Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
4-7 Yaş Grubu Çocuklarda Bruksizm Yaygınlığı ve Aile Farkındalığının Değerlendirilmesi: Kesitsel Bir Klinik Çalışma
Evaluation of the Prevalence of Bruxism and Parents Awareness in Children Aged 4-7: A Cross-Sectional Clinical Study
Gülhan YILDIRIMa, Cengiz ÖZÇELİKb, Meltem OĞHAN TÜRKOĞLUb, Melahat ÇELİK GÜVENc
aBeykent Üniversitesi Diş Hekimliği Fakültesi, Protetik Diş Tedavisi ABD, İstanbul, Türkiye
bİstanbul Yeni Yüzyıl Üniversitesi Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, İstanbul, Türkiye
cİstanbul Üniversitesi-Cerrahpaşa, Sağlık Hizmetleri Meslek Yüksekokulu, Dişçilik Hizmetleri Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(4):825-31
doi: 10.5336/dentalsci.2022-88813
Article Language: TR
Full Text
ÖZET
 Amaç: Çocukluk çağı bruksizminin erken teşhisi ile erişkin döneme kadar sürmesinin önüne geçilebilmektedir. Erken teşhis içinde ailenin rolü oldukça önemlidir. Bu çalışmada; 4-7 yaş arası çocuklarda bruksizm varlığı ve ailenin farkındalık düzeyinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışmaya kliniğe rutin muayene için başvuran, 4-7 yaş aralığında, sistemik olarak sağlıklı toplam 72 çocuk ve ebeveynleri dâhil edilmiştir. Çocukların demografik bilgileri alındıktan sonra ebeveynlere bruksizm bilgi düzeylerini belirlemeye yönelik sorular yöneltilmiştir ayrıca ebeveynlerden çocuklarda bruksizm teşhisi için tespit anketini doldurmaları istenmiştir. Çocuklarda bruksizm teşhisinin doğrulanması için ebeveyn beyanlarına ek olarak, araştırmacılar tarafından ağız içi klinik muayene yapılmış ve diş aşınması, dilde diş izleri, dişlerde mobilite varlığı, yanak ve oral mukozada hiperkeratoz alanların varlığı, dişlerde kırıklar ve çiğneme kaslarında hipertrofi varlığı değerlendirilmiştir. İstatistiksel analizler için tanımlayıcı istatistikler, ki-kare testi, Fisher'ın kesin ki-kare testi kullanılmış ve p değeri 0,05 olarak belirlenmiştir. Bulgular: Çalışmaya katılan çocukların klinik muayeneleri sonrasında %48,6'sında bruksizm olduğu belirlenmiştir. Çocukların %48,6'sında bruksizm teşhis edilmesine rağmen; ebeveynlerin sadece %15,3'ü çocuğunda bruksizm olduğunu belirtmiştir. Ebeveynlerin %81,9'u çocuğunda bruksizm olmadığını %2,8'i ise bilmediğini ifade etmiştir. Ebeveynlerin sadece %43,1'i bruksizm hakkında bilgilidir; %72,2'si bruksizmin sebepleri hakkında bilgi sahibi değil iken %18,1'i sebebin stres olabileceğini belirtmiştir. Cinsiyet ile bruksizm varlığı arasında anlamlı bir ilişki bulunmamıştır (p>0,005). Ebeveynde bruksizm varlığı ile çocukta bruksizm varlığı arasında anlamlı bir ilişki gözlenmemiştir (p=0,675). Sonuç: Çocuklarda bruksizm teşhisi konusunda ailelerin bilgi düzeyi ve farkındalığı oldukça önemlidir. Ebeveynlerin çocukluk çağı bruksizmi hakkında daha fazla bilgi sahibi olmaları, bruksizmin doğru zamanda tedavi edilebilmesi açısından katkı sağlayacaktır.

Anahtar Kelimeler: Bruksizm; çocuk; ebeveyn farkındalığı; bilgi düzeyi
ABSTRACT
 Objective: With early diagnosis, childhood bruxism can be prevented from continuing into adulthood. The role of the family in early diagnosis is very important. In this study, it was aimed to evaluate the presence of bruxism in children aged 4-7 years and the awareness of parents. Material and Methods: A total of 72 systemically healthy children aged 4-7 years who applied to the clinic for routine examination and their parents were included in the study. After the demographic information of the children was obtained, questions were asked to the parents to determine their level of knowledge of bruxism, and the parents were asked to fill out a questionnaire for the diagnosis of bruxism in children. To confirm the diagnosis of bruxism in children, in addition to parental statements, an intraoral clinical examination was performed by the investigators and the presence of tooth wear, tooth marks on the tongue, the presence of mobility in the teeth, the presence of hyperkeratosis areas in the cheek and oral mucosa, the presence of fractures in the teeth and the presence of hypertrophy in the chewing muscles were evaluated. Descriptive statistics, chi-square test, Fisher's exact chi-square test were used for statistical analysis and the p value was determined as 0.05. Results: It was determined that 48.6% of the children participating in the study had bruxism after their clinical examination. Although bruxism was diagnosed in 48.6% of the children; only 15.3% of parents stated that their child had bruxism. 81.9% of the parents stated that their child did not have bruxism and 2.8% stated that they did not know. Only 43.1% of parents are knowledgeable about bruxism; While 72.2% of them did not know about the causes of bruxism, 18.1% stated that the reason might be stress. There was no significant relationship between gender and the presence of bruxism (p>0.005). No significant correlation was observed between the presence of bruxism in the parent and the presence of bruxism in the child (p=0.675). Conclusion: The level of knowledge and awareness of families about the diagnosis of bruxism in children is very important. It will contribute to the fact that parents have more information about childhood bruxism in terms of treating bruxism at the right time.

Keywords: Bruxism; child; parent awareness; knowledge level
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Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

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