{"id":14244,"date":"2020-03-12T15:36:56","date_gmt":"2020-03-12T12:36:56","guid":{"rendered":"https:\/\/iletim.istanbul.edu.tr\/?p=14244"},"modified":"2020-03-12T15:36:57","modified_gmt":"2020-03-12T12:36:57","slug":"florur-dis-minesinin-guclendirilmesine-onemli-katki-sagliyor","status":"publish","type":"post","link":"https:\/\/iletim.istanbul.edu.tr\/index.php\/2020\/03\/12\/florur-dis-minesinin-guclendirilmesine-onemli-katki-sagliyor\/","title":{"rendered":"Flor\u00fcr, Di\u015f Minesinin G\u00fc\u00e7lendirilmesine \u00d6nemli Katk\u0131 Sa\u011fl\u0131yor"},"content":{"rendered":"\n

Hande Nur OCAK<\/strong><\/p>\n\n\n\n

\u0130stanbul \u00dcniversitesi Di\u015f Hekimli\u011fi Fak\u00fcltesi \u00d6\u011fretim \u00dcyesi Do\u00e7. Dr. Arzu P\u0131nar Erdem, flor\u00fcr uygulamalar\u0131 hakk\u0131nda bilinmesi gerekenleri anlatt\u0131. Do\u00e7. Dr. Arzu P\u0131nar Erdem, \u201cToplumumuzda di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 son derece fazla ve korunmak i\u00e7in kapsaml\u0131 bir bak\u0131\u015f a\u00e7\u0131s\u0131na ihtiya\u00e7 var. Di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcnden korunma stratejileri toplum baz\u0131nda yayg\u0131nla\u015ft\u0131r\u0131lmal\u0131d\u0131r\u201d dedi.<\/strong><\/p>\n\n\n\n

Flor\u00fcr, yery\u00fcz\u00fcn\u00fcn hemen hemen her yerinde yayg\u0131n olarak bulunan do\u011fal bir mineraldir. Flor\u00fcr uygulamalar\u0131nda insanlar\u0131n bilmesi gerekenleri anlatan Do\u00e7. Dr. Erdem, \u201cDi\u015f \u00e7\u00fcr\u00fckleri, en s\u0131k g\u00f6r\u00fclen \u00e7ocukluk \u00e7a\u011f\u0131 hastal\u0131klar\u0131ndan biridir. Ortalama di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131; 1 ya\u015f i\u00e7in %17, 2 ya\u015f i\u00e7in %36, 3-4-5 ya\u015f i\u00e7in 43%, %55, %63 olarak bildirilmi\u015ftir. 12-19 ya\u015f aras\u0131 \u00e7ocuklar\u0131n %59\u2019unda en az 1 di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc bulundu\u011fu belirtilmi\u015ftir\u201d dedi. Do\u00e7. Dr. Erdem, \u00e7ocuklar\u0131n ya\u015f ald\u0131k\u00e7a di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc ile kar\u015f\u0131la\u015fma olas\u0131l\u0131\u011f\u0131n\u0131n y\u00fckseldi\u011fi s\u00f6yledi. Di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc, di\u015f sert dokular\u0131nda y\u0131k\u0131ma neden olan ve multifakt\u00f6riyel k\u00f6kenli dinamik bir hastal\u0131k oldu\u011funu dile getiren Do\u00e7. Dr. Erdem, \u201cOlu\u015fumunda etkili olan fakt\u00f6rler; genetik fakt\u00f6rlerden, t\u00fck\u00fcr\u00fc\u011f\u00fcn yap\u0131s\u0131na, ki\u015finin a\u011f\u0131z hijyenine, diyetine, bu konudaki davran\u0131\u015f modeline, e\u011fitimine, sosyoekonomik durumuna ve ki\u015finin di\u015flerini koruyan fakt\u00f6rlere (flor\u00fcr, fiss\u00fcr \u00f6rt\u00fcc\u00fc) maruz kal\u0131p kalmama durumuna kadar geni\u015f bir yelpazede de\u011ferlendirilebilir\u201d dedi.<\/p>\n\n\n\n

Di\u015f \u00c7\u00fcr\u00fc\u011f\u00fc Geli\u015fimi Bireyin Hayat Kalitesini D\u00fc\u015f\u00fcr\u00fcyor<\/strong><\/p>\n\n\n\n

