluorosis and relationships with psychosocial aspects/oral health-related quality of life. Community Dent Oral Epidemiol. 2010;38:97-109. Referans21. Eiser C, Morse R. Can parents rate their child’s health-related quality of life? Results of a systematic review. Qual Life Res 2001;10:347–357. Referans22. Berger T D, Kenny D J, Casas M J, Barrett E J, Lawrence H P. Effects of severe dentoalveolar trauma on the quality of life of children and parents. Dent Traumatol 2009; 25:462–469. Referans23. Dantas-Neta NB, Moura LF, Cruz PF, Moura MS, Paiva SM, Martins CC, Lima MD. Impact of molar-incisor hypomineralization on oral health-related quality of life in schoolchildren. Braz Oral Res. 2016;24;3:e117.
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Diş Hekimliği
Bölüm Araştırma
Yazarlar

Ceren İlisulu 0000-0003-3679-4001

Deniz Yenidünya 0000-0001-9611-4456

Mine Koruyucu 0000-0002-2077-5095

Hazal Özcan 0000-0002-5190-8081

Yelda Kasımoğlu 0000-0003-1022-2486

Figen Seymen 0000-0001-7010-2035

Yayımlanma Tarihi 31 Ağustos 2021
Gönderilme Tarihi 19 Aralık 2019
Yayımlandığı Sayı Yıl 2021 Cilt: 8 Sayı: 2

Kaynak Göster

Vancouver İlisulu C, Yenidünya D, Koruyucu M, Özcan H, Kasımoğlu Y, Seymen F. ÇOCUKLAR VE EBEVEYNLER MOLAR İNSİZÖR HİPOMİNERALİZASYONU AĞIZ SAĞLIĞI SORUNU OLARAK ALGILIYOR MU?. Selcuk Dent J. 2021;8(2):372-8.