Di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc; bir\u00e7ok etkenin rol oynad\u0131\u011f\u0131, \u00e7ok y\u00f6nl\u00fc bula\u015f\u0131c\u0131 bir hastal\u0131kt\u0131r. Bu etkenler aras\u0131nda yer alan beslenme al\u0131\u015fkanl\u0131klar\u0131, \u00f6zellikle etkin bir a\u011f\u0131z bak\u0131m\u0131 sa\u011flayamayan ve fluoridden yeterince yararlanamayan k\u00fc\u00e7\u00fck \u00e7ocuklar i\u00e7in b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r.<\/p>\n
A\u011f\u0131z ortam\u0131nda bulunan bakteriler, beslenme yoluyla al\u0131nan \u015fekerleri veya fermente olabilen karbonhidratlar\u0131 metabolize ederek organik asit olu\u015fturmaktad\u0131rlar. Olu\u015fan organik asitler di\u015f dokular\u0131nda \u00e7\u00f6z\u00fcnme meydana getirebilmektedir ve bu \u00e7\u00f6z\u00fcnme s\u00fcrecine demineralizasyon denmektedir.<\/p>\n
Bilinen en eski ve ilkel toplumlardaki \u00e7\u00fcr\u00fck g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 g\u00fcn\u00fcm\u00fczdeki toplumlara g\u00f6re daha d\u00fc\u015f\u00fckt\u00fcr. \u0130lkel toplumlar\u0131n protein a\u011f\u0131rl\u0131kl\u0131 beslenmesi ve sert besinler t\u00fcketmeleri sonucu olu\u015fan mekanik temizli\u011fin daha fazla olmas\u0131 \u00e7\u00fcr\u00fck g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131 en aza indirmi\u015ftir. Ancak g\u00fcn\u00fcm\u00fczde haz\u0131r g\u0131da t\u00fcketiminin artmas\u0131 sonucu \u00e7\u00fcr\u00fck g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 da artm\u0131\u015ft\u0131r. Haz\u0131r g\u0131dalarda ve \u015fekerli i\u00e7eceklerde bol miktarda bulunan sukroz, di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcn\u00fcn olu\u015fmas\u0131ndaki ana etkenlerden bir tanesidir. \u00c7ikolata, bisk\u00fcvi ve kola gibi yumu\u015fak, \u015fekerli ve di\u015fe yap\u0131\u015fan tarzdaki besinler asit olu\u015fturmaktad\u0131r. Bu t\u00fcr besinlerin t\u00fcketilmesini takiben, di\u015flerin hemen f\u0131r\u00e7alanmas\u0131 m\u00fcmk\u00fcn de\u011filse, a\u011f\u0131z bol su ile \u00e7alkalanmal\u0131d\u0131r. Meyve, sebze, s\u00fct ve tah\u0131ll\u0131 besinlerde do\u011fal \u015fekerler bulunmaktad\u0131r ve bu do\u011fal \u015fekerler haz\u0131r g\u0131dalarda bulunan \u015fekerlerden ay\u0131rt edilmelidir. Do\u011fal \u015fekerlerin t\u00fcketilmesi istenen bir durumdur ve diyetimize bu \u015fekerleri katmam\u0131z hem daha sa\u011fl\u0131kl\u0131d\u0131r hem de \u00e7\u00fcr\u00fck riskini azaltabilmektedir. Yap\u0131\u015fkan, \u015fekerli veya asitli g\u0131dalar t\u00fckettikten sonra elma veya havu\u00e7 gibi sert besinler di\u015fleri temizleyebilmektedir ve di\u015f etine uygulad\u0131klar\u0131 masaj etkisiyle di\u015fetinin sa\u011fl\u0131\u011f\u0131na olumlu katk\u0131da bulunabilmektedirler.<\/p>\n
Di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcn\u00fcn olu\u015fumunda yiyeceklerin i\u00e7indeki \u015feker miktar\u0131, g\u00fcnl\u00fck t\u00fcketilen \u015feker miktar\u0131, karbonhidrat kayna\u011f\u0131n\u0131n kat\u0131, s\u0131v\u0131 veya yap\u0131\u015fkan \u00f6zellikte olmas\u0131, besinlerin a\u011f\u0131z ortam\u0131nda kalma s\u00fcresi, \u00e7\u00fcr\u00fck yap\u0131c\u0131 yiyeceklerin g\u00fcn i\u00e7erisindeki t\u00fcketim s\u0131kl\u0131\u011f\u0131 ve \u00f6\u011f\u00fcnler aras\u0131nda ge\u00e7en s\u00fcrenin etkili oldu\u011fu bildirilmi\u015ftir. Ancak beslenmenin d\u00fczenlenmesi \u00e7\u00fcr\u00fck olu\u015fumunun \u00f6nlenmesi i\u00e7in yeterli de\u011fildir. Di\u015f \u00e7\u00fcr\u00fckleri iyi bir a\u011f\u0131z bak\u0131m\u0131 ve fiss\u00fcr \u00f6rt\u00fcc\u00fc ile fluorid uygulamas\u0131 gibi koruyucu uygulamalar ile kontrol alt\u0131na al\u0131nabilmektedir.<\/p>\n
Bebekler, di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcne neden olan bakterileri do\u011far do\u011fmaz edinmektedirler. Uzun s\u00fcre biberon kullan\u0131lmas\u0131, t\u00fcm gece biberon ile birlikte uyuma, biberon i\u00e7erisindeki s\u0131v\u0131ya \u015feker, bal, pekmez, re\u00e7el kat\u0131lmas\u0131 veya bu yap\u0131\u015fkan besinlerin emziklere s\u00fcr\u00fclmesi bebekte erken \u00e7ocukluk \u00e7a\u011f\u0131 \u00e7\u00fcr\u00fcklerinin g\u00f6r\u00fclmesine sebep olabilmektedir. Bebe\u011fin hen\u00fcz di\u015fi yoksa di\u015fetleri her sabah ve yatmadan \u00f6nce temiz, \u0131slak bir bez par\u00e7as\u0131 veya gazl\u0131 bez ile silinmelidir. American Academy of Pediatric Dentistry (AAPD)\u2019ye g\u00f6re bebe\u011fin ilk muayenesi birinci ya\u015f g\u00fcn\u00fcne kadar veya ilk di\u015fin s\u00fcrmesinden hemen sonra tercihen bir Pedodontist (Uzman \u00c7ocuk Di\u015f Hekimi) taraf\u0131ndan yap\u0131lmal\u0131d\u0131r.<\/p>\n
