The influence of glycemic control on the oral health of children and adolescents with diabetes mellitus type 1

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dc.creatorVera Lúcia Carneiro
dc.creatorFabian Calixto Fraiz
dc.creatorFernanda de Morais Ferreira
dc.creatorTatiana Pegoretti Pintarelli
dc.creatorAna Cristina Borges de Oliveira
dc.creatorMargaret Cristina da Silva Boguszewski
dc.date.accessioned2025-01-22T11:48:11Z
dc.date.accessioned2025-09-09T00:13:17Z
dc.date.available2025-01-22T11:48:11Z
dc.date.issued2015
dc.identifier.doihttps://doi.org/10.1590/2359-3997000000117
dc.identifier.issn2359-4292
dc.identifier.urihttps://hdl.handle.net/1843/79395
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofArchives of Endocrinology and Metabolism
dc.rightsAcesso Aberto
dc.subjectDiabetes Mellitus, Type 1
dc.subjectOral health
dc.subjectDental caries
dc.subjectSalivation
dc.subject.otherOral health
dc.subject.otherDental caries
dc.subject.otherSalivation
dc.subject.otherHemoglobin A
dc.subject.otherGlycosylated
dc.subject.otherDiabetes mellitus, type 1
dc.titleThe influence of glycemic control on the oral health of children and adolescents with diabetes mellitus type 1
dc.typeArtigo de periódico
local.citation.epage540
local.citation.issue59
local.citation.spage535
local.citation.volume6
local.description.resumoObjective: 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.
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
local.publisher.initialsUFMG
local.url.externahttps://www.aem-sbem.com/article/the-influence-of-glycemic-control-on-the-oral-health-of-children-and-adolescents-with-diabetes-mellitus-type-1/

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