Turkish archives of pediatrics · 2025
Caries Experience, Periodontal Health, and Oral Hygiene in Pediatric Patients with Type 1 Diabetes Mellitus: A Comparative Cross-Sectional Study.
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Akgun Semih Ercan, Guler Derya, Kontbay Tugba, Okumus İrem, Oruç Muhammet Ali, Yazıcıoglu Bahadır, Tekin Bahar
Аннотация
OBJECTIVE: To describe oral health status and its relationship with glycemic control in children with type 1 diabetes mellitus (T1DM) using standardized indices.
MATERIALS AND METHODS: A comparative cross-sectional study was conducted with 30 children aged 6-14 years with T1DM and 30 healthy controls. Oral examinations recorded DMFS/dfs (Decayed, Missing, Filled Surfaces), PUFA/pufa (Pulpal involvement, Ulceration, Fistula, Abscess), Plaque Index (PI), Gingival Index (GI), and Simplified Oral Hygiene Index (OHI-S). Glycated hemoglobin (HbA1c) levels were categorized as ≤7% or >7%. Non-parametric tests, Spearman's correlation analyses were performed. The level of statistical significance was set at P < .05.
RESULTS: The T1DM group had significantly lower DMFS/dfs and PUFA/pufa scores than controls (P < .001 and P = .004, respectively), and no significant differences were found in PI, GI, and OHI-S values. In the T1DM group, correlation analyses between HbA1c levels and oral health indices (DMFS/dfs, PUFA/pufa, PI, GI, and OHI-S) revealed no statistically significant associations (P > .05). No statistically significant correlations were found between HbA1c and any of the oral health indices (P > .05).
CONCLUSION: Children with T1DM showed lower caries experience, possibly due to regular medical follow-up, nutritional counseling, and improved oral hygiene. Routine oral health monitoring should be integrated into pediatric diabetes care.
MATERIALS AND METHODS: A comparative cross-sectional study was conducted with 30 children aged 6-14 years with T1DM and 30 healthy controls. Oral examinations recorded DMFS/dfs (Decayed, Missing, Filled Surfaces), PUFA/pufa (Pulpal involvement, Ulceration, Fistula, Abscess), Plaque Index (PI), Gingival Index (GI), and Simplified Oral Hygiene Index (OHI-S). Glycated hemoglobin (HbA1c) levels were categorized as ≤7% or >7%. Non-parametric tests, Spearman's correlation analyses were performed. The level of statistical significance was set at P < .05.
RESULTS: The T1DM group had significantly lower DMFS/dfs and PUFA/pufa scores than controls (P < .001 and P = .004, respectively), and no significant differences were found in PI, GI, and OHI-S values. In the T1DM group, correlation analyses between HbA1c levels and oral health indices (DMFS/dfs, PUFA/pufa, PI, GI, and OHI-S) revealed no statistically significant associations (P > .05). No statistically significant correlations were found between HbA1c and any of the oral health indices (P > .05).
CONCLUSION: Children with T1DM showed lower caries experience, possibly due to regular medical follow-up, nutritional counseling, and improved oral hygiene. Routine oral health monitoring should be integrated into pediatric diabetes care.