<\/p>\n
Etkin a\u011f\u0131z bak\u0131m\u0131n sa\u011flanmas\u0131 a\u011f\u0131z di\u015f sa\u011fl\u0131\u011f\u0131n\u0131n temel ta\u015f\u0131d\u0131r. \u00c7ocuklar\u0131n erken ya\u015fta bu d\u00fc\u015f\u00fcnceyi ve disiplini edinmeleri b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r. \u0130lk di\u015fin s\u00fcrmesiyle birlikte ufak ba\u015fl\u0131 yumu\u015fak di\u015f f\u0131r\u00e7as\u0131 kullan\u0131m\u0131na ge\u00e7ilmelidir. 3 ya\u015f\u0131n alt\u0131ndaki \u00e7ocuklarda bir pilav tanesi kadar fluorid i\u00e7eren di\u015f macunu di\u015f f\u0131r\u00e7as\u0131na s\u00fcr\u00fclmelidir. 3-6 ya\u015flar\u0131 aras\u0131ndaki \u00e7ocuklarda ise bir bezelye tanesi kadar fluoridli di\u015f macunu f\u0131r\u00e7alama esnas\u0131nda kullan\u0131lmal\u0131d\u0131r. Di\u015f f\u0131r\u00e7as\u0131, di\u015f ile di\u015feti birle\u015fimi hizas\u0131nda 45\u00b0\u2019lik e\u011fim ile yerle\u015ftirilmelidir ve t\u00fcm di\u015flerin g\u00f6r\u00fcnen y\u00fczeyleri dairesel hareketler ile f\u0131r\u00e7alanmal\u0131d\u0131r. Di\u015flerin \u00e7i\u011fneyici y\u00fczeyleri, ileri geri hareketlerle f\u0131r\u00e7alan\u0131r. Di\u015flerin i\u00e7 y\u00fczeyleri, yani dil ve damak taraf\u0131ndaki y\u00fczeyler, ufak dairesel veya s\u00fcp\u00fcrme haraketleri ile f\u0131r\u00e7alanmal\u0131d\u0131r. En son dil ve damak f\u0131r\u00e7alanmal\u0131d\u0131r. K\u00fc\u00e7\u00fck \u00e7ocuklar \u00e7o\u011fu zaman sadece di\u015flerin g\u00f6r\u00fcnen y\u00fczeylerini f\u0131r\u00e7alad\u0131klar\u0131 ve el becerilerinin hen\u00fcz iyi geli\u015fmemi\u015f olabilece\u011fi i\u00e7in anne veya baba ile birlikte f\u0131r\u00e7alaman\u0131n yap\u0131lmas\u0131 \u00f6nemlidir. Sabah kahvalt\u0131s\u0131 sonras\u0131 ve ak\u015fam yatmadan \u00f6nce olmak \u00fczere g\u00fcnde iki defa 2-3 dakikal\u0131k f\u0131r\u00e7alaman\u0131n yap\u0131lmas\u0131 etkin bir a\u011f\u0131z bak\u0131m\u0131n\u0131n sa\u011flanmas\u0131 i\u00e7in \u015fartt\u0131r.<\/p>\n
<\/p>\n
<\/p>\n
<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc; bir\u00e7ok etkenin rol oynad\u0131\u011f\u0131, \u00e7ok y\u00f6nl\u00fc bula\u015f\u0131c\u0131 bir hastal\u0131kt\u0131r. Bu etkenler aras\u0131nda yer alan beslenme al\u0131\u015fkanl\u0131klar\u0131, \u00f6zellikle etkin bir a\u011f\u0131z bak\u0131m\u0131 sa\u011flayamayan ve fluoridden yeterince yararlanamayan k\u00fc\u00e7\u00fck \u00e7ocuklar i\u00e7in b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r. A\u011f\u0131z ortam\u0131nda bulunan bakteriler, beslenme yoluyla al\u0131nan \u015fekerleri veya fermente olabilen karbonhidratlar\u0131 metabolize ederek organik asit olu\u015fturmaktad\u0131rlar. Olu\u015fan organik asitler di\u015fLeer M\u00e1s<\/p>\n","protected":false},"author":1,"featured_media":3326,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[322,284,243,233],"tags":[381,377,435,379],"class_list":["post-3325","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-agiz-check-up","category-agiz-sagligi","category-dis","category-dis-curugu","tag-bursa-cocuk-dis-hastaliklari","tag-cocuk-dis-doktoru","tag-dis-curugu","tag-pedodonti-bursa"],"_links":{"self":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts\/3325","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/comments?post=3325"}],"version-history":[{"count":1,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts\/3325\/revisions"}],"predecessor-version":[{"id":3327,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/posts\/3325\/revisions\/3327"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/media\/3326"}],"wp:attachment":[{"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/media?parent=3325"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/categories?post=3325"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dentplus.com.tr\/V2\/wp-json\/wp\/v2\/tags?post=3325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}