Kılıç Münevver Çoruh, Cantekin Kenan, Haylaz Emre, Kalabalık Fahrettin, Kılıç Korhan, Bircan Hasan Basri, Güner Mihriban
Department of Pediatric Dentistry, Faculty of Dentistry, Biruni University, Istanbul 34015, Turkey.
Department of Pediatric Dentistry, Faculty of Dentistry, Sakarya University, Sakarya 54100, Turkey.
Children (Basel). 2025 Sep 10;12(9):1206. doi: 10.3390/children12091206.
: Adenoid hypertrophy (AH), one of the most common pathologies in children, is a major cause of mouth breathing. Mouth breathing causes dry mouth, which removes the beneficial effects of saliva necessary for oral health. Therefore, an oral microflora favorable to caries is promoted. The primary objective of this study is to evaluate the oral health of children diagnosed with AH between the ages of 3 and 14 and to determine the early childhood oral health impact scale. : This descriptive study was conducted between November 2019 and November 2020, involving 16 boys and 14 girls diagnosed with AH at the Department of Otorhinolaryngology, Faculty of Medicine, Atatürk University. These children, diagnosed with adenoid hypertrophy, were referred to the Department of Pedodontics, Faculty of Dentistry, Ataturk University, for the evaluation of their oral health prior to surgery. Oral examinations were performed on the pediatric participants under dental unit light by the same pedodontist, and their demographic data and DMFT/dmft scores were recorded. Data for the Early Childhood Oral Health Impact Scale (ECOHIS-T) were obtained from volunteers with communication skills and their parents. SPSS 21.0 software was used in the statistical evaluation of the data. A Chi-square test was used to assess differences between groups. : The mean age of the children was 5.9 ± 2.6 years. There was no statistically significant difference between AH grades 2, 3, and 4 in terms of dentition periods, gender, and occlusion ( = 0.177, = 0.495). The scores of the first nine and last four questions of the ECOHIS-T were found to be higher in children with grade 4 AH ( = 0.011, = 0.043). The DMFT index was also higher in children with grade 4 AH ( = 0.010). : Tooth decay is more prevalent in children with severe adenoid hypertrophy. This condition was also observed to negatively affect their quality of life. Regular check-ups and preventive care are needed to improve the quality of life of these children.
腺样体肥大（AH）是儿童最常见的病症之一，是口呼吸的主要原因。口呼吸会导致口干，从而消除唾液对口腔健康的有益作用。因此，有利于龋齿的口腔微生物群会得到促进。本研究的主要目的是评估3至14岁被诊断为腺样体肥大的儿童的口腔健康状况，并确定幼儿口腔健康影响量表。：本描述性研究于2019年11月至2020年11月进行，涉及阿塔图尔克大学医学院耳鼻喉科诊断为腺样体肥大的16名男孩和14名女孩。这些被诊断为腺样体肥大的儿童被转诊至阿塔图尔克大学牙科学院儿童牙科，以便在手术前评估他们的口腔健康状况。由同一位儿童牙医在牙科治疗台灯光下对儿童参与者进行口腔检查，并记录他们的人口统计学数据和DMFT/dmft分数。幼儿口腔健康影响量表（ECOHIS-T）的数据来自具有沟通能力的志愿者及其父母。数据的统计评估使用SPSS 21.0软件。采用卡方检验评估组间差异。：儿童的平均年龄为5.9±2.6岁。在牙列期、性别和咬合方面，2级、3级和4级腺样体肥大之间没有统计学上的显著差异（=0.177，=0.495）。发现4级腺样体肥大儿童的ECOHIS-T前九个问题和最后四个问题的得分更高（=0.011，=0.043）。4级腺样体肥大儿童的DMFT指数也更高（=0.010）。：严重腺样体肥大的儿童龋齿更为普遍。还观察到这种情况对他们的生活质量有负面影响。需要定期检查和预防护理来改善这些儿童的生活质量。
