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Type:	Artigo de Periódico
Title:	The influence of glycemic control on the oral health of children and adolescents with diabetes mellitus type 1
Authors:	Vera Lúcia Carneiro Fabian Calixto Fraiz Fernanda de Morais Ferreira Tatiana Pegoretti Pintarelli Ana Cristina Borges de Oliveira Margaret Cristina da Silva Boguszewski
Abstract:	Objective: To evaluate the influence of disease control, expressed by the mean values of glycated hemoglobin (HbA1c), in the oral health of children and adolescents with diabetes mellitus type 1 (T1DM). Subjects and methods: A cross sectional study involving 87 children and adolescents (59 girls), 10 ± 2.6 years old. The participants were divided into three groups: HbA1c ≤ 8%, 8% < HbA1c ≤ 10% and HbA1c > 10%. The duration of the disease, age and average HbA1c were obtained from their medical records. Oral health was evaluated according to the following indexes: Simplified Oral Hygiene Index (OHI-S); Community Periodontal Index (CPI); Decayed, Missing or Filled Teeth Index (DMFT/dmft) for permanent and deciduous teeth; and the stimulated salivary flow rate (SSFR). Results: The median SSFR was 1.1 mL/min in the group with HbA1c ≤ 8%, 0.7 mL/min in the intermediary group and 0.6 mL/min in the HbA1c > 10% group. A significant decrease in salivary flow was observed with an increase in HbA1c (p = 0.007). The DMFT/dmft and CPI indexes were higher in individuals with higher HbA1c values. More caries-free individuals were found in the group with HbA1c ≤ 8% compared to those with HbA1c > 10%. The group with HbA1c > 10% exhibited more caries and bleeding gums than the other groups. HbA1c values in girls were higher than in boys. Conclusion: Children and adolescents with unsatisfactory glycemic control, represented by higher HbA1c concentrations, exhibited a higher frequency of caries and gingivitis, and a reduction in salivary flow.
Subject:	Diabetes Mellitus, Type 1 Oral health Dental caries Salivation
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	FAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
Rights:	Acesso Aberto
metadata.dc.identifier.doi:	https://doi.org/10.1590/2359-3997000000117
URI:	http://hdl.handle.net/1843/79395
Issue Date:	2015
metadata.dc.url.externa:	https://www.aem-sbem.com/article/the-influence-of-glycemic-control-on-the-oral-health-of-children-and-adolescents-with-diabetes-mellitus-type-1/
metadata.dc.relation.ispartof:	Archives of Endocrinology and Metabolism
Appears in Collections:	Artigo de Periódico

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