Di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcnden koruyucu fakt\u00f6rler (t\u00fck\u00fcr\u00fck, flor\u00fcr vb.) ve di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcne neden olan fakt\u00f6rler (karyojenik bakteriler, karbonhidratlar vb..) aras\u0131ndaki dengenin son derece \u00f6nemli oldu\u011funu vurgulayan Do\u00e7. Dr. Erdem, koruyucu fakt\u00f6rler yetersiz kald\u0131\u011f\u0131 zaman, \u00e7\u00fcr\u00fck yap\u0131c\u0131 fakt\u00f6rlerin a\u011f\u0131rl\u0131k kazan\u0131rsa di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcn\u00fcn geli\u015fimi ka\u00e7\u0131n\u0131lmaz oldu\u011funa de\u011findi. Do\u00e7. Dr. Erdem, \u201cDi\u015f \u00e7\u00fcr\u00fc\u011f\u00fc geli\u015fimi ise bireyin hayat kalitesinin bozulmas\u0131na neden olup; fonksiyon kay\u0131plar\u0131na, okul ba\u015far\u0131s\u0131n\u0131n etkilenmesine, sosyal ili\u015fkilerde bozukluklara ve uykusuzlu\u011fa kadar uzanan olumsuzluklara neden olmaktad\u0131r. Bizim toplumumuzda da di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 son derece fazlad\u0131r ve korunmak i\u00e7in kapsaml\u0131 bir bak\u0131\u015f a\u00e7\u0131s\u0131na ihtiya\u00e7 vard\u0131r. Di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcnden korunma stratejileri toplum baz\u0131nda yayg\u0131nla\u015ft\u0131r\u0131lmal\u0131d\u0131r\u201d dedi. E\u011fitim, iyi oral hijyen, non-karyojenik beslenme (\u015feker t\u00fcketiminin k\u0131s\u0131tlanmas\u0131), d\u00fczenli di\u015f hekimi kontrol\u00fc, flor\u00fcr ve fiss\u00fcr \u00f6rt\u00fcc\u00fc gibi koruyucu uygulamalar\u0131n, di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcnden korunmak ad\u0131na ilk ad\u0131mlar\u0131 olu\u015fturdu\u011funu s\u00f6yleyen Do\u00e7. Dr. Erdem, \u201cFlor\u00fcr\u00fcn di\u015f \u00e7\u00fcr\u00fcklerine kar\u015f\u0131 koruyucu ve durdurucu etkisi bilinen bir ger\u00e7ektir ve bu \u00f6zelli\u011fi nedeniyle alt\u0131n standart olarak kabul edilmektedir. Flor\u00fcr, di\u015f \u00e7\u00fcr\u00fcklerine kar\u015f\u0131 koruyucu etkisi nedeniyle t\u00fcm d\u00fcnyada yayg\u0131n olarak kullan\u0131lmaktad\u0131r ve etkinli\u011fi bilimsel olarak kan\u0131tlanm\u0131\u015ft\u0131r\u201d dedi. Son d\u00f6nemde yap\u0131lan \u00e7al\u0131\u015fmalar\u0131n flor\u00fcr\u00fcn olas\u0131 toksik etkileri \u00fczerine yo\u011funla\u015ft\u0131\u011f\u0131n\u0131 ancak y\u00fcksek oranda v\u00fccutta flor\u00fcr birikimlerinin buna neden olaca\u011f\u0131 \u00fczerinde duruldu\u011funa dikkat \u00e7eken Do\u00e7. Dr. Erdem, di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcnden korunma programlar\u0131 i\u00e7inde yer alan dozlar\u0131n g\u00fcvenli oldu\u011fu s\u00f6yledi. Bununla birlikte, flor\u00fcr\u00fcn s\u00fcrme sonras\u0131 etkilerinin s\u00fcrme \u00f6ncesi etkilerinden daha fazla oldu\u011funun anla\u015f\u0131lmas\u0131 ile birlikte bir\u00e7ok \u00fclkede yerel flor\u00fcr (flor\u00fcrl\u00fc di\u015f macunu, flor\u00fcrl\u00fc vernik, jel, gargara gibi) uygulamalar\u0131 \u00fczerinde yo\u011funla\u015ft\u0131\u011f\u0131n\u0131 belirten Do\u00e7. Dr. Erdem, yerel uygulamalar bireye \u00f6zg\u00fc, ki\u015finin \u00e7\u00fcr\u00fck risk profili de\u011ferlendirildikten sonra, ki\u015fiye \u00f6zel haz\u0131rlanan \u00f6zg\u00fcn programlarla devreye sokulmas\u0131 gerekti\u011fini ifade etti.<\/p>\n\n\n\n

