摘要：Amaç: Diş çürüğü özellikle gelişmekte olan ülkelerde ciddi bir sağlık problemi olarak karşımıza çıkmaya devam etmektedir. Tedavi edilmemiş diş çürüklerinin yol açtığı apse, ülserasyon ve fistül gibi komplikasyonların prevalansını araştıran sınırlı sayıda araştırma bulunmaktadır. Bu çalışmanın amacı, bir grup çocukta tedavi edilmemiş diş çürüklerinin klinik sonuçlarının prevalansının araştırılmasıdır. Gereç ve Yöntem: Çalışma 1-31 Mart 2012 tarihleri arasında Gazi Üniversitesi Diş Hekimliği Fakültesi Pedodonti Anabilim Dalı Kliniğinde yaşları 5-12 arası olan 1200 çocuk üzerinde yürütüldü. Daimi ve süt dişlerinde diş çürükleri DMFT/dmft ve PUFA/pufa indeksleri ile skorlandı (D/d: çürük, M/m: kayıp, F/f: dolgulu diş, P/p: pulpayı içeren çürük lezyonu, U/u: kök parçalarından dolayı mukozanın ülserasyonu, F/f: fistül, A/a: apse). Bulgular: Çocuklarda DMFT indeksi 2.34 ± 1.37 ve dmft indeksi 4.25 ± 3.46 olarak bulundu. Daimi ve süt dişleri için PUFA/pufa prevalansı sırasıyla %2.30 ve ".25 olarak belirlendi. Hem süt hem daimi dişlerde en yüksek skoru pulpayı içeren diş çürüğü oluşturdu (süt dişlerinde .24 ve daimi dişlerde %1.67). Bunu apse ve fistülizasyon izledi. Sonuç: Seçilen popülasyonda tedavi edilmemiş süt dişi çürüklerinin ve yumuşak dokudaki klinik sonuçlarının prevalansı yüksek bulundu. PUFA/pufa indeksi diş çürüklerini değerlendirmek amacıyla var olan çürük indekslerini tamamlayıcı bir epidemiyolojik araç olarak görülmektedir. Objective: Tooth decay continues to come up as a serious health problem particularly in developing countries. Limited number of studies investigated the prevalence of complication of untreated dental caries as abscess, fistula and ulceration. The purpose of the present study was to investigate the prevalence of the clinical consequences of untreated dental caries among a group of children. Materials and Method: The study was conducted on 1200 children with ages between 5-12 years in the Department of Pedodontics, Faculty of Dentistry, GaziUniversity between the dates 1-31 March 2012. Caries in deciduous and permanent teeth were scored using DMFT/dmft and PUFA/pufa indexes (D/d: decayed, M/m: missing, F/f: filled, P/p: carious lesion with pulpal involvement , U/u: ulceration of the mucosa due to root fragments , F/f: fistula, A/a: abscess). Results: DMFT index was 2.34 ± 1.37 and dmft index was 4.25 ± 3.46. The prevalence of PUFA/pufa for permanent and deciduous teeth was 2.30% and 22.25%, respectively. The highest score in both permanent and deciduous teeth was caries lesions with pulpal involvement (.24 for deciduous teeth and %1.67 for permanent teeth) . This was followed by abscess and fistula formation. Conclusion: The prevalence of clinical consequences of untreated dental caries was high for deciduous teeth in the selected population. The PUFA/pufa index is seen as an epidemiological tool complementary to the existing caries index aimed to assess dental caries.
其他摘要：Objective: Tooth decay continues to come up as a serious health problem particularly in developing countries. Limited number of studies investigated the prevalence of complication of untreated dental caries as abscess, fistula and ulceration. The purpose of the present study was to investigate the prevalence of the clinical consequences of untreated dental caries among a group of children. Materials and Method: The study was conducted on 1200 children with ages between 5-12 years in the Department of Pedodontics, Faculty of Dentistry, GaziUniversity between the dates 1-31 March 2012. Caries in deciduous and permanent teeth were scored using DMFT/dmft and PUFA/pufa indexes (D/d: decayed, M/m: missing, F/f: filled, P/p: carious lesion with pulpal involvement , U/u: ulceration of the mucosa due to root fragments , F/f: fistula, A/a: abscess). Results: DMFT index was 2.34 ± 1.37 and dmft index was 4.25 ± 3.46. The prevalence of PUFA/pufa for permanent and deciduous teeth was 2.30% and 22.25%, respectively. The highest score in both permanent and deciduous teeth was caries lesions with pulpal involvement (%11.24 for deciduous teeth and %1.67 for permanent teeth) . This was followed by abscess and fistula formation. Conclusion: The prevalence of clinical consequences of untreated dental caries was high for deciduous teeth in the selected population. The PUFA/pufa index is seen as an epidemiological tool complementary to the existing caries index aimed to assess dental caries.
