Document Type : Original Article

Authors

1 Dentist, Shiraz, Iran.

2 Dept. of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

Abstract

Statement of the Problem: It is expected that the prevalence of caries would be more in diabetics than in non-diabetic individuals due to the complications subsequent to metabolic changes such as xerostomia and increased glucose level in saliva. On the other hand, the restriction of glucose consumption in the diabetics’ diet would be a reason to justify decreasing dental caries in them.Purpose: The aim of this study was to compare the mean DMF (decayed, missed due to decay, and filled teeth) index in type I diabetic and healthy children.Materials and Method: The DMF index was assessed in 100 type I diabetic children (9-14 years-old, mean= 12±1.23) and compared with the DMF index in 100 age- and sex-matched metabolically healthy controls. Data were collected through a questionnaire and clinical examinations and analyzed statistically by t-test and one-way ANOVA.Results: The results showed that there were no significant differences between the mean DMF index of diabetic children and healthy children. The mean DMF was significantly lower in those who regularly used a toothbrush and dental floss than in those who did not use in both groups (p < 0.05).Conclusion: Diabetes did not affect dental condition by itself but adequate oral hygiene had an important role in controlling caries and promoting oral status.

Keywords

1. Ogunbodede EO, Fatusi OA, Akintomide A, Kolawole K, Ajayi A. Oral health status in a population of Nigerian diabetics. J Contemp Dent Pract. 2005; 6: 75–84. [PubMed[Google Scholar]
2. Robertson C, Drexler AJ, Vernillo AT. Update on diabetes diagnosis and management. J Am Dent Assoc. 2003; 134: 16S–23S. [PubMed[Google Scholar]
3. Zaccardi F, Webb DR, Yates T, Davies MJ. Pathophysiology of type 1 and type 2 diabetes mellitus: a 90-year perspective. Postgrad Med J. 2016; 92: 63–69. [PubMed[Google Scholar]
4. Longo DL. Harrison's principles of internal medicine. 18th ed. New York: McGraw-Hill; 2012. pp. 3006–3020. [Google Scholar]
5. Mazhari F, Kamel V. Assessment of prevalence of dental caries in diabetic children registered at khorasan diabetes research center in 1381. Journal of Mashhad Dental School. 2004; 28: 97–104. [Google Scholar]
6. Miralles L, Silvestre FJ, Hernandez-Mijares A, Bautista D, Llambes F, Grau D. Dental caries in type 1 diabetics: influence of systemic factors of the disease upon the development of dental caries. Med Oral Patol Oral Cir Bucal. 2006; 11:E256–E260. [PubMed[Google Scholar]
7. Alavi AA, Amirhakimi E, Karami B. The prevalence of dental caries in 5- 18-year-old insulin-dependent diabetics of Fars Province, southern Iran. Arch Iran Med. 2006; 9: 254–260. [PubMed[Google Scholar]
8. Rai K, Hegde AM, Kamath A, Shetty S. Dental caries and salivary alterations in Type I Diabetes. J Clin Pediatr Dent. 2011; 36: 181–184. [PubMed[Google Scholar]
9. Falk H, Hugoson A, Thorstensson H. Number of teeth, prevalence of caries and periapical lesions in insulin-dependent diabetics. Scand J Dent Res. 1989; 97: 198–206. [PubMed[Google Scholar]
10. 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: 13–22. [PubMed[Google Scholar]
11. Matsson L, Koch G. Caries frequency in children with controlled diabetes. Scand J Dent Res. 1975; 83: 327–332. [PubMed[Google Scholar]
12. Wyne AH, Chohan AN, Al-Sharari RI. Caries, oral hygiene and gingival health status in type 1 diabetic Saudi children. Pak Oral Dental J. 2016; 36: 421–425. [Google Scholar]
13. Ervasti T, Knuuttila M, Pohjamo L, Haukipuro K. Relation between control of diabetes and gingival bleeding. J Periodontol. 1985; 56: 154–157. [PubMed[Google Scholar]
14. Franco E, Saunders CP, Roberts GJ, Suwanprasit A. Dental disease, caries related microflora and salivary IgA of children with severe congenital cardiac disease: an epidemiological and oral microbial survey. Pediatr Dent. 1996; 18: 228–235. [PubMed[Google Scholar]
15. Beard E, Clark M, Hurel S, Cooke D. Do people with diabetes understand their clinical marker of long-termglycemic control (HbA1c levels) and does this predict diabetes self-care behaviours and HbA1c? . Patient Educ Couns . 2010;80:227–232. [PubMed[Google Scholar]
16. Karjalainen KM, Knuuttila ML, Käär ML. Relationship between caries and level of metabolic balance in children and adolescents with insulin-dependent diabetes mellitus. Caries Res. 1997; 31: 13–18. [PubMed[Google Scholar]