Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
6-12 Yaş Arası Alt Çene Erken Süt Azı Diş Kaybı Olan Çocuklarda Dişli Yer Tutucu Aparey Öncesi ve Sonrası Masseter Kasının Ultrasonografi Yardımıyla İncelenmesi: Klinik Çalışma
Examination of Masseter Muscle by Means of Ultrasonography in Children Between 6-12 Years of Age with Early Deciduous Molar Tooth Loss Before and After with the Removable Space Maintainers: Clinical Study
Ali Rıza ALPÖZa, Esin ALPÖZb, Pırıl ÇAKIRa
aEge Üniversitesi Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, İzmir, Türkiye
bEge Üniversitesi Diş Hekimliği Fakültesi, Ağız Diş ve Çene Radyolojisi ABD, İzmir, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(2):344-55
doi: 10.5336/dentalsci.2021-85314
Article Language: TR
Full Text
ÖZET
 Amaç: Çalışmamızda, hareketli yer tutucu kullanımı öncesi ve 6 ay sonrası masseter kas kalınlığının ultrasonografi yardımıyla incelenmesi, ağız hijyeni ve beslenme alışkanlıklarının karşılaştırılması ve bu faktörlerin DMFS ve dmfs (çürük, kayıp ve dolgulu diş yüzey sayısı) ile ilişkisinin değerlendirilmesi amaçlanmaktadır. Gereç ve Yöntemler: Çalışmamızda yer tutucu ihtiyacı olan 20 çocuğa (6-12 yaş) ağız içi muayeneleri yapılmış, çürük sayıları, kayıp ve dolgulu diş yüzeyleri (DMFS, dmfs) kayıt altına alınmış ve hastalara sorular sorulmuştur. Çocuklarının beslenme ve ağız hijyeni alışkanlıklarını değerlendiren anket soruları uygulandı. Yer tutucu aparey uygulamasından önce ve 6 ay sonra hastaların bilateral masseter kas kalınlıkları ultrasonografi ile ölçüldü ve elde edilen tüm veriler istatistiksel olarak analiz edildi. Bulgular: İstatistiksel değerlendirmeler sonucunda, masseter kasının ultrasonografik değerlendirmesinde hem dinlenme durumunda hem de kontraksiyon durumunda sağ ve sol masseter kaslarının kalınlığındaki artış istatistiksel olarak anlamlı bulundu. Ebeveynlerin eğitim durumu ve çocukların diş fırçalama sıklığı incelendiğinde, aralarında anlamlı bir ilişki bulunmadı. Ara öğünlerde şekerli atıştırmalık tüketimi ile DMFS indeks değerleri aralarında istatistiksel olarak anlamlı ilişki tespit edilirken, dmfs indeksi arasında ise istatistiksel olarak anlamlı ilişki tespit edilmedi. DMFS indeks değeri ile ebeveynlerin eğitim seviyesi arasında istatistiksel olarak anlamlı bir ilişki saptanmazken, dmfs indeks değeri arasında anlamlı ilişki saptandı. DMFS değeri ile diş fırçalama sıklığı arasında istatistiksel olarak anlamlı farklılık bulunurken, dmfs değeri ile arasındaki ilişki istatistiksel olarak anlamlı farklılık bulunmadı. Sonuç: Çalışmamızda elde ettiğimiz sonuçlar, dişli hareketli yer tutucu aparey kullanımının çocuklarda masseter kasının fonksiyonunda önemli etki sağladığını göstermiştir ancak bu konuyla ilgili daha fazla çocuğun dâhil olduğu yeni çalışmalara ihtiyaç olduğu sonucuna varılmıştır.

Anahtar Kelimeler: Yer tutucu; ultrasonografi; masseter kası
ABSTRACT
 Objective: In our study, the aim was to examine the thicknesses of the masseter muscle before and 6 months after of the removable space maintainers with the help of ultrasonography, to compare the oral hygiene and eating habits, and to evaluate the relationship between these factors and DMFS and dmfs (the number of caries, lost and filled tooth surfaces) indexes. Material and Methods: In our study, intraoral examinations were performed on 20 children (ages 6-12) in need of space maintainers, the number of caries, lost and filled tooth surfaces (DMFS, dmfs) were recorded, and patients were asked questions from our questionnaire to evaluate the nutritional and oral hygiene habits of their children. Before and 6 months after the application of the space maintainer appliance, the bilateral masseter muscle thickness of the patients were measured via ultrasonography and all the data obtained was statistically analyzed. Results: The statistical evaluations revealed a significant increase in the thickness of the right and left masseter muscles in both the resting state and the contraction state of the ultrasonographic evaluation of the masseter muscle. When the education level of the parents and the frequency of teeth brushing of the children were evaluated, no significant relationship was found between them. While a statistically significant relationship was found between the consumption of sugary snacks and DMFS index values, no statistically significant relationship was found between the dmfs index. While no statistically significant was found relationship between the DMFS index value and the education level of the parents, there was a significant relationship between the dmfs index value. While statistically significant difference was found between the DMFS value and the frequency of brushing teeth, there was no statistically significant difference between the dmfs value and the frequency of brushing teeth. Conclusion: It was concluded that removable space maintainers used in children were affected on masseter muscle function, however further studies including more cases on this subject are required for supporting our findings.

