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Caries Prevalence of the First Permanent Molars and Treatment Needs in Children Aged 7-13 Years in the Western Mediterranean Region of Turkey

Yıl 2025, Cilt: 7 Sayı: 1, 65 - 76, 28.04.2025

Esra Öz

https://doi.org/10.51122/neudentj.2025.142

Öz

Aim: This study aimed to determine the caries prevalence of the first permanent molars and treatment needs in children aged 7-13 years living in the Western Mediterranean Region of Turkey.
Material and Methods: The study included 1912 patients aged between 7 and 13 years who attended to the Pedodontics Clinic for dental reasons and required panoramic radiographs. The number of sound, decayed (D), missing (M), and filled (F) teeth (T) in the first permanent molars of the patients were evaluated.The relationships of these values with gender, age, age groups, and location were analyzed.First permanent molars needing treatment were grouped according to the treatments needed.
Results: The mean age of 1912 patients (977 females, 935 males) was 9.60±1.93 years. The caries prevalence in the first permanent molars was 26.8% and the mean DMFT6 value was 1.53±1.54. There was no difference between mean DMFT6 values and gender (p>0.05), but mean DMFT6 values increased statistically significantly with increasing age (p<0.001). While the mean D, M, F, and DMF values of the first permanent molars were higher in the mandibular teeth (p<0.001), there was no statistically significant difference between the right and left jaws (p>0.05). Of the first permanent molars, 19.6% needed single-surface restoration, 2.2% needed two-surface restoration, 0.2% needed ≥three-surface restoration, 4.5% needed endodontic treatment, and 0.4% needed extraction treatment.
Conclusion: To protect first permanent molars from caries, families and children should be made aware of oral care, and preventive practices should be carried out by determining the caries risk status of individuals.

