Babu K L Girish, Subramaniam Priya, Kaje Keerthan
Department of Dentistry, Hassan Institute of Medical Sciences, Hassan, Karnataka, India.
Department of Pedodontics and Preventive Dentistry, The Oxford Dental College, Hospital and Research Centre, Bangalore, Karnataka, India.
J Pediatr Endocrinol Metab. 2018 Dec 19;31(12):1305-1310. doi: 10.1515/jpem-2018-0335.
Background Diabetes mellitus is a metabolic disorder. However, dental caries and periodontal health have not attracted much interest in diabetic patients. This study was carried out to assess the dental caries status and gingival health status in children with type 1 diabetes mellitus (T1DM). Methods The study group consisted of 80 children, aged 6-18 years, with T1DM. The dental caries status was recorded using the World Health Organisation (WHO) criteria. Gingival health was assessed using the Loe and Silness gingival index (GI). Data obtained were subjected to statistical analysis. Results The mean dental caries status for primary (decayed, extracted, filled teeth [deft]) and permanent dentition (decayed, missing, filled teeth [DMFT]) scores in diabetic children were 0.44±1.28 and 1.26±2.49, respectively. The GI scores of diabetic children were 0.33±0.48. GI in the study group significantly correlated with DMFT (p<0.001) and deft (p≤0.05). Conclusions Dental caries in primary dentition was lower in diabetic children but was not statistically significant, whereas dental caries in permanent dentition was significantly higher. The gingival condition of diabetic children was healthy.
背景 糖尿病是一种代谢紊乱疾病。然而,龋齿和牙周健康在糖尿病患者中并未引起太多关注。本研究旨在评估1型糖尿病(T1DM)儿童的龋齿状况和牙龈健康状况。方法 研究组由80名6至18岁的T1DM儿童组成。使用世界卫生组织(WHO)标准记录龋齿状况。使用洛和西勒尼斯牙龈指数(GI)评估牙龈健康。对获得的数据进行统计分析。结果 糖尿病儿童乳牙(龋失补牙数[deft])和恒牙(龋失补牙数[DMFT])的平均龋齿状况评分分别为0.44±1.28和1.26±2.49。糖尿病儿童的GI评分为0.33±0.48。研究组中的GI与DMFT(p<0.001)和deft(p≤0.05)显著相关。结论 糖尿病儿童乳牙龋齿发生率较低,但无统计学意义,而恒牙龋齿发生率显著较高。糖尿病儿童的牙龈状况健康。