\u201c\u00c7ocuklar G\u00f6zetim Alt\u0131nda Di\u015f F\u0131r\u00e7alamal\u0131\u201d<\/strong><\/p>\n\n\n\n

\u201cBu ba\u011flamda; ki\u015finin ya\u015f\u0131, di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc yayg\u0131nl\u0131\u011f\u0131, diyeti (at\u0131\u015ft\u0131rma ve rafine karbonhidrat t\u00fcketim s\u0131kl\u0131\u011f\u0131), t\u00fck\u00fcr\u00fck yap\u0131s\u0131, a\u011f\u0131z hijyen uygulamalar\u0131na verdi\u011fi \u00f6nem gibi bir\u00e7ok fakt\u00f6r birlikte de\u011ferlendirilerek \u00e7\u00fcr\u00fck risk d\u00fczeyi belirlenmelidir\u201d diyen Do\u00e7. Dr. Erdem, \u201cBelirlenen risk durumuna g\u00f6re, yerel flor\u00fcr uygulamalar\u0131ndan (flor\u00fcrl\u00fc di\u015f macunu, flor\u00fcrl\u00fc vernik, jel, garagara gibi) hangisi ya da hangilerinin \u00f6nerilece\u011fi ve uygulanmas\u0131 gereken doz ve s\u0131kl\u0131k belirlenmektedir. Bu \u015fekilde, ki\u015finin di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcnden koruyucu fakt\u00f6rleri daha y\u00fcksek oranda tutulmakta ve di\u015f y\u00fczeyinde asit ataklar\u0131na kar\u015f\u0131 koruyucu bir kalkan olu\u015fturulmaktad\u0131r\u201d dedi. Bilimsel ara\u015ft\u0131rmalar\u0131n, flor\u00fcr\u00fcn a\u011f\u0131zda d\u00fc\u015f\u00fck dozda s\u00fcrekli olarak bulunmas\u0131n\u0131n di\u015f \u00e7\u00fcr\u00fcklerinin \u00f6nlenmesinde olduk\u00e7a etkili oldu\u011funu dile getiren Do\u00e7. Dr. Erdem, bu ama\u00e7la flor\u00fcr i\u00e7eren di\u015f macunlar\u0131n\u0131n d\u00fcnya genelinde kullan\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yledi. Do\u00e7. Dr. Erdem, \u201cDi\u015f \u00e7\u00fcr\u00fcklerinden korunmada, \u00f6zellikle \u00e7ocuklarda g\u00f6zetim alt\u0131nda di\u015f f\u0131r\u00e7alaman\u0131n \u00f6nemli oldu\u011fu; uygun konsantrasyon ve miktarda flor\u00fcrl\u00fc di\u015f macunu ile di\u015flerin g\u00fcnde 2 kez f\u0131r\u00e7alanmas\u0131n\u0131n di\u015f \u00e7\u00fcr\u00fcklerini \u00f6nlemede etkili oldu\u011fu ispatlanm\u0131\u015ft\u0131r\u201d dedi.<\/p>\n\n\n\n

Flor\u00fcr, Di\u015f Minesinin G\u00fc\u00e7lendirilmesine \u00d6nemli Katk\u0131 Sa\u011fl\u0131yor<\/strong><\/p>\n\n\n\n

K\u00fc\u00e7\u00fck ya\u015ftaki \u00e7ocuklarda, flor\u00fcrl\u00fc di\u015f macunu kullan\u0131m\u0131na ilave olarak yerel flor\u00fcr uygulamalar\u0131n\u0131n devreye sokulmas\u0131 gerekti\u011fi y\u00fcksek \u00e7\u00fcr\u00fck risk durumunda, flor\u00fcr vernik uygulamalar\u0131n\u0131n tercih edildi\u011fine de\u011finen Do\u00e7. Dr. Erdem, bu uygulamalar\u0131n di\u015f hekimi taraf\u0131ndan, di\u015f \u00fcnitinde, yutulmas\u0131n\u0131n \u00f6nlenmesi i\u00e7in t\u00fck\u00fcr\u00fck emici kullan\u0131larak yap\u0131lmas\u0131 gerekti\u011fini s\u00f6yledi. \u201c6 ya\u015f\u0131ndan b\u00fcy\u00fck \u00e7ocuklarda yutma riski azald\u0131\u011f\u0131 i\u00e7in yerel uygulamalarda jeller tercih edilebilmekte, ayn\u0131 \u015fekilde gerekli \u00f6nlemler al\u0131narak di\u015f hekimleri taraf\u0131ndan uygulanabilmektedir\u201d diyen Do\u00e7. Dr. Erdem, \u201cErken \u00e7ocukluk \u00e7a\u011f\u0131 d\u00f6neminden itibaren yerel flor\u00fcr prepratlar\u0131n\u0131n, \u00e7ocu\u011fun ya\u015f\u0131\/\u00e7\u00fcr\u00fck risk d\u00fczeyleri\/protokollere g\u00f6re do\u011fru ve periyodik olarak uyguland\u0131\u011f\u0131nda, g\u00fcvenli ve etkili olduklar\u0131, di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcn\u00fcn \u00f6nlenebildi\u011fi ve toplumlarda di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc prevelans\u0131n\u0131n azalt\u0131labildi\u011fi bilimsel \u00e7al\u0131\u015fmalarla g\u00f6sterilmi\u015ftir\u201d dedi.<\/p>\n\n\n\n

