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1型糖尿病患儿唾液甘油三酯和胆固醇与龋齿的关联

Association of salivary triglycerides and cholesterol with dental caries in children with type 1 diabetes mellitus.

作者信息

Subramaniam Priya, Sharma Akhliesh, Kaje Keerthan

机构信息

Principal, Professor and Head, Department of Pedodontics and Preventive Dentistry, The Oxford Dental College and Hospital, Bangalore, India.

出版信息

Spec Care Dentist. 2015 May-Jun;35(3):120-2. doi: 10.1111/scd.12097. Epub 2014 Nov 26.

Abstract

BACKGROUND

Metabolic disturbances in diabetes mellitus can affect oral health. Altered levels of salivary lipids have been suggested as a risk for dental caries. There has been lack of research in this regard and in children with type 1 diabetes mellitus.

AIM

To assess the salivary triglycerides and cholesterol levels in children with type 1 diabetes mellitus and correlate them with their dental caries status.

MATERIALS AND METHODS

Thirty children aged 12-16 years with type 1 diabetes mellitus and 30 age- and gender-matched healthy children were included in the study. Unstimulated saliva was collected from each child and evaluated for salivary triglyceride and cholesterol levels. Dental caries status (DMFT) was recorded.

RESULTS

Salivary cholesterol and triglyceride levels were significantly higher in children with type 1 diabetes mellitus (p ≤ 0.05). In comparison to controls, mean DMFT score was higher in the diabetic children. Salivary triglycerides showed a significant correlation with dental caries status in the study group (p = 0.035). In normal children, salivary cholesterol levels showed a significant association with dental caries. (p = 0.008).

CONCLUSION

Both salivary cholesterol and triglycerides levels were significantly higher in children with type 1 diabetes mellitus. Salivary triglycerides showed a significant association with dental caries in these children.

摘要

背景

糖尿病中的代谢紊乱会影响口腔健康。唾液脂质水平的改变被认为是龋齿的一个风险因素。在这方面以及在1型糖尿病儿童中缺乏相关研究。

目的

评估1型糖尿病儿童的唾液甘油三酯和胆固醇水平,并将它们与龋齿状况相关联。

材料与方法

本研究纳入了30名12 - 16岁的1型糖尿病儿童以及30名年龄和性别匹配的健康儿童。从每个儿童收集非刺激性唾液,并评估唾液甘油三酯和胆固醇水平。记录龋齿状况(DMFT)。

结果

1型糖尿病儿童的唾液胆固醇和甘油三酯水平显著更高(p≤0.05)。与对照组相比,糖尿病儿童的平均DMFT评分更高。在研究组中,唾液甘油三酯与龋齿状况显示出显著相关性(p = 0.035)。在正常儿童中,唾液胆固醇水平与龋齿有显著关联(p = 0.008)。

结论

1型糖尿病儿童的唾液胆固醇和甘油三酯水平均显著更高。唾液甘油三酯与这些儿童的龋齿显示出显著关联。

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