Archives of Pediatrics (ISSN: 2575-825X)

research article

Oral Health in Young Children with Type 1 Diabetes Mellitus

Sigalit Blumer1, Hila Eliasi1*, Mariana Rachmiel2,3, Tal Ben Ari–Sekel3,4, Daniela Jakubowicz3,5, Julio Wainstein3,5, Benjamin Peretz1, Zohar Landau3

1School of Dental Medicine, Department of Pediatric Dentistry, Sackler Faculty of Medicine, Tel Aviv   University, Tel Aviv, Israel

2Pediatric Diabetes Service, Pediatric Division, Assaf HaRofeh Medical Center, Zerifin, Israel

3Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

4Pediatric Endocrinology Unit, Israel

5Diabetes Unit, Wolfson Medical Center, Holon, Israel

*Corresponding author: Hila Eliasi, School of Dental Medicine, Department of Pediatric Dentistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Email: hilae24@gmail.com  

Received Date: 12 February, 2018; Accepted Date: 20 February, 2018; Published Date: 01 March, 2018

1.       Abstract

1.1.  Aims: Knowledge about the risk factors for oral pathology among children with Type 1 Diabetes Mellitus (T1DM) is essential for establishing appropriate preventive and therapeutic strategies. We compared the oral health of youngsters with T1DM with that of non-diabetic children according to dietary and hygiene habits, dental caries history, gingival health, saliva secretion, saliva composition and number of mutant’s streptococci (MS, pathognomonic for early childhood caries) colonies in the saliva. We also examined a possible association between glycemic control and oral health among T1DM children.

1.2.  Methods: The T1DM children were examined by pediatric dentists who scored their oral health status using three indices: decayed (D), missing (M) or filled (F) teeth (“DMFT” for permanent dentitions and “dmft” for primary dentitions) for caries parameters, and the plaque index (PI) and gingival index (GI) for periodontal parameters. Age-matched siblings and friends of the study children comprised the control group.

1.3.  Results: The T1DM children (n=24, age 8.2 ± 2.4 yr) had higher MS levels, a higher prevalence of caries, and significantly higher salivary Na levels compared to the controls (n=30, age 6.4 ± 2.7 yr). Caries history, evidence of current periodontal disease, oral health-related behaviors, PI and GI findings, and other salivary parameters were similar for both groups. Glycemic control did not influence oral health status.

1.4.  Conclusions: T1DM children may bear potential compromised oral conditions, making early identification of those at high risk essential for preventing oral complications. Salivary MS counts may be a useful tool to identify T1DM children at increased risk for developing caries.

2.       Keywords: Dental Caries; Diabetes Control; Periodontal Disease; Type 1 Diabetesoral Health


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