Anahtar Kelimeler

child dental caries first permanent molar prevalence

Kaynakça

  • Ozdemir D. Dental Caries: The most common disease worldwide and preventive strategies. Int J Biol. 2013;5:55-61.
  • Simmer JP, Hu JC. Dental enamel formation and ıts ımpact on clinical dentistry. J Dent Educ. 2001;65:896-905.
  • Abumelha AS, Alhammadi AA, Alshahrani EA, Alsafi ZA, Ain TS. Incidence of endodontically treated first permanent molar teeth among Saudi children subpopulation. J Int Oral Health. 2018;10:250-5.
  • Pourafrasiabi M, Kouchak F, Ariaie M, Tayyari SM. Dental caries index of first permanent molar (DMF6) and some of the associated factors in 12 year-old students in Northern Iran (2015-16). J Gorgan Univ Med Sci. 2018;19:86-91.
  • Tagoo RA, Yaseen SM, Zakirulla M, Al Garni F, Khoraj AL, Meer A. Prevalence of first permanent molar caries among 7-10 years old school going boys in Abha City, Saudi Arabia. J Int Oral Health. 2011;3:29-34.
  • Bulucu B, Çelenk, P, Bayrak S, Sen E. 6–12 yaş grubu çocuklarda 1. molar dişlerin klinik açıdan değerlendirilmesi. Ondokuz Mayıs Üniv Diş Hek Fak Derg. 2000;2:1-4.
  • Kılınç G, Candan Ü, Akkemik ÖK, Evcil MS, Ellıdokuz H. 12-18 yaş grubu çocuklarda daimi birinci büyük azı dişlerin durum değerlendirilmesi: retrospektif radyografik çalışma. Atatürk Univ Diş Hek Fak Derg. 2016;26:21-8.
  • Aras A, Dogan MS. Caries prevalence and severity in immature permanent first molar teeth in Sanliurfa city, Turkey. J Dent Indones. 2020;27:13-6.
  • Bulut G. Kılınc G. İzmir ilinde 7-12 yaş grubu çocuklarda 1. büyük azı dişlerinin durum değerlendirmesi: Radyografik çalışma. Akd Tıp D. 2020;6:485-90.
  • Urvasizoglu G, Bas A, Sarac F, Celikel P, Sengul F, Derelioglu S. Assessment of permanent first molars in children aged 7 to 10 years old. Children. 2023;10:61.
  • Taşçıoğlu Y, Sayın C. Batı Akdeniz Bölgesi'nde Kırsal kalkınma yatırımlarını destekleme programı'ndan yararlanan işletmelerin destekleme programını kullanmalarını etkileyen faktörlerin belirlenmesi. Turk Tarım Gida Bilim Teknol Derg. 2017;5:786-91.
  • Khorasani Y, Irannezhad M. The prevalence of caries in the first permanent molars among students of 7 and 12 years of age in Rafsanjan, Iran, in 2009-2010. J Occup Health Epidemiol. 2017;6:25-31.
  • Petersen PE, Baez RJ. WHO. Oral health surveys: Basic methods, 5th ed. World Health Organization. 2013. 47 p.
  • Sanchez AA, Medina-Solis CE, Casanova-Rosado JF, Maupome G, Minaya-Sanchez M, Perez- Olivares S. Caries ıncrement in the permanent dentition of Mexican children in relation to prior caries experience on permanent and primary dentitions. J Dent. 2006;34:709-15.
  • Alwayli HM, Alshiha SA, Alfraih YK, Hattan MA, Alamri AA, Aldossary MS. A survey of fissure sealants and dental caries prevalence in the first permanent molars among primary school girls in Riyadh, Saudi Arabia. Eur J Dent. 2017;11:455-60.
  • Khan SQ, Farooq I, ArRejaie AS, Khabeer A, Farooqi FA. Prevalence of first permanent molar caries among 8 to 12 years old school-going children living in Dammam, Kingdom of Saudi Arabia. Ann Jinnah Sindh Med Uni. 2017;3:18-21.
  • Abuaffan AH, Hayder S, Hussen AA, Ibrahim TA. Prevalence of dental caries of the first permanent molars among 6-14 years old Sudanese children. Indian J Dent Educ. 2018;11:13-6.
  • Poureslami P, Pouradeli S, Poureslami H, Shahrokhi E. Evaluation of health status of first permanent molar teeth among 12-year-old students in rural areas of south of Kerman, Iran, 2016. J Oral Health Oral Epidemiol. 2018;7:33-8.
  • Bakhurji E, Gaffar B, Nazir M, Al-Khalifa K, Al-Ansari A. First permanent molar caries and oral health practices in Saudi male teenagers: ınequalities by socioeconomic position. Scientifica. 2020;2640949.
  • Kamiab N, Mohammadi Kamalabadi Y, Sheikh Fathollahi M. DMFT of the first permanent molars, dmft and related factors among all first-grade primary school students in Rafsanjan Urban Area. J Dent Shiraz Univ Med Scien. 2021;22:109-17.
  • Thaker BA, Dave BH, Thaker A, Shah SS, Chari DN. The prevalence and severity of dental caries in permanent molars amongst 8–10 years of children in Vadodara, Gujarat: An epidemiological study. Adv Hum Biol. 2021;11:99-105.
  • Su HR, Xu PC, Qian WH. Investigation of the first permanent molar caries in primary school students in Xuhui District of Shanghai Municipality. Shanghai Kou Qiang Yi Xue. 2012;21:329-32.
  • Oter B, Tirali RE, Cehreli SB. Evaluation of treatment needs of permanent first molar teeth in a group of schoolchildren attending to university dental clinics in Ankara and Istanbul. Clin Dent Res. 2016;40:123-9.
  • Mimoza C, Vito MA. The first permanent molar most affected by dental caries- A longitudinal study. Int J Dent Med. 2018;4:36-41.
  • Duman S, Duruk G. The evaluation of the clinical and radiographic records of the first molar teeth in pediatric patients. Ann Med Res. 2019;26:2333-9.
  • Baginska J, Rodakowska E, Kierklo A. Status of occlusal surfaces of first permanent molars in 6-8-year-old children evaluated by the CAST and DMF indices. Eur J Paediatr Dent. 2014;15:107-12.
  • Demirbuga S, Tuncay O, Cantekin K, Cayabatmaz M, Dincer AN, Kilinc HI, et al. Frequency and distribution of early tooth loss and endodontic treatment needs of permanent first molars in a Turkish pediatric population. Eur J Dent. 2013;7:S099-104.
  • Bayrak Ş, Dalcı K, Erdoğmuş A. 6-12 yaş grubu çocuklarda daimi birinci büyük azı dişlerin mevcut durumlarının panoramik radyografilerde değerlendirilmesi. AÜ Diş Hek Fak Derg. 2007;34:9-18.
  • Cypriano S, de Sousa M daL, Wada RS. Evaluation of simplified DMFT indices in epidemiological surveys of dental caries. Rev Saude Publica. 2005;39:285-92.
  • World Health Organization (WHO) Oral health. Fact sheet no 318. Geneva: WHO; Geneva, Switzerland: 2012. (Last accessed on 06 Oct 2017, http://www.who.int/mediacentre /factsheets/fs318/en/index.htm)
  • Gorgi Z, Abbasi A, Mohsenzadeh A, Damankeshan A, Sheikh Fathollahi M. A survey on DMFT index of the first permanent molar in 12-year-old students of Larestan, Iran, in 2014. J Occup Health Epidemiol. 2017;6:32-9.
  • Sadat-Sajadi F, Malek-Mohammadi T, Nabavizadeh SA, Ghanbari S, Montajab F. The awareness of parents of 7-8-Year-Old children in Kerman about presence of the first permanent molar and concepts of preventive dentistry and effect of education on level of parent’s awareness. J Oral Health Oral Epidemiol. 2014;3:30-6.
  • Khodadadi E, Khafri S. Epidemiological evaluation of DMFT of first permanent molar in 12 year old students of Babol city; Iran (2011-2012). J Babol Univ Med Sci. 2013;15:102-6.
  • Temur KT, Onsuren A. Investigating permanent first molars of a Turkish pediatric sample in the Eastern Mediterranean region: A radiagraphic study. J Exp Clin Med. 2022;39:611-5.
  • Gokalp S, Dogan BG, Tekcicek M. Prevalence and severity of dental caries in 12 year-old Turkish children and related factors. Med J Islam World Acad Sci. 2013;21:11-8.

