Kroni̇k Sağlık Sorunu Olan Çocukta Ağız Di̇ş Sağlığı

Kronik sağlık sorunu olan çocuklarda hastalığın kendisine ya da kullanılan ilaçlara bağlı olarak ağız diş sağlığı sorunları daha yüksek oranda gözlenmektedir. Özellikle yaşamın ilk yıllarında çocuğun kronik sağlık problemine odaklanan ailelerin ağız-diş bakımını geri planda tutmaları bu sorunların daha şiddetli yaşanmasına yol açabilmektedir. Bir diğer etken ailelerin çocuklarına şeker içerikli yiyecek/içecek tüketiminde kısıtlama getirmekte zorlanmaları ve daha hoşgörülü olma eğiliminde olmalarıdır. Kardiyak ya da hematolojik hastalıklarda olduğu gibi hastalığın oluşturduğu riskler nedeniyle dental tedavinin daha komplike hale gelmesi, genel diş hekimlerinin bilgi ve deneyimlerinin sınırlı olması ve diş hekimi ile pediatrist/tedavi ekibinin iş birliğindeki aksaklıklar da ağız diş sağlığı ile ilgili problemlerin yönetimini zorlaştırmaktadır. Diş çürüğü ve periodontal hastalık en çok gözlenen global ağız sağlığı sorunları olup, genel sağlık üzerinde ve çocuğun yaşam kalitesinde önemli etkilere sahiptir. Özellikle bağışıklık sisteminin baskılandığı kanserler ya da kalp hastalığı gibi bazı kronik hastalıklarda çocuklar ağız diş sağlığı problemlerinden daha çok etkilenirler. Bu nedenle özellikle kronik sağlık sorunları olan çocuklarda ağız sağlığının optimum düzeyde tutulması, koruyucu ve önleyici uygulamalar ve spesifik tedavi yaklaşımları önem kazanmaktadır. Bu bölümde çocukluk döneminde görülen ve ağız diş sağlığı üzerinde belirgin etkileri olan astım, konjenital kalp hastalıkları, kronik böbrek hastalığı, kanama bozuklukları ve pediatrik kanserler gibi kronik hastalıkların spesifik ağız içi bulgularının yanı sıra ağız diş bakımında ve tedavide dikkat edilmesi gereken faktörler derlenmiştir.

Anahtar Kelimeler: Diş çürüğü, astım, konjenital kalp hastalığı, kronik böbrek hastalığı, kanama bozuklukları

DOI :10.26650/B/CH32.2024.010.041 IUP :10.26650/B/CH32.2024.010.041 Tam Metin (PDF)

Oral and Dental Health in the Child with Chronic Health Conditions

Yeliz Güven

Children with chronic health conditions have an increased risk of oral health problems due to the disease itself or the medication used. Exacerbations are caused by the low priority to oral health by the parents, their difficulty in restricting their children’s consumption of sugar-containing food/beverage, and their high tolerance. Several factors may complicate the management of oral health-related problems, including the risks posed by the disease itself such as in cardiac or hematological diseases, the limited knowledge and experience of general dentists, and the disruptions in cooperation between the dentist and pediatrician/treatment team. Of the oral diseases worldwide, dental caries and periodontal disease are the most prevalent and can directly impact the general health and quality of life. Children with certain chronic health conditions such as compromised immunity or cardiovascular diseases may be more prone to the effects of oral diseases. Therefore, establishment of proper oral hygiene, caries preventive measures, and appropriate treatments are essential to manage medically compromised children. In the present chapter, oral manifestations of certain childhood chronic diseases (asthma, congenital heart diseases, chronic kidney disease, bleeding disorders, and childhood cancer) and the dental and oral care considerations have been reviewed.

Anahtar Kelimeler: Dental caries, asthma, congenital heart disease, chronic kidney disease, bleeding disorders

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Kroni̇k Hastalığı Olan Çocuğun İzlemi̇ ve Toplumda Bakımı

BÖLÜM

Kroni̇k Sağlık Sorunu Olan Çocukta Ağız Di̇ş Sağlığı

Oral and Dental Health in the Child with Chronic Health Conditions

Referanslar

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