Songur Fatma, Simsek Derelioglu Sera, Yilmaz Sinan, Koşan Zahide
Department of Pediatric Dentistry, Faculty of Dentistry, Atatürk University, Erzurum, Turkey.
Department of Public Health, Faculty of Medicine, Atatürk University, Erzurum, Turkey.
Front Public Health. 2019 Jul 9;7:186. doi: 10.3389/fpubh.2019.00186. eCollection 2019.
The aim of this study was to evaluate whether the treated and untreated severe early childhood caries (ECC) in children would make any impact on the Permanent First Molar (PFM) decays. Our descriptive epidemiological study was conducted in Ataturk University, Faculty of Dentistry, Department of Pediatric Dentistry/Erzurum-Turkey, between 2011 and 2017. We included a total of 90 children (44 girls, 46 boys), and divided them into 3 equal groups. They were 6-9 years old with a mean age of 7.38 ± 0.89. Group 1 consisted of the patients who had previously been treated under GA, Group 2 included the patients with untreated ECC and with no previous dental treatment, and Group 3 consisted of the patients who had been periodically treated in normal clinical settings. Each patient was processed through; dmft scoring and PFM caries evaluation process in accordance with International Caries Detection and Assessment System (ICDAS), respectively. The obtained data was analyzed with SPSS v20.0. And also, we used tests. In accordance with ICDAS, we found that Group 3 had the highest mean number of PFMs (2 ± 1.43) and Group 2 had the lowest (1.43 ± 1.45). In Group 2, the number of ICDAS-determined carious PFMs were significantly lower than the other groups ( < 0.05). However, ICDAS score 6 was 0 in Group 1, while it was determined higher as 4.2% in Group 2. In respect to our research outcomes, which revealed that regardless of treated or not severe ECC had a significant impact on the PFMs, we strongly recommend that the parent of the children experiencing ECC should be informed about the risk of future caries in PFMs.
本研究的目的是评估儿童中已治疗和未治疗的重度幼儿龋齿(ECC)是否会对第一恒磨牙(PFM)龋坏产生任何影响。我们的描述性流行病学研究于2011年至2017年在土耳其埃尔祖鲁姆阿塔图尔克大学牙科学院儿童牙科进行。我们共纳入了90名儿童(44名女孩,46名男孩),并将他们平均分为3组。他们年龄在6至9岁之间,平均年龄为7.38±0.89岁。第1组由先前在全身麻醉下接受治疗的患者组成,第2组包括未治疗的ECC且之前未接受过牙科治疗的患者,第3组由在正常临床环境中接受定期治疗的患者组成。每位患者分别按照国际龋病检测与评估系统(ICDAS)进行dmft评分和PFM龋病评估。所获得的数据使用SPSS v20.0进行分析。此外,我们还使用了检验。根据ICDAS,我们发现第3组的PFM平均数量最高(2±1.43),第2组最低(1.43±1.45)。在第2组中,ICDAS确定的龋坏PFM数量显著低于其他组(P<0.05)。然而,第1组的ICDAS评分为6的情况为0,而在第2组中确定为较高的4.2%。关于我们的研究结果,其表明无论重度ECC是否接受治疗都对PFM有显著影响,我们强烈建议告知患有ECC儿童的家长关于PFM未来患龋的风险。