Prediktori nastanka karijesa u ranom detinjstvu

  • Marko Stevanović University of Priština, Faculty of Medicine, Department of Paediatric and Preventive Dentistry, Kosovska Mitrovica, Serbia
  • Andrijana Cvetković University of Priština, Faculty of Medicine, Department of Paediatric and Preventive Dentistry, Kosovska Mitrovica, Serbia
  • Ivana Stošović-Kalezić University of Priština, Faculty of Medicine, Department of Paediatric and Preventive Dentistry, Kosovska Mitrovica, Serbia
  • Zoran Bukumirić University of Belgrade, Faculty of Medicine, Institute for Medical Statistics and Informatics, Serbia
  • Zoraida Milojković University of Priština, Faculty of Medicine, Department of Paediatric and Preventive Dentistry, Kosovska Mitrovica, Serbia
  • Brankica Martinović University of Priština, Faculty of Medicine, Department of Paediatric and Preventive Dentistry, Kosovska Mitrovica, Serbia
  • Nikola Stevanović Institute for Health Protection of Students, Department of Dentistry, Kosovska Mitrovica, Serbia
  • Dragoslav Lazić University of Priština, Faculty of Medicine, Department of Prosthetic Dentistry, Kosovska Mitrovica, Serbia
  • Olivera Jovičić University of Belgrade, Faculty of Dental Medicine, Clinic for Paediatric and Preventive Dentistry, Belgrade, Serbia
  • Mirjana Ivanović University of Belgrade, Faculty of Dental Medicine, Clinic for Paediatric and Preventive Dentistry, Belgrade, Serbia
DOI: https://doi.org/10.2298/VSP181121060S
Ključne reči: deca, predškolska, zub, karijes, hrana i piće, navike, usta, higijena, stomatologija, preventivna, faktori rizika

Sažetak


Uvod/Cilj. Karijes zuba predstavlja problem u svim uzrastima, ali je posebno veliki kod dece u najmlađem dobu. Karijes mlečnih zuba se može javiti nakon nicanja zuba, dovodeći do nastanka komplikacija i ekstrakcije zuba, što se odražava na kvalitet života i zdravlje. Na nastanak karijesa u ranom detinjstvu utiče veliki broj prediktora. S obzirom na to da su podaci o prediktorima nastanka karijesa mlečnih zuba oskudni, cilj rada bio je da se utvrdi rasprostranjenost karijesa na mlečnim zubima i otkriju prediktori nastanka karijesa u ranom detinjstvu. Metode. Istraživanjem je bilo obuhvaćeno 117 dece starosti od 3 do 6 godina, oba pola, sa teritorije Kosovske Mitrovice i Zvečana. Svi ispitanici su bili anketirani, uključujuči i decu i roditelje, čime su dobijeni njihovi opšti podaci. Kod sve dece je izvršen stomatološki pregled, a zatečeno stanje zdravlja zuba uneseno je u posebne istraživačke kartone koji su bili u skladu sa preporukama Svetske zdravstvene organizacije. U model multivarijantne ordinalne logističke regresije bili su uključeni oni prediktori stepena zdravlja zuba koji su u modelima univarijantne ordinalne logističke regresije bili statistički značajni na nivou značajnosti od 0,05. Rezultati. Prema polnoj strukturi bilo je 49,6% dečaka i 50,4% devojčica. Zdrave zube imalo je 25 (21,4%), reverzibilne promene imalo je 19 (16,2%), dok je ireverzibilne promene na zubima imalo 73 (62,4%) dece. Kao najznačajniji prediktori pokazali su se konzumacija slatkiša, spavanje sa flašicom, 6 i više obroka dnevno, česta upotreba medicinskih sirupa, učestalost dnevnog pranja zuba, učestalost samostalnog pranja zuba, upotreba pasti bez fluora, izostanak profesionalne fluorizacije i disanje na usta. Zaključak. Istraživanje je doprinelo otkrivanju velikog broja prediktora nastanka karijesa. Kako bi se smanjio rizik od nastanka karijesa, neophodno je delovati u više sfera, što svakako zahteva planiranje i sprovođenje preventivnih stomatoloških programa.

Biografija autora

Marko Stevanović, University of Priština, Faculty of Medicine, Department of Paediatric and Preventive Dentistry, Kosovska Mitrovica, Serbia

Klinika za dečju i preventivnu stomatologiju, saradnik u nastavi

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Objavljeno
2021/03/18
Broj časopisa
Vol. 78 Br. 2 (2021): Vojnosanitetski Pregled
Rubrika
Originalni članak