Oral health knowledge and habits in children with type 1 diabetes mellitus

Abstract

This study evaluated the oral health knowledge and habits in Brazilian children with type 1 diabetes mellitus (T1DM). A cross-sectional study was performed between November of 2005 and April of 2006 in a public health university hospital, interviewing 55 diabetic children and 55 non-diabetic control children with a semi-structured questionnaire. As much as 55% of the diabetic children and 35.5% of the non-diabetic children were males with mean age of 11.3 ± 3.7 years and 11.2 ± 3.8 years, respectively. The mean duration of the T1DM was of 4.5 ± 0.8 years. Almost half of the diabetic and non-diabetic children brushed their teeth three times a day. Dental floss was used once a day by 30.9% of diabetics and 18.0% of control subjects. A total of 27% of the diabetics vs. 54.5% of non-diabetics had gingival bleeding. The dentist was aware of the T1DM in 74.5% of the cases. As much as 63.8% of the diabetic subjects had been to the dentist within the previous 12 months. In conclusion, although the diabetic children seemed to have better oral health habits than the control children, there is a need for more information regarding oral hygiene and healthy habits.

Meta‐analysis on the association between the frequency of tooth brushing and diabetes mellitus risk

“…After retrieving full‐text of the remaining 179 articles, 32 articles were excluded because of insufficient data to calculate the risk estimates, and 127 were excluded as tooth brushing was not a risk factor. Eventually, we included 20 studies in this meta‐analysis.…”

Changes in Salivary Flow Rate and Buffering Capacity in Children with Newly Diagnosed Type 1 Diabetes Mellitus

“…38 Dolayısıyla diş hekimleri, diyabetin oral yan etkileri konusunda kendilerini ve hastalarını eğitmeli, ayrıca diyabetik hastalarını sık aralıklarla kontrole çağırmalıdır. Çalışmamızda diyabet teşhisi konulan hastalara ve ebeveynlerine diyabet ile ağız sağlığı-nın yakın ilişkisi anlatılmış, oral hijyen eğitimi verilmiş, hastanede yattıkları süre boyunca da gerekli periodontal tedavileri tamamlanmıştır.…”

Diabète de type I chez l’enfant : gestion clinique des pathologies bucco-dentaires

“…Karjalainen et al [15] et Mata et al [17] considèrent que la valeur réduite du débit salivaire au repos peut être utile pour identifier les patients diabétiques. Alves et al [3] ne trouvent aucune différence entre enfants diabétiques et non diabétiques et, dans l'ensemble, la préva-lence du bossage est plus faible, de l'ordre de 50 %. Malgré une fréquence de brossage à peu près identique, il y a une grande différence dans le niveau de l'hygiène : une grande partie des enfants diabétiques (66,7 %) ont une hygiène buccodentaire insuffisante contre seulement 16 % des enfants non diabétiques (Tab.…”

“…Ces modifications quantitative et qualitative de la salive apparaissent chez les sujets dont le diabète est mal contrôlé [4]. Nos résultats confirment ceux de Alves et al [3] et de Siudikiene et al [22] qui montrent que les enfants ayant un diabète de type I ont tendance à accumuler du tartre, ce qui semble constituer un facteur prédisposant au développe-ment des caries et des parodontopathies. La forte prévalence de la carie chez les diabétiques peut aussi s'expliquer par un taux de glucose plus élevé dans leur salive [2].…”