Periodontal health status of children with type 1 diabetes mellitus
Periodontal health status of children with type 1 diabetes mellitus
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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- Lamster IB, Lalla E, Borgnakke WS, Taylor GW. The relationship between oral health and diabetes mellitus. J Am Dent Assoc 2008;139:19-24.
- Moore PA, Weyant RJ, Etzel KR, Guggenheimer J, Mongelluzzo MB, Myers DE, et al. Type 1 diabetes mellitus and oral health: assessment of coronal and root caries. Community Dent Oral Epidemiol 2001;29:183-94.
- Edblad E, Lundin SA, Sjödin B, Aman J. Caries and salivary status in young adults with type 1 diabetes. Swed Dent J 2001;25(2):53-60.
- Bernick SM, Cohen DW, Baker L, Laster L. Dental disease in children with diabetes mellitus. J Periodontol 1975;46(4):241-5.
- Iughetti L, Marino R, Bertolani MF, Bernasconi S. Oral health in children and adolescents with IDDM-a review. J Pediatr Endocrinol Metab 1999;12(5)603-10.
- Subramaniam P, Sharma A, Kaje K. Association of salivary triglycerides and cholesterol with dental caries in children with type 1 diabetes mellitus. Spec Care Dentist 2015;35(3):120-2.
- Orbak R, Simsek S, Orbak Z, Kavrut F, Colak M. The influence of type-1 diabetes mellitus on dentition and oral health in children and adolescents. Yonsei Med J 2008;49(3):357-65.
- Bacic M, Plancak D, Granic M. CPITN assessment of
periodontal disease in diabetic patients. J Periodontol 1988;59(11):816-22.
- Chuang SF, Sung JM, Kuo SC, Huang JJ, Lee SY. Oral and dental manifestations in diabetic and nondiabetic uremic patients receiving hemodialysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99(6):689-95.
- Alpagot T, Silverman S, Lundergan W, Bell C, Chambers DW. Crevicular fluid elastase levels in relation to periodontitis and metabolic control of diabetes. J Periodontal Res 2001;36(3):169-74.
- Taylor GW, Burt BA, Becker MP, Genco RJ, Shlossman M, Knowler WC, et al. Non-insulin dependent diabetes mellitus and alveolar bone loss progression over 2 years. J Periodontol 1998;69:76-83.
- Popławska-Kita A, Siewko K, Szpak P,Król B,Telejko B,Klimiuk PA, et al. Association between type 1 diabetes and
periodontal health. Adv Med Sci 2014;59(1):126-31.
- Meenawat A, Punn K, Srivastava V, Meenawat AS, Dolas RS, Govila V. Periodontal disease and type I diabetes mellitus: Associations with glycemic control and complications. J Indian Soc Periodontol 2013;17:597-600.
- Taylor GW. Bidirectional interrelationships between diabetes and periodontal diseases: an epidemiologic perspective. Ann Periodontol 2001;6:99-112.
- Karjalainen KM, Knuuttila ML. The onset of diabetes and poor metabolic control increases gingival bleeding in children and adolescents with insulin-dependent diabetes mellitus. J Clin Periodontol. 1996;23:1060-7.
- Salvi GE, Kandylaki M, Troendle A, Persson GR, Lang NP. Experimental gingivitis in type 1 diabetics: a controlled clinical and microbiological study. J Clin Periodontol. 2005;32:310-16.
- Khader YS, Dauod AS, El-Qaderi SS, Alkafajei A, Batayha WQ. Periodontal status of diabetics compared with nondiabetics: a meta-analysis. J Diabetes Complications 2006;20:59-68.
- Dakovic D, Pavlovic MD. Periodontal disease in children and adolescents with type 1 diabetes in Serbia. J Periodontol 2008;79:987-92.
- Lalla E, Cheng B, Lal S, Kaplan S, Softness B, Greenberg E, et al. Periodontal changes in children and adolescents with diabetes: a case-control study. Diabetes Care 2006;29:295-9.
- Lalla E, Cheng B, Lal S et al. Diabetes mellitus promotes periodontal destruction in children. J Clin Periodontol 2007;34:294-8.
- Patterson CC, Gyürüs E, Rosenbauer J, Cinek O, Neu A, Schober E, et al. Trends in childhood type 1 diabetes incidence in Europe during 1989-2008: evidence of nonuniformity over time in rates of increase. Diabetologia 2012;55(8):2142-7.
- Karvonen M, Viik-Kajander M, Moltchanova E, Libman I, LaPorte R, Tuomilehto J. Incidence of childhood type 1 diabetes worldwide. Diabetes Mondiale (DiaMond) Project Group. Diabetes Care 2000;23:1516-26.
- Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalance and severity. Acta Odontol Scand 1963;21:533-51.
- Silness J, Loe H. Periodontal disease in pregnancy. II.Correlation between oral hygiene and periodontal condition Acta Odontol Scand 1964;22:121-35.
- Carranza FA, Newman MG. Irwing Glickman’s Clinical Periodontology Glickman. Clinical Periodontology 8th ed. Philadelphia: WB Saunders Co; 1996. p. 281-97.
- Tagelsir A, Cauwels R, Van Aken S, Vanobbergen J, Martens LC. Dental caries and dental care level (restorative index) in children with diabetes mellitus type 1. Int J Paediatr Dent 2011;21(1):13-22.
- Miko S, Ambrus SJ, Sahafian S, Dinya E, Tamas G, Albrecht MG. Dental caries and adolescents with type 1 diabetes. Br Dent J 2010;208(6):E12.
- Saes Busato IM, Bittencourt MS, Machado MA, Grégio AM, Azevedo-Alanis LR. Association between metabolic control and oral health in adolescents with type 1 diabetes mellitus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109(3):e51-6.
- Aren G, Sepet E, Ozdemir D, Dinççağ N, Güvener B, Firatli E. Periodontal health, salivary status, and metabolic control in children with type 1 diabetes mellitus. J Periodontol 2003;74:1789-95.
- Chapple IL, Genco R. working group 2 of joint EFP/AAP workshop. Diabetes and periodontal diseases: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. J Clin Periodontol 2013;40:106-12.
- Mealey BL, Ocampo GL. Diabetes mellitus and periodontal disease. Periodontol 2000 2007;44:127-53.
- Taylor GW, Borgnakke WS. Periodontal disease: associations with diabetes, glycemic control and complications. Oral Dis 2008;14(3):191-203.
- Löe H. Periodontal disease. The sixth complication of diabetes mellitus. Diabetes Care 1993;16(1):329-34.
- American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2004;27(suppl 1):5-10.