Povezanost indikatora rizika od pojave karijesa i različitih stadijuma karijesa na mladim stalnim zubima

  • Ivana Stošović Kalezić University in Priština/Kosovska Mitrovica, Faculty of Medical Sciences, Department of Dentistry, Kosovska Mitrovica, Serbia
  • Andrijana Cvetković University in Priština/Kosovska Mitrovica, Faculty of Medical Sciences, Department of Dentistry, Kosovska Mitrovica, Serbia
  • Marko Stevanović University in Priština/Kosovska Mitrovica, Faculty of Medical Sciences, Department of Dentistry, Kosovska Mitrovica, Serbia
  • Brankica Martinović University in Priština/Kosovska Mitrovica, Faculty of Medical Sciences, Department of Dentistry, Kosovska Mitrovica, Serbia
  • Zoraida Milojković University in Priština/Kosovska Mitrovica, Faculty of Medical Sciences, Department of Dentistry, Kosovska Mitrovica, Serbia
  • Raša Mladenović University of Kragujevac; Faculty of Medical Sciences, Departmnt of Dentistry, Kragu-jevac, Serbia
  • Milan Živković University in Priština/Kosovska Mitrovica, Faculty of Medical Sciences, Department of Dentistry, Kosovska Mitrovica, Serbia
  • Nadica Djordjević University in Priština/Kosovska Mitrovica, Faculty of Medical Sciences, Department of Dentistry, Kosovska Mitrovica, Serbia
  • Mirjana Ivanović University of Belgrade, Faculty of Dental Medicine, Belgrade, Serbia
Ključne reči: deca, zub, karijes, navike, usta, zdravlje, faktori rizika, socijalno-ekonomski faktori, ankete i upitnici

Sažetak


Uvod/Cilj. Identifikacija indikatora rizika od pojave karijesa je od velike važnosti. Cilj ove studije je bio da se proceni povezanost između određenih indikatora rizika od karijesa i različitih faza karijesnog procesa kod dece. Metode. Studijom preseka obuhvaćen je uzorak od 327 školske dece uzrasta 7–11 godina. Podaci o demografskim karakteristikama, navikama dece u ishrani, oralnoj higijeni i ponašanju povezanim sa oralnim zdravljem prikupljeni su putem upitnika koje su popunjavali roditelji. Detektovanje i procena karijesnih lezija sprovedeni su korišćenjem International Caries Detection and Assessment System (ICDAS) II metode. Ispitanici su stratifikovani prema najvećem i najćeščem stepenu karijesne lezije. Dobijeni podaci analizirani su pomoću χ2 testa, Fišerovog testa i multivarijantne nominalne logističke regresije. Rezultati. Karijesne lezije nađene su kod 56,6% ispitanika. Utvrđeno je da su kod ispitanika na pojavu početnih karijesnih lezija statistički značajno uticali nivo obrazovanja majke (p = 0,021), radni status oca (p = 0,023), učestalost pranja zuba (p < 0,001) i karijes status mlečnih zuba (p = 0,027). Nivo obrazovanja

 

majke (p = 0,026), radni status oca (p = 0,003), učestalost konzumiranja slatkiša i grickalica (p = 0,005), učestalost pranja zuba (p < 0,001) i upotreba zubne paste sa fluorom (p = 0,027) bili su povezani sa pojavom lezija srednjeg stepena. Nivo obrazovanja majke (p < 0,001), učestalost konzumiranja slatkiša i grickalica (p = 0,022) i učestalost pranja zuba (p < 0,001) bili su povezani sa pojavom ekstenzivnih karijesnih lezija. Nivo obrazovanja majke (p = 0,020) i učestalost pranja zuba (p < 0,001) statistički su značajno bili povezani sa najvećom učestalošću početnih karijesnih lezija kod dece. Nivo obrazovanja majke (p = 0,025), učestalost pranja zuba (p < 0,001) i učestalost stomatoloških pregleda (p = 0,016) značajno su bili povezani sa najvećom učestalošću karijesnih lezija srednjeg stepena. Zaključak. Socijalnoekonomski indikatori i ponašanje dece u vezi sa oralnim zdravljem povezani su sa pojavom karijesa i različitim stadijumima karijesnog procesa.

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