Dental caries and salivary status in children with type 1 diabetes mellitus, related to the metabolic control of the disease
- 6 February 2006
- journal article
- Published by Wiley in European Journal of Oral Sciences
- Vol. 114 (1) , 8-14
- https://doi.org/10.1111/j.1600-0722.2006.00277.x
Abstract
The aim of this study was to investigate the relationship among type 1 diabetes mellitus, dental caries, and salivary status in children. The study comprised 68, 10–15‐yr‐old diabetics, and 68, age‐ and gender‐matched non‐diabetic controls. Diabetics were categorized into well‐to‐moderately controlled (HbA1c < 9.0%) and poorly controlled (HbA1c ≥ 9.0%) groups. Caries was recorded by assessing lesion activity at non‐cavitated and cavity levels. Teeth were examined visually for the presence of dental plaque. Saliva was analyzed for unstimulated and stimulated flow rates, buffer effect, mutans streptococci, lactobacilli, and yeasts. Diabetics had fewer caries and plaque, lower salivary flow rates and buffer effect, and more frequent growth of yeasts than their non‐diabetic controls. Well‐to‐moderately controlled diabetics had fewer decayed surfaces and lower counts of mutans streptococci and yeasts than poorly controlled diabetics, but the level of metabolic control of diabetes had no influence on salivary flow rates and buffer effect. High caries levels in diabetics were significantly associated with age, plaque score, and decreased unstimulated salivary flow rate, but were not associated with the level of metabolic control of diabetes. High caries experience in this study population could be related to plaque accumulation and/or to changes in saliva induced by diabetes mellitus.Keywords
This publication has 22 references indexed in Scilit:
- Effect of Saliva Composition on Experimental Root CariesCaries Research, 2004
- Metabolic Control as a Modifier of the Association between Salivary Factors and Dental Caries among Diabetic PatientsCaries Research, 2003
- Relationship between Caries and Level of Metabolic Balance in Children and Adolescents with Insulin-Dependent Diabetes mellitusCaries Research, 1997
- Oral health and oral health behaviour in a population of diabetic outpatient clinic attendersCommunity Dentistry and Oral Epidemiology, 1992
- The Prevalence of Root Caries in a Diabetic PopulationJournal of Dental Research, 1991
- Dental status in a group of adult diabetic patientsCommunity Dentistry and Oral Epidemiology, 1989
- Mutans streptococci and lactobacilli in saliva from children with insulin‐dependent diabetes mellitusOral Microbiology and Immunology, 1989
- Some salivary factors in insulin-dependent diabeticsActa Odontologica Scandinavica, 1989
- Dental and oral symptoms of diabetes mellitusCommunity Dentistry and Oral Epidemiology, 1988
- The dental status of a group of diabetic childrenBritish Dental Journal, 1981