Olu\u015fumunda bir\u00e7ok fakt\u00f6r\u00fcn birlikte rol ald\u0131\u011f\u0131 di\u015f \u00e7\u00fcr\u00fcklerinden korunman\u0131n tek bir y\u00f6ntemle m\u00fcmk\u00fcn olmad\u0131\u011f\u0131 s\u00f6yleyen Do\u00e7. Dr. Erdem, \u201cKi\u015finin diyetinin d\u00fczenlenerek mutlaka \u015feker k\u0131s\u0131tlamas\u0131 yap\u0131lmas\u0131 gerekti\u011fi, a\u011f\u0131z hijyeninin iyile\u015ftirilmesi, dental pla\u011f\u0131n etkili \u015fekilde nas\u0131l uzakla\u015ft\u0131r\u0131lmas\u0131 gerekti\u011finin \u00f6\u011fretilmesi, antimikrobiyal yakla\u015f\u0131mlar\u0131n uygulanmas\u0131, di\u015f minesinin g\u00fc\u00e7lendirilmesi, d\u00fczenli kontrol ile e\u011fitim ve do\u011fru davran\u0131\u015f\u0131n kazand\u0131r\u0131lmas\u0131 gibi \u00f6ne \u00e7\u0131kan y\u00f6ntemlerin birlikte uygulanmas\u0131 gerekmektedir\u201d dedi.<\/p>\n\n\n\n

Flor\u00fcr\u00fcn, di\u015f minesinin g\u00fc\u00e7lendirilmesine \u00f6nemli katk\u0131 sa\u011flad\u0131\u011f\u0131na dikkat \u00e7eken Do\u00e7. Dr. Erdem, \u201cFlor\u00fcrl\u00fc \u00fcr\u00fcnlerin kullan\u0131m karar\u0131, hangi \u00fcr\u00fcn\u00fcn ne s\u0131kl\u0131kta ve nas\u0131l uygulanaca\u011f\u0131, di\u015f hekimleri taraf\u0131ndan belirlenmeli, uygulanmal\u0131 ve izlenmelidir\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0130stanbul \u00dcniversitesi Di\u015f Hekimli\u011fi Fak\u00fcltesi \u00d6\u011fretim \u00dcyesi Do\u00e7. Dr. Arzu P\u0131nar Erdem, flor\u00fcr uygulamalar\u0131 hakk\u0131nda bilinmesi gerekenleri anlatt\u0131. Do\u00e7. Dr. Arzu P\u0131nar Erdem, \u201cToplumumuzda di\u015f \u00e7\u00fcr\u00fc\u011f\u00fc g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 son derece fazla ve korunmak i\u00e7in kapsaml\u0131 bir bak\u0131\u015f a\u00e7\u0131s\u0131na ihtiya\u00e7 var. Di\u015f \u00e7\u00fcr\u00fc\u011f\u00fcnden korunma stratejileri toplum baz\u0131nda yayg\u0131nla\u015ft\u0131r\u0131lmal\u0131d\u0131r\u201d dedi.<\/p>\n","protected":false},"author":14,"featured_media":14245,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":[],"jnews_primary_category":[],"jnews_social_meta":[],"jnews_override_counter":[],"footnotes":""},"categories":[32],"tags":[],"class_list":["post-14244","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/posts\/14244","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/comments?post=14244"}],"version-history":[{"count":0,"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/posts\/14244\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/media\/14245"}],"wp:attachment":[{"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/media?parent=14244"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/categories?post=14244"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/iletim.istanbul.edu.tr\/index.php\/wp-json\/wp\/v2\/tags?post=14244"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}