Type 1 diabetes mellitus and oral health in Uruguayan children

Versions

PDF (Spanish)
PDF
HTML (Spanish)

Keywords

Diabetes Mellitus
Oral Health
Prevalence
Epidemiological Index

How to Cite

Type 1 diabetes mellitus and oral health in Uruguayan children. (2024). Odontoestomatología, 23(38). https://doi.org/10.22592/ode2021n37e210 (Original work published 2021)

Abstract

Diabetes mellitus is a chronic disorder that affects oral health; there are no data in Uruguay.

Objective: To determine if the oral health of children with type 1 diabetes mellitus is significantly different from that of children without diabetes.

Method: Case-control, observational and analytical study. Eighty-six children were evaluated in two groups: 1) type 1 diabetic patients treated at Centro Hospitalario Pereira Rossell (CHPR) with no associated systemic disease or orthodontic treatment; 2) control group including non-diabetic children attending public school who do not take any medication, are not undergoing orthodontic treatment, and have public health coverage. Variables: biofilm, tooth decay, gingival inflammation, sex, age.

Results: Biofilm present in 100% of cases in groups 1 and 2. Caries: 100% of Group 1 (DM1) participants and 92.9% of Group 2 (control group) participants have a carious lesion (not a significant difference). Gingival inflammation: 76.7% of DM1 participants and 60.7% of control participants present bleeding on probing (significant difference).

Conclusions: This study confirms international data highlighting the connection between type 1 diabetes mellitus and periodontal disease.

PDF (Spanish)
PDF
HTML (Spanish)

References

Organización Mundial de la Salud. Informe mundial sobre la diabetes: resumen de orientación. Abril 2016. Disponible en: http://www.who.int/diabetes/global-report/es/

Sarwar N, Gao P, Seshasai SR, Gobin R, Kaptoge S, Di Angelantonio E, Ingelsson E, Lawlor DA, Selvin E, Stampfer M, Stehouwer CD, Lewington S, Pennells L, Thompson A, Sattar N, White IR, Ray KK, Danesh J. Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. Emerging Risk Factors Collaboration. Lancet. 2010; 375 (9733): 2215-22

American Diabetes Association. 2. Classification and diagnosis of diabetes: Standards of Medical Care in Diabetes. Diabetes Care. 2018; 41 (Suppl. 1): S13–S27. Disponible en: http://care.diabetesjournals.org/content/diacare/41/Supplement_1/S13.full.pdf

Pettitt DJ, Talton J, Dabelea D, Divers J, Imperatore G, Lawrence JM, Liese AD, Linder B, Mayer-Davis EJ, Pihoker C, Saydah SH, Standiford DA, Hamman RF. Prevalence of diabetes in U.S. youth in 2009: the SEARCH for diabetes in youth study. Diabetes Care. 2014; 37 (2): 402-8.

DiaMond. Diabetes Mondiale Project Group. The DiaMond Project. Disponible en: http://www.pitt.edu/~iml1/diabetes/DIAMOND.html

Eurodiab. The Epidemiology and prevention of Diabetes. Int J Epidemiolog 1993;22. Disponible en: https://ec.europa.eu/research/success/en/med/0283e.html

International Diabetic Federation. Diabetes in the Young: A global Perspective. IDF diabetes Atlas Four Edition 2010. Disponible en:

http://www.idf.org/sites/default/files/Diabetes%20in%20the%20Young_1.pdf

Ferrero R, García MV. Encuesta de prevalencia de la diabetes en Uruguay. Primera fase: Montevideo. Año 2004. Arch. Med. Int. 2005; 26 (1): 07-12. Disponible en: http://www.prensamedica.com.uy/docs/XXVII-Diabetes.pdf

Deutsch I, Pérez R, Pardo L, Lacopino A, Gontade C, Gutiérrez S. Caracterización de la población y evaluación de la calidad asistencial de los niños controlados en la Unidad de Diabetes del Centro Hospitalario Pereira Rossell. Rev Med Urug 2016; 32 (2): 109-117.

Pihoker C, Forsander G, Wolfsdorf J, Wadwa RP, Klingensmith GJ. Structures, processes and outcomes of ambulatory diabetes care. En: International Diabetes federation. Global IDF/ISPAD Guideline for diabetes in childhood and adolescence. Brussels, Belgium: IDF, 2011:42-9.

Deutsch I, Pérez R, Pardo L, Lacopino A, Gontade C, Gutiérrez S. Caracterización de la población y evaluación de la calidad asistencial de los niños controlados en la Unidad de Diabetes del Centro Hospitalario Pereira Rossell. Rev Med Urug 2016; 32 (2): 109-117.

Miranda X. Caries e índice de higiene oral en niños con Diabetes Mellitus Tipo 1. Rev Chil Pediatr. 2013; 84 (5): 527-531.

Novotna M, Podzimek S, Broukal Z, Lencova E, Duskova J. Periodontal diseases and dental caries in children with type 1 Diabetes Mellitus. Mediators Inflamm. 2015; 2015:379626. Disponible en: http://www.hindawi.com/journals/mi/2015/379626/

Lalla E, Cheng B, Lal S, Kaplan S, Softness B, Greenberg E, Goland RS, LamsterIB. Diabetes mellitus promotes periodontal destruction in children. J Clin Periodontol. 2007; 34: 294–298.

Hamman R, Bell R, Dabelea D, D’Agostino R. Jr, Dolan L, Imperatore G, Lawrence JM, Linder B, Marcovina S, Mayer-Davis EJ, Pihoker C, Rodriguez B, Saydah S. The SEARCH for diabetes in youth study: Rationale, Findings and Future Directions. Diabetes Care. 2014; 37 (12): 3336-3344.