Keywords: Space maintainer; ultrasonography; masseter muscle
REFERENCES:
  1. Çayönü S, Yüksel BN, Sarı Ş. Dişsiz dönemden daimi dişlenme sürecine kadar oklüzyonun kurulumu [Development of occlusion from the toothless period up to the permanent dentition]. Turkiye Klinikleri Journal of Dental Sciences. 2020;26(1):110-21. [Crossref] 
  2. Yamaguchi K, Hara K, Nakagawa K, Namiki C, Ariya C, Yoshimi K, et al. Association of aging and tooth loss with masseter muscle characteristics: an ultrasonographic study. Clin Oral Investig. 2020;24(11):3881-8. [Crossref]  [PubMed] 
  3. Emshoff R, Bertram S, Brandlmaier I, Scheiderbauer G, Rudisch A, Bodner G. Ultrasonographic assessment of local cross-sectional dimensions of masseter muscle sites: a reproducible technique? J Oral Rehabil. 2002;29(11):1059-62. [Crossref]  [PubMed] 
  4. Close PJ, Stokes MJ, L'Estrange PR, Rowell J. Ultrasonography of masseter muscle size in normal young adults. J Oral Rehabil. 1995;22(2):129-34. [Crossref]  [PubMed] 
  5. Serra MD, Gambareli FR, Gavião MB. A 1-year intraindividual evaluation of maximum bite force in children wearing a removable partial dental prosthesis. J Dent Child (Chic). 2007;74(3):171-6. [PubMed] 
  6. Hiremath S, Jairaj A. Cu-sil denture-a space maintainer for function- ın paediatric patients. J Clin Diagn Res. 2017;11(3):ZD09-ZD11. [PubMed]  [PMC] 
  7. Kiliaridis S, Mahboubi PH, Raadsheer MC, Katsaros C. Ultrasonographic thickness of the masseter muscle in growing individuals with unilateral crossbite. Angle Orthod. 2007;77(4): 607-11. [Crossref]  [PubMed] 
  8. Ariji Y, Sakuma S, Kimura Y, Kawamata A, Toyama M, Kurita K, et al. Colour Doppler sonographic analysis of blood-flow velocity in the human facial artery and changes in masseter muscle thickness during low-level static contraction. Arch Oral Biol. 2001;46(11):1059-64. [Crossref]  [PubMed] 
  9. Bakke M, Tuxen A, Vilmann P, Jensen BR, Vilmann A, Toft M. Ultrasound image of human masseter muscle related to bite force, electromyography, facial morphology, and occlusal factors. Scand J Dent Res. 1992;100(3):164-71. [Crossref]  [PubMed] 
  10. Endo Y, Mizutani H, Yasue K, Senga K, Ueda M. Influence of food consistency and dental extractions on the rat mandibular condyle: a morphological, histological and immunohistochemical study. J Craniomaxillofac Surg. 1998;26(3):185-90. [Crossref]  [PubMed] 
  11. Kiliaridis S, Kälebo P. Masseter muscle thickness measured by ultrasonography and its relation to facial morphology. J Dent Res. 1991;70(9):1262-5. [Crossref]  [PubMed] 
  12. Raadsheer MC, Van Eijden TM, Van Spronsen PH, Van Ginkel FC, Kiliaridis S, Prahl-Andersen B. A comparison of human masseter muscle thickness measured by ultrasonography and magnetic resonance imaging. Arch Oral Biol. 1994;39(12):1079-84. [Crossref]  [PubMed] 
  13. Gavião MBD, Serra-Vicentin MD, Gambareli FR. Correlation between muscle thickness and bite force in children before and after oral rehabilitation-a two year longitudinal study. IFMBE Proceedings. 2011;37:850-3. [Crossref] 
  14. van Spronsen PH, Weijs WA, Valk J, Prahl-Andersen B, van Ginkel FC. Comparison of jaw-muscle bite-force cross-sections obtained by means of magnetic resonance imaging and high-resolution CT scanning. J Dent Res. 1989;68(12):1765-70. [Crossref]  [PubMed] 
  15. Raadsheer MC, van Eijden TM, van Ginkel FC, Prahl-Andersen B. Contribution of jaw muscle size and craniofacial morphology to human bite force magnitude. J Dent Res. 1999;78(1):31-42. [Crossref]  [PubMed] 
  16. Serra MD, Duarte Gavião MB, dos Santos Uchôa MN. The use of ultrasound in the investigation of the muscles of mastication. Ultrasound Med Biol. 2008;34(12):1875-84. [Crossref]  [PubMed] 
  17. Jacinto-Gonçalves SR, Gavião MBD. Bite force in children with functional space maintainer in early mixed dentition. Revista Dental Press De Ortodontia E Ortopedia Facial. 2009;14(4):101-10. [Crossref] 
  18. Gambareli FR, Serra MD, Gavião MBD. Effect of removable partial dentures replacing primary molars on mastication of foods with variable texture. Journal of Texture Studies. 2009;40(2):240-55. [Crossref] 
