Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
İzmir İlinde 4-6 Yaş Arası Çocuklarda Bruksizm Görülme Sıklığı ve Etiyolojik Faktörleri ile İlişkisinin Değerlendirilmesi: Klinik Çalışma
Frequency of Bruxism and Evaluation the Relationship with Etiological Factors in Children Aged 4-6 Years in İzmir: A Clinical Study
Gülçin BULUTa, Merve ÇITAK DOĞRUb, İnci AKYILDIZb, Handan AGEN ÇELİKb, Gülcan COŞKUN AKARc, Fahinur ERTUĞRULb, Nazan ERSİNb, Hakan BULUTd
aİzmir Eğitim Diş Hastanesi, Çocuk Diş Kliniği, İzmir, TÜRKİYE
bEge Üniversitesi Diş Hekimliği Fakültesi, Pedodonti ABD, İzmir, TÜRKİYE
cEge Üniversitesi Diş Hekimliği Fakültesi, Protetik Diş Tedavisi ABD, İzmir, TÜRKİYE
dEge Üniversitesi Diş Hekimliği Fakültesi, Ortodonti ABD, İzmir, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2021;27(3):406-12
doi: 10.5336/dentalsci.2020-78337
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, 4-6 yaş arası çocuklarda bruksizm görülme sıklığı ve buna sebep olabilecek faktörlerin ilişkilendirilerek değerlendirilmesidir. Gereç ve Yöntemler: İzmir Ege Üniversitesi Yerleşkesi içerisinde yer alan kreşlere kayıtlı, 4-6 yaş arası 37'si erkek, 30'u kız çocuk çalışmaya dâhil edildi. Kreşler ziyaret edilerek, gün ışığında ayna ve sond yardımıyla çocukların muayeneleri yapıldı. Ağız içi muayenede; çürük, aşınma ve maloklüzyona ait veriler kaydedildi. Ekstraoral muayenede ise temporomandibular eklem (TME) muayenesi yapıldı, istirahat aralığı ve maksimum ağız açıklığı değerlendirildi. Ayrıca çocukların ebeveynleri tarafından doldurulmasına yönelik bir anket hazırlandı. Bu ankette, çocuğun sistemik, emosyonel durumu ve alışkanlıklarına ait bilgiler yer almıştır. Elde edilen veriler, istatistiksel olarak değerlendirildi. Bulgular: Çalışmaya katılan çocukların %16,4'ünde bruksizm varlığı saptanmıştır, fakat cinsiyet farkı gözlenmemiştir (p=0,742). Yakın aile bireyi kaybı yaşayan çocuklarda istatistiksel olarak daha fazla bruksizm bulunmuştur (p=0,025). Diş hekimine düzensiz giden veya hiç gitmeyen çocuklarda daha az bruksizm görülürken (p=0,044), sistemik hastalıklar, ilaç kullanımı, emosyonel durum, kardeşlerde buksizm geçmişi, TME şikâyetleri, çocuğun dft, maksimum ağız açıklığı, istirahat aralığı, dişlerde ileri itim ve örtülü kapanış ile bruksizm arasında anlamlı bir ilişki saptanamamıştır. Sonuç: Çocukluk bruksizmine neden olan etkenlerin zamanında belirlenebilmesi, bu etkenlere erken müdahale edilmesi ve çocuğa bakım verenlerin bilinçlendirilmesinin yararlı olacağı sonucuna varılmıştır.

Anahtar Kelimeler: Bruksizm; çocuk; etiyoloji; prevalans
ABSTRACT
 Objective: The aim of this study is to evaluate the prevalence of bruxism in children between the ages of 4-6 and the factors that may cause it. Material and Methods: 37 boys and 30 girls aged between 4 and 6 years, who were enrolled in kindergartens of Ege University, were included in the study. The kindergartens were visited and dental examination was performed by using dental mirror and probe in daylight. Intraorally, data on caries, abrasion and malocclusion were recorded. Extraorally, temporomandibular joint (TMJ) examination was performed, free-way space and maximum mouth opening were evaluated. A questionnaire was prepared to be filled out by the children's parents. The questionnaire included information about systemic diseases, emotional status and habits of the child. Obtained data were evaluated statistically. Results: The presence of bruxism was found in 16.4% of the children, but no gender difference was observed (p=0.742). Bruxism were found to be statistically higher in patients with loss of close family member (p=0.025). No significant relationship was found between bruxism and systemic diseases, drug use, emotional status, bruxism history in siblings, TMJ disorders, dft, maximum mouth opening, free-way space, overjet and overbite, whereas bruxism was less common in children who visited dentist irregularly or never visited (p=0.044). Conclusion: It is concluded that it will be helpful to determine the factors that cause childhood bruxism in time, to intervene in these factors early and to raise awareness of those who care for the child.

Keywords: Bruxism; child; etiology; prevalence
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