López del Valle LPR. Comparing the Oral Health Status of Diabetic and Non-Diabetic children from Puerto Rico: a Case-Control Pilot Study. Health Sci J. 2011; 30 (3):123-127.

Bassir L, Amani R, Khaneh Masjedi M, Ahangarpor F. Relationship between dietary patterns and dental health in Type 1 Diabetic children compared with healthy controls. Iran Red CrescentMed J. 2014; 16 (1):e9684. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3964440/

Ribeiro Andrades KM, Bento de Oliveira G, de Castro Vila LF, de Los Rios Odebrecht M, Machado Miguel LC. Asociación de los índices de glucemia, hiposalivación y xerostomía en pacientes diabéticos Tipo 1. Int. J. Odontostomat. 2011; 5 (2):185-190.

Gupta S. J. Comparison of salivary and serum glucose levels in diabetic patients. Diabetes Sci Technol. 2015; 9 (1): 91-6.

Palacios E. Disfunción endotelial asociada a la diabetes mellitus. Interacción entre inflamación e hiperglucemia. Tesis. Universidad Autónoma de Madrid. 2012. Disponible en:https://repositorio.uam.es/bitstream/handle/10486/9925/50855_palacios%20rosas%20erika.pdf?sequence=1

Karjalainen KM, Knuuttila MLE, Käär ML: Relationship between caries and level of metabolic balance in children and adolescents with insulin-dependent diabetes mellitus. Caries Research 1997; 31:13-8.

Busato IM, Ignacio SA, Brancher JA, Moyses ST, Azevedo-Alanis LR. Impact of clinical status and salivary conditions on xerostomia and oral health-related quality of life of adolescents with type 1 diabetes mellitus. Community Dent Oral Epidemiol. 2012; 40: 62–69.

Lazcano-Ponce E, Salazar-Martínez E, Hernández-Ávila M. Estudios epidemiológicos de casos y controles. Fundamento teórico, variantes y aplicaciones. Salud Pública Mex. 2001; 43: 135-50.

López Jordi MC, Szwarc E. Experiencia educativa para el abordaje interdisciplinario de niños y adolescentes con Diabetes Mellitus. Conference Paper. 2015 IX CLIOA. ISSN 978-858842513-2. Disponible en:

https://www.researchgate.net/publication/278727148_Experiencia_Educativa_Para_El_Abordaje_Interdisciplinario_De_Ninos_Y_Adolescentes_Con_Diabetes_Mellitus

Uruguay. Consejo de Educación Inicial y Primaria (CEIP). Dpto de Investigación y Estadística Educativa (DIEE). Relevamiento de característica sociocultural de las escuelas públicas 2015. Recuperado de:

http://www.ceip.edu.uy/documentos/2016/varios/Anticipacion_%20resultado_Relevamiento.pdf

Bordoni N, Doño R, Miraschi C. PRECONC. Organización Panamericana de la Salud 1992.

Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975; 25:229-35.

ICDAS Foundation. Internacional Caries Detection and Assesment System. 2016. Disponible en: https:// icdas.org/downloads.

Ekstrand KR, Gimenez T, Ferreira FR, Mendes F, Braga M. The International Caries Detection and Assessment System- ICDAS. A systemic review. Caries Res 2018; 52: 406-419.

Barbachan E, Silva B, Maltz M. Prevalence of dental caries, gingivitis, and fluorosis in 12-years-old students from Porto Alegre- RS Brazil 1998/1999.Pesqui Odontol. Bras. 2001;15 (3): 208-14.

Palacios E. Disfunción endotelial asociada a la diabetes mellitus. Interacción entre inflamación e hiperglucemia. Tesis. Universidad Autónoma de Madrid. 2012. Disponible: https://repositorio.uam.es/bitstream/handle/10486/9925/50855_palacios%20rosas%20erika.pdf?sequence=1

Palomer L, García H. ¿Es importante la salud oral en los niños con diabetes? Rev Chil Pediatr. 2010; 81 (1): 64-70.

Mealey BL, Ocampo GL. Diabetes mellitus and periodontal disease. Periodontol. 2000. 2017; 44: 127-153.

Albandar JM, Susin C, Hughes FJ. Manifestations od systemic disease and conditions that affect the periodontal attachment apparatus: Case definitions and diagnostic considerations. J Periodontol. 2018;89 (Suppl 1):S183-S203.

Carneiro VL, Fraiz FC, Ferreira Fde M, Pintarelli TP, Oliveira AC, Boguszewski MC. The influence of glycemic control on the oral health of children and adolescents with diabetes mellitus type 1. Arch Endocrinol Metab. 2015; 59:535–540.

Faggion CM Jr, Cullinan MP, Atieh M. An overview of systematic reviews on the effectiveness of periodontal treatment to improve glycemic control. J Periodontal Res. 2016; 51: 716–725.

Siudikiene J, Machiulskiene V, Nyvad B, Tenovuo J, Nedzelskiene I. Dental caries and salivary status in children with type 1 diabetes mellitus, related to the metabolic control of the disease. Eur J Oral Sci. 2006; 114: 8–14.

Gómez-Gómez M, Danglot-Banck C, Huerta Alvarado SG, García de la Torre G. El estudio de casos y controles: su diseño, análisis e interpretación, en investigación clínica. Rev Mex Pediatr. 2003; 70 (5): 257-263.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.