Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
Anne Sütünün ve Erken Beslenme Alışkanlıklarının Erken Çocukluk Çağı Çürükleri Üzerindeki Etkisi
Effects of Breastfeeding and Early Feeding Habits on Early Childhood Caries
Tuğba YİĞİTa, Çiğdem KÜÇÜKEŞMENb
aUşak Üniversitesi Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, Uşak, TÜRKİYE
bSüleyman Demirel Üniversitesi Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, Isparta, TÜRKİYE
J Tradit Complem Med. 2020;3(1):77-83
doi: 10.5336/jtracom.2019-72192
Article Language: TR
Full Text
ÖZET
 Amaç: Anne sütünün ve erken beslenme alışkanlıklarının erken çocukluk çağı çürükleri üzerindeki etkisinin değerlendirilmesi, ailelerin gerekli düzeyde bilgilendirilmesi ve çocuklarda erken dönem beslenme alışkanlıklarının önemine dikkat çekilmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışmamız, 3-5 yaşları arasındaki 530 gönüllü ve rastgele seçilmiş hastaların ebeveynlerine anket formlarının doldurulması ve diş hekimi tarafından hastaların ağız içi muayenelerinin yapılması ile gerçekleştirilmiştir. Klinik muayenede, ünit ışığı altında steril ayna ve sond yardımı ile çürük, eksik ve dolgulu diş yüzeyi [decay, missing, filled surfaces (DMFS)] indeks değerleri hesaplanmıştır. Bu değerler ile anket sonucunda elde edilen erken dönem beslenme alışkanlıkları arasındaki ilişki incelenmiştir. Tüm istatistikler, SPSS yazılım programı ile incelenmiş, elde edilen veriler ANOVA, Tukey ve t-testi kullanılarak değerlendirilmiştir. Bulgular: Ortalama DMFS değerleri 19,85 olarak bulunmuştur. Gece anne sütü ile beslenen çocukların DMFS değerleri, anne sütü ile beslenmeyen çoçuklara göre anlamlı derecede düşüktür (p<0,001). Anne sütü almayan çocukların DMFS değerleri en yüksek, 12 aya kadar anne sütü alan çocukların DMFS değerleri en düşük olarak gözlenmiştir. Çalışmada, emzikleri şeker içerikli besinlere batırılarak verilen çocukların DMFS değerlerinin yüksek olduğu ve öğün aralarında şekerli yiyecek tüketimi arttıkça DMFS değerlerinin arttığı görülmüştür. Sonuç: Erken çocukluk çağı çürüğü, süt dişlerinin kısa süre içinde geniş kapsamlı yıkımına neden olmakta, etiyoloji ve önlenmesinde çoğu çalışma beslenme üzerine odaklanmaktadır. Bu nedenle, erken çocukluk çağı çürüğünün önlenmesinde, beslenme alışkanlıklarının erken yaşlarda düzenlenmesi önemlidir. On iki aya kadar anne sütü alımı çürük oluşumunu önemli ölçüde azaltmaktadır.

Anahtar Kelimeler: Anne sütü; beslenme alışkanlıkları; erken çocukluk çağı çürüğü
ABSTRACT
 Objective: The aim of this study was to evaluate the effects of breast milk and early feeding habits on early childhood caries, to inform families and to draw attention to the importance of early feding habits in children. Material and Methods: Our study was carried out by filling in questionnaires by the parents of 530 volunteers and randomly selected patients between the ages of 3-5 years old. Oral examination of the patients were performed by the dentist. The relationship between these values and early feeding habits was evaluated. All data was analyzed with SPSS software and the data was evaluated using ANOVA, Tukey and t-test. Results: The mean decayed, missing, filled surface (DMFS) values in children with early childhood were found to be 19.85. The relationship between DMFS values and breastfeeding at night was statistically significant (p<0.001). The highest DMFS values of the children who do not take breast milk, the DMFS values of the children who were breastfed up to 12 months were the lowest. The DMFS values of children given by dipping the teats into the foods containing sugar were high and the DMFS values increased as the consumption of sugary foods between meals increased. Conclusion: Recently, focus on nutrition in its etiology and prevention. Therefore, it is important to regulate nutritional habits at an early age in the prevention of early childhood caries. Use of breast milk for up to 12 months significantly reduces caries.

Keywords: Breastfeeding; feeding habits; early childhood caries
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