The journal of contemporary dental practice · 2026
Evaluation of Salivary Characteristics and Caries Risk Assessment in Children with Type 1 Diabetes - A Cross-sectional Study.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Mathew Divya M, Chavan Sandhya, Das Asutosh, Hari Krishnan, Mohideen Khadijah, Arjumand Bilal
Аннотация
AIM: This study evaluated the correlation between salivary parameters and caries management by risk assessment (CAMBRA) in children with Type 1 diabetes mellitus (T1DM).
MATERIALS AND METHODS: The study included