Türkiye'nin Batı Akdeniz Bölgesi'nde 7-13 Yaş Arası Çocukların Daimi Birinci Azı Dişlerinde Çürük Prevalansı ve Tedavi İhtiyaçları

Yıl 2025, Cilt: 7 Sayı: 1, 65 - 76, 28.04.2025

Esra Öz

https://doi.org/10.51122/neudentj.2025.142

Öz

Amaç: Bu çalışma, Türkiye’nin Batı Akdeniz Bölgesi'nde yaşayan 7-13 yaş arası çocukların daimi birinci büyük azı dişlerinde çürük prevalansını ve tedavi ihtiyaçlarını belirlemeyi amaçlamıştır.
Gereç ve Yöntemler: Çalışmamıza, Pedodonti Kliniği’ne dişsel sebeplerden dolayı başvuran ve panoramik radyograf gereksinimi olan yaşları 7-13 arasında değişen 1912 hasta dahil edildi. Hastaların daimi birinci büyük azı dişlerindeki sağlıklı, çürük, çürük nedeniyle çekilmiş, dolgulu diş sayıları değerlendirmeye alındı. Bu değerlerin; cinsiyet, yaş, yaş grupları, lokasyon ile olan ilişkileri incelendi. Tedavi ihtiyacı olan birinci büyük azı dişleri ihtiyaç duyulan tedavilere göre gruplandırıldı.
Bulgular: Çalışma grubunu oluşturan 1912 hastanın (977 kız, 935 erkek) ortalama yaşları 9.60±1.93’dü. Daimi birinci büyük azı dişlerinde çürük prevalansı %26.8, ortalama DMFT6 değeri 1.53±1.54 olarak kaydedildi. Ortalama DMFT6 değerleri ile cinsiyet arasında herhangi bir farklılık bulunmadı (p>0.05), ancak artan yaşla birlikte ortalama DMFT6 değerlerinin istatistiksel olarak anlamlı şekilde arttığı belirlendi (p<0.001). Daimi birinci büyük azı dişlerinin ortalama D, M, F ve DMF değerleri alt çene dişlerinde daha fazla iken (p<0.001), çenelerin sağ ve sol bölgesine göre istatistiksel olarak anlamlı farklılık oluşmadı (p>0.05). Daimi birinci büyük azı dişlerinin %19.6'sının tek yüzlü restorasyona, %2.2'sinin iki ve %0.2'sinin ≥üç yüzlü restorasyona, %4.5'inin endodontik tedaviye ve %0.4'ünün çekim tedavisine ihtiyacı vardı.
Sonuç: Daimi birinci büyük azı dişlerini çürüklerden korumak için aileler ve çocuklar ağız bakımı konusunda bilinçlendirilmeli, bireylerin çürük risk durumları belirlenerek koruyucu uygulamalar yapılmalıdır.