  19. Georgiakaki I, Tortopidis D, Garefis P, Kiliaridis S. Ultrasonographic thickness and electromyographic activity of masseter muscle of human females. J Oral Rehabil. 2007;34(2): 121-8. [Crossref]  [PubMed] 
  20. Gambareli FR, Serra MD, Pereira LJ, Gavião MBD. Influence of measurement technique, test food, teeth and muscle force interactions in masticatory performance. Journal of Texture Studies. 2007;38(1):2-20. [Crossref] 
  21. Altun C, Güven G, Başak F, Akbulut E. Altı-onbir yaş grubu çocukların ağız-diş sağlığı yönünden değerlendirilmesi [Evaluation of children in the age group of 6 to 11 with respect to oral-dental health]. Gülhane Tıp Dergisi. 2005;42(2):114-8. [Link] 
  22. Carvalho JC, Van Nieuwenhuysen JP, D'Hoore W. The decline in dental caries among Belgian children between 1983 and 1998. Community Dent Oral Epidemiol. 2001;29(1):55-61. [Crossref]  [PubMed] 
  23. Whittle JG, Whittle KW. Household income in relation to dental health and dental health behaviours: the use of Super Profiles. Community Dent Health. 1998;15(3):150-4. [PubMed] 
  24. Retnakumari N. Prevalence of dental caries and risk assessment among primary school children of 6-12 years in the Varkala municipal area of Kerala. J Indian Soc Pedod Prev Dent. 1999;17(4):135-42. [PubMed] 
  25. Yildiz E, Simsek M, Gundogar Z, Aktan AM. Gaziantep Diş Hekimliği Fakültesi'ne başvuran çocukların ağız ve diş sağlığı düzeyi [Oral health survey of children referring to Faculty of Dentistry in Gaziantep]. Gaziantep Medical Journal. 2015;21(2):118-24. [Crossref] 
  26. Akçakoca A, Meşeli SE, Yıldırım HS, Mungan NC, Akyüz S, Kuru L. Çocuklarda beslenme ve ağız bakım alışkanlıkları ile etkileyen faktörlerin değerlendirilmesi [Evaluation of children dietary and oral hygiene habits with affecting factors]. Yeditepe Dental Journal. 2021;17(1):55-62. [Crossref] 
  27. Tulunoğlu Ö, Bodur H, Akal N. Aile eğitim düzeyinin okul öncesi çocuklardaki ağız diş sağlığı uygulamaları üzerine etkisinin değerlendirilmesi [Evaluation of the effect of parental educational level on preschool children's oral and dental health]. Acta Odontologica Turcica. 1999;16(2):27. [Link] 
  28. Namal N, Ertem Vehid H, Vehid S, Can G. Altı-on iki yaş grubu çocukların diş sağlığını etkileyen anneye ait faktörlerin araştırılması [Child's tooth health factored according to mother's factors in plot district research in 6-12 age group]. Çocuk Dergisi. 2009;9(3):123-6. [Link] 
  29. Guner Onur S, Tasdemir İ, Batur Kara S, Kargul B. Assessment of caries prevalence and associated risk factors among Turkish children in Edirne, Turkey. Cumhuriyet Dental Journal. 2020;23(3):200-8. [Crossref] 
  30. Koçanalı B, Topaloğlu Ak A, Çoğulu D. Çocuklarda diş çürüğüne neden olan faktörlerin incelenmesi [Evaluation of the dental caries risk factors in children]. The Journal of Pediatric Research. 2014;1(2):76-9. [Crossref] 
  31. Ulusoy A, Yazici I, Önder H, Demi̇rel N. Ondokuz Mayıs Üniversitesi Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesine başvuran yüksek çürük riskine sahip çocuk hastalarda risk faktörlerinin ve çürük durumunun değerlendirilmesi [Evaluation of caries risk factors and caries status amongst the high caries risk children who applied Ondokuz Mayıs University Faculty of Dentistry]. Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2012;13(2):13-20. [Link] 
  32. Thurlow J. Krause's Food And Nutrition Therapy. 12th ed. Medicine & Science in Sports & Exercise. 2008;40(10):1861. [Crossref] 
  33. Kalsbeek H, Verrips GH. Consumption of sweet snacks and caries experience of primary school children. Caries Res. 1994; 28(6): 477-83. [Crossref]  [PubMed] 
  34. Taqi M, Razak IA, Ab-Murat N. Sugar consumption and caries occurrence among Pakistani school children. J Pak Med Assoc. 2018; 68(10):1483-7. [PubMed] 
  35. Llena C, Forner L. Dietary habits in a child population in relation to caries experience. Caries Res. 2008;42(5):387-93. [Crossref]  [PubMed] 

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