Type 1 diabetes mellitus and oral health: assessment of coronal and root caries

Moore, Paul A.; Weyant, Robert J.; Etzel, Kenneth R.; Guggenheimer, James; Mongelluzzo, Mary Beth; Myers, Daniel E.; Rossie, Karen M.; Hubar, Heidi; Block, Harvey M.; Orchard, Trevor J.

doi:10.1034/j.1600-0528.2001.290304.x

Cited by 73 publications

(65 citation statements)

References 18 publications

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“…On the other hand, some of the studies demonstrated lower number of decayed teeth (8,30), while the others reported similar number of decayed teeth in both diabetic and healthy individuals (9,31). However, no relationship between DMFT scores and DM1 was observed in our study which was in accordance with the previous studies suggest that the young diabetic individuals exhibit similar levels of caries with systemically healthy individuals (32,33). This result might be due to the diabetic patients were under control more than 2 years, and as the Lamster et al (34) suggested, carbonhydrate-restricted diet might be the reason of decreased incidence of decayed teeth.…”

Section: Discussionsupporting

confidence: 81%

Periodontal health status of children with type 1 diabetes mellitus

Gökmenoğlu¹,

Bavbek²,

Gürel³

et al. 2017

J Turgut Ozal Med Cent

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Aim: Type 1 diabetes mellitus (DM1) is the most common chronic disease in children and adolescents. The purpose of this study was to determine the relationship between Type 1 diabetes mellitus and periodontal health and also the effect of metabolic control level on both periodontal and dental health. Material and Methods: A Total of, 152 patients, of which 76 subjects with type 1 diabetes (DM1) and 76 healthy individuals were participated in this study. The subjects were also categorized with regard to gender and metabolic control levels. Periodontal health was assessed by recording plaque index (PI), gingival index (GI), pocket depth (PD) and bleeding on probing (BOP); while the dental status was determined by Decayed, Missing and Filled Teeth index (DMFT). Results: All periodontal scores were found to be significantly higher in DM1 group, whereas DMFT scores were similar in DM1 group and healthy controls. The glycemic control levels did not seem to have an impact on periodontal parameters (PI, GI, PD, BoP) and DMFT scores. Also, there were no statistically significant correlations between periodontal parameters and DMFT scores, and HbA1c values. Conclusion: Diabetes seems to be associated with poor periodontal health status regardless of the metabolic control level in adolescents, but not with increased caries risk.

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Section: Discussionsupporting

confidence: 81%

Periodontal health status of children with type 1 diabetes mellitus

Gökmenoğlu¹,

Bavbek²,

Gürel³

et al. 2017

J Turgut Ozal Med Cent

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show abstract

“…Most recent studies suggest that young people with diabetes exhibit similar levels of caries to systemically healthy individuals (23,24). In this study we found no differences in clinical caries experience between children with diabetes and nondiabetic control children, and the presence of other mucosal lesions was very rare in both groups.…”

Section: Figure 1-distribution Of Periodontal Destruction In the Studmentioning

confidence: 28%

Periodontal Changes in Children and Adolescents With Diabetes

et al. 2006

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OBJECTIVE—To evaluate the level of oral disease in children and adolescents with diabetes. RESEARCH DESIGN AND METHODS—Dental caries and periodontal disease were clinically assessed in 182 children and adolescents (6–18 years of age) with diabetes and 160 nondiabetic control subjects. RESULTS—There were no differences between case and control subjects with respect to dental caries. Children with diabetes had significantly higher plaque and gingival inflammation levels compared with control subjects. The number of teeth with evidence of attachment loss (the hallmark of periodontal disease) was significantly greater in children with diabetes (5.79 ± 5.34 vs. 1.53 ± 3.05 in control subjects, unadjusted P < 0.001). When controlling for age, sex, ethnicity, gingival bleeding, and frequency of dental visits, diabetes remained a highly significant correlate of periodontitis, especially in the 12- to 18-year-old subgroup. In the case group, BMI was significantly correlated with destruction of connective tissue attachment and bone, but duration of diabetes and mean HbA1c were not. CONCLUSIONS—Our findings suggest that periodontal destruction can start very early in life in diabetes and becomes more prominent as children become adolescents. Programs designed to promote periodontal disease prevention and treatment should be provided to young patients with diabetes.

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“…[1][2][3][4][5][6] There have been comparatively few studies of the DM adolescent population, in spite of the fact that caries may be more prevalent in this population group. On the other hand, there seems to be no uniform opinion as to whether control of DM or sucrose-free diet of DM patients tends to promote or inhibit the development of dental caries.…”

Section: Introductionmentioning

confidence: 99%