Süt; yenidoğanlar, bebekler ve çocuklar için önemli bir besindir ve aynı zamanda erişkinler için de çok sayıda fayda sağlamaktadır. Süt ve süt ürünleri, çocuk ve erişkin populasyonlarında diş çürüğünün önlenmesi için çok uygun maliyetli ajanlar olabilmektedir. Diş çürüğü, birçok insanda diş dokusu tahribatının yavaş ilerlediği kronik ve bulaşıcı bir hastalıktır. Doğadaki en sert maddelerden biri olan diş kristalinin demineralizasyonu, diş yüzeyinde birbirini izleyen düşük pH ve nötr pH'li değişen periyotlara karşılık gelen demineralizasyon ve remineralizasyon süreçlerinin sonucu olarak meydana gelmektedir. Sığır sütünün diş çürümesine neden olabileceğine yönelik erken dönem çalışmalarının sonuçlarına rağmen, yakın zamanda yapılan araştırmalarla sütün diş sağlığı yönünden güvenli, karyojenik olmayan bir besin olduğuna dair daha güçlü kanıtlar elde edilmiştir. Süt proteinleri, kazeinler ve laktoferin, çürük yapıcı mutans streptokokların tükürük ile kaplı hidroksiapatite bağlanmasını önlemektedir. Yapılan bazı çalışmalar, süt tüketen çocuklarda süt içmeyenlere göre çürük sıklığının daha düşük olduğunu veya diş çürüğü olmayan çocuklara kıyasla dişlerinde çürük olan çocuklarda süt tüketiminin önemli ölçüde az olduğunu göstermiştir. Bu çalışmada, süt ve süt ürünlerinin diş sağlığı üzerindeki etkileri ile ilgili güncel literatür bilgilerinin aktarılması ve tartışılması amaçlanmıştır.
Anahtar Kelimeler: Çocuklar; diş çürüğü; süt; süt ürünleri
Milk is an essential nutrient for newborns, infants and children and it also has numerous benefits for adults. Milk and dairy products also may be very cost-effective agents for prevention of dental caries in children and adult populations. Dental caries is a chronic infectious disease with a slow progress of tooth tissue destruction in most individuals. Demineralization of tooth crystal, one of the hardest in nature, results from alternating periods with low pH and neutral pH at the tooth surface, during which demineralization and remineralization, respectively, occur. Despite the earlier study results that bovine milk may cause tooth decay, with recent research, there is now stronger evidence that milk is a safe, non-cariogenic, nutrient for dental health. Milk proteins, caseins and lactoferrin, inhibit initial attachment of cariogenic mutans streptococci to hydroxyapatite coated with saliva. Several studies have found either lower caries frequency in children with milk consumption compared to those who do not drink milk, or significantly lower milk consumption in children with caries as compared to children without caries. It is the aim of this review to convey and discuss current literature information relating to the impact of milk and dairy products on dental health.
Keywords: Child; dental caries; milk; dairy products
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