Anahtar Kelimeler

çocuk diş çürüğü birinci büyük azı dişi prevalans

Kaynakça

  • Ozdemir D. Dental Caries: The most common disease worldwide and preventive strategies. Int J Biol. 2013;5:55-61.
  • Simmer JP, Hu JC. Dental enamel formation and ıts ımpact on clinical dentistry. J Dent Educ. 2001;65:896-905.
  • Abumelha AS, Alhammadi AA, Alshahrani EA, Alsafi ZA, Ain TS. Incidence of endodontically treated first permanent molar teeth among Saudi children subpopulation. J Int Oral Health. 2018;10:250-5.
  • Pourafrasiabi M, Kouchak F, Ariaie M, Tayyari SM. Dental caries index of first permanent molar (DMF6) and some of the associated factors in 12 year-old students in Northern Iran (2015-16). J Gorgan Univ Med Sci. 2018;19:86-91.
  • Tagoo RA, Yaseen SM, Zakirulla M, Al Garni F, Khoraj AL, Meer A. Prevalence of first permanent molar caries among 7-10 years old school going boys in Abha City, Saudi Arabia. J Int Oral Health. 2011;3:29-34.
  • Bulucu B, Çelenk, P, Bayrak S, Sen E. 6–12 yaş grubu çocuklarda 1. molar dişlerin klinik açıdan değerlendirilmesi. Ondokuz Mayıs Üniv Diş Hek Fak Derg. 2000;2:1-4.
  • Kılınç G, Candan Ü, Akkemik ÖK, Evcil MS, Ellıdokuz H. 12-18 yaş grubu çocuklarda daimi birinci büyük azı dişlerin durum değerlendirilmesi: retrospektif radyografik çalışma. Atatürk Univ Diş Hek Fak Derg. 2016;26:21-8.
  • Aras A, Dogan MS. Caries prevalence and severity in immature permanent first molar teeth in Sanliurfa city, Turkey. J Dent Indones. 2020;27:13-6.
  • Bulut G. Kılınc G. İzmir ilinde 7-12 yaş grubu çocuklarda 1. büyük azı dişlerinin durum değerlendirmesi: Radyografik çalışma. Akd Tıp D. 2020;6:485-90.
  • Urvasizoglu G, Bas A, Sarac F, Celikel P, Sengul F, Derelioglu S. Assessment of permanent first molars in children aged 7 to 10 years old. Children. 2023;10:61.
  • Taşçıoğlu Y, Sayın C. Batı Akdeniz Bölgesi'nde Kırsal kalkınma yatırımlarını destekleme programı'ndan yararlanan işletmelerin destekleme programını kullanmalarını etkileyen faktörlerin belirlenmesi. Turk Tarım Gida Bilim Teknol Derg. 2017;5:786-91.
  • Khorasani Y, Irannezhad M. The prevalence of caries in the first permanent molars among students of 7 and 12 years of age in Rafsanjan, Iran, in 2009-2010. J Occup Health Epidemiol. 2017;6:25-31.
  • Petersen PE, Baez RJ. WHO. Oral health surveys: Basic methods, 5th ed. World Health Organization. 2013. 47 p.
  • Sanchez AA, Medina-Solis CE, Casanova-Rosado JF, Maupome G, Minaya-Sanchez M, Perez- Olivares S. Caries ıncrement in the permanent dentition of Mexican children in relation to prior caries experience on permanent and primary dentitions. J Dent. 2006;34:709-15.
  • Alwayli HM, Alshiha SA, Alfraih YK, Hattan MA, Alamri AA, Aldossary MS. A survey of fissure sealants and dental caries prevalence in the first permanent molars among primary school girls in Riyadh, Saudi Arabia. Eur J Dent. 2017;11:455-60.
  • Khan SQ, Farooq I, ArRejaie AS, Khabeer A, Farooqi FA. Prevalence of first permanent molar caries among 8 to 12 years old school-going children living in Dammam, Kingdom of Saudi Arabia. Ann Jinnah Sindh Med Uni. 2017;3:18-21.
  • Abuaffan AH, Hayder S, Hussen AA, Ibrahim TA. Prevalence of dental caries of the first permanent molars among 6-14 years old Sudanese children. Indian J Dent Educ. 2018;11:13-6.
  • Poureslami P, Pouradeli S, Poureslami H, Shahrokhi E. Evaluation of health status of first permanent molar teeth among 12-year-old students in rural areas of south of Kerman, Iran, 2016. J Oral Health Oral Epidemiol. 2018;7:33-8.
  • Bakhurji E, Gaffar B, Nazir M, Al-Khalifa K, Al-Ansari A. First permanent molar caries and oral health practices in Saudi male teenagers: ınequalities by socioeconomic position. Scientifica. 2020;2640949.
