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1型糖尿病沙特儿童的口腔卫生、牙龈及牙周健康状况以及牙齿萌出情况评估

Assessment of Oral Hygiene, Gingival, and Periodontal Health, and Teeth Eruption among Type 1 Diabetic Saudi Children.

作者信息

Mandura Rafif A, El Meligy Omar A, Attar Moaz H, Alamoudi Rana A, Dafar Amal O, Rajeh Mona T, Kayal Rayyan A, Farsi Najat M

机构信息

Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.

Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia; Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

出版信息

Int J Clin Pediatr Dent. 2022 Nov-Dec;15(6):711-716. doi: 10.5005/jp-journals-10005-2462.

DOI:10.5005/jp-journals-10005-2462

PMID:36866125

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9973077/

Abstract

AIMS AND OBJECTIVES

To determine the differences between type 1 diabetic children and healthy children regarding oral hygiene, gingival and periodontal health, and permanent teeth eruption.Materials and methods: A case-control study was conducted on 80 children (40 type 1 diabetic children and 40 healthy children) aged 6-12-year-old. The groups were further divided into subgroups (early and late mixed dentition). All study aspects were examined clinically using the simplified oral hygiene index, Löe and Silness gingival index, clinical attachment loss (CAL), and Logan and Kronfeld stages for tooth eruption. The data were analyzed using Fisher's exact test, chi-squared test, and logistic regression models. A -value of ≤0.05 was the threshold for statistical significance.

RESULTS

No significant difference was found between diabetic and healthy children regarding oral hygiene and gingival health. Most children had poor oral hygiene (52.5% in the case group and 60% in the control group), with fair gingival health (70% in the case group and 55% in the control group). Diabetic children had significantly ( = 0.05) more periodontitis than healthy children. Teeth in the advanced stage of the eruption were significantly higher in diabetic than control subjects ( = 0.048 in stage V and = 0.003 in stage VI). Older diabetic children in late mixed dentition exhibited accelerated eruption.

CONCLUSION

Periodontitis was significantly more common in diabetic than in healthy children. The advanced stage of the eruption was significantly higher in diabetic than in control subjects.

CLINICAL SIGNIFICANCE

Type 1 diabetic children had more periodontal disease and advanced stage of permanent teeth eruption compared to healthy children. Therefore, periodic dental evaluation and a strong preventive plan for diabetic children is crucial.

HOW TO CITE THIS ARTICLE

Mandura RA, El Meligy OA, Attar MH, Assessment of Oral Hygiene, Gingival, and Periodontal Health, and Teeth Eruption among Type 1 Diabetic Saudi Children. Int J Clin Pediatr Dent 2022;15(6):711-716.

摘要

目的与目标

确定1型糖尿病儿童与健康儿童在口腔卫生、牙龈和牙周健康以及恒牙萌出方面的差异。

材料与方法

对80名6至12岁的儿童（40名1型糖尿病儿童和40名健康儿童）进行了一项病例对照研究。这些组进一步分为亚组（早期和晚期混合牙列）。使用简化口腔卫生指数、洛和西勒尼斯牙龈指数、临床附着丧失（CAL）以及洛根和克伦菲尔德牙齿萌出阶段对所有研究方面进行临床检查。使用费舍尔精确检验、卡方检验和逻辑回归模型对数据进行分析。P值≤0.05为具有统计学意义的阈值。

结果

糖尿病儿童与健康儿童在口腔卫生和牙龈健康方面未发现显著差异。大多数儿童口腔卫生较差（病例组为52.5%，对照组为60%），牙龈健康状况一般（病例组为70%，对照组为55%）。糖尿病儿童患牙周炎的比例显著高于健康儿童（P = 0.05）。糖尿病儿童处于萌出晚期的牙齿明显多于对照组（V期P = 0.048，VI期P = 0.003）。晚期混合牙列中的年长糖尿病儿童萌出加速。