  • Kamiab N, Mohammadi Kamalabadi Y, Sheikh Fathollahi M. DMFT of the first permanent molars, dmft and related factors among all first-grade primary school students in Rafsanjan Urban Area. J Dent Shiraz Univ Med Scien. 2021;22:109-17.
  • Thaker BA, Dave BH, Thaker A, Shah SS, Chari DN. The prevalence and severity of dental caries in permanent molars amongst 8–10 years of children in Vadodara, Gujarat: An epidemiological study. Adv Hum Biol. 2021;11:99-105.
  • Su HR, Xu PC, Qian WH. Investigation of the first permanent molar caries in primary school students in Xuhui District of Shanghai Municipality. Shanghai Kou Qiang Yi Xue. 2012;21:329-32.
  • Oter B, Tirali RE, Cehreli SB. Evaluation of treatment needs of permanent first molar teeth in a group of schoolchildren attending to university dental clinics in Ankara and Istanbul. Clin Dent Res. 2016;40:123-9.
  • Mimoza C, Vito MA. The first permanent molar most affected by dental caries- A longitudinal study. Int J Dent Med. 2018;4:36-41.
  • Duman S, Duruk G. The evaluation of the clinical and radiographic records of the first molar teeth in pediatric patients. Ann Med Res. 2019;26:2333-9.
  • Baginska J, Rodakowska E, Kierklo A. Status of occlusal surfaces of first permanent molars in 6-8-year-old children evaluated by the CAST and DMF indices. Eur J Paediatr Dent. 2014;15:107-12.
  • Demirbuga S, Tuncay O, Cantekin K, Cayabatmaz M, Dincer AN, Kilinc HI, et al. Frequency and distribution of early tooth loss and endodontic treatment needs of permanent first molars in a Turkish pediatric population. Eur J Dent. 2013;7:S099-104.
  • Bayrak Ş, Dalcı K, Erdoğmuş A. 6-12 yaş grubu çocuklarda daimi birinci büyük azı dişlerin mevcut durumlarının panoramik radyografilerde değerlendirilmesi. AÜ Diş Hek Fak Derg. 2007;34:9-18.
  • Cypriano S, de Sousa M daL, Wada RS. Evaluation of simplified DMFT indices in epidemiological surveys of dental caries. Rev Saude Publica. 2005;39:285-92.
  • World Health Organization (WHO) Oral health. Fact sheet no 318. Geneva: WHO; Geneva, Switzerland: 2012. (Last accessed on 06 Oct 2017, http://www.who.int/mediacentre /factsheets/fs318/en/index.htm)
  • Gorgi Z, Abbasi A, Mohsenzadeh A, Damankeshan A, Sheikh Fathollahi M. A survey on DMFT index of the first permanent molar in 12-year-old students of Larestan, Iran, in 2014. J Occup Health Epidemiol. 2017;6:32-9.
  • Sadat-Sajadi F, Malek-Mohammadi T, Nabavizadeh SA, Ghanbari S, Montajab F. The awareness of parents of 7-8-Year-Old children in Kerman about presence of the first permanent molar and concepts of preventive dentistry and effect of education on level of parent’s awareness. J Oral Health Oral Epidemiol. 2014;3:30-6.
  • Khodadadi E, Khafri S. Epidemiological evaluation of DMFT of first permanent molar in 12 year old students of Babol city; Iran (2011-2012). J Babol Univ Med Sci. 2013;15:102-6.
  • Temur KT, Onsuren A. Investigating permanent first molars of a Turkish pediatric sample in the Eastern Mediterranean region: A radiagraphic study. J Exp Clin Med. 2022;39:611-5.
  • Gokalp S, Dogan BG, Tekcicek M. Prevalence and severity of dental caries in 12 year-old Turkish children and related factors. Med J Islam World Acad Sci. 2013;21:11-8.
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Çocuk Diş Hekimliği
Bölüm ARAŞTIRMA MAKALESİ
Yazarlar

Esra Öz 0000-0002-5160-7211

Yayımlanma Tarihi 28 Nisan 2025
Gönderilme Tarihi 6 Temmuz 2024
Kabul Tarihi 7 Ocak 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 7 Sayı: 1

Kaynak Göster

Vancouver Öz E. Caries Prevalence of the First Permanent Molars and Treatment Needs in Children Aged 7-13 Years in the Western Mediterranean Region of Turkey. NEU Dent J. 2025;7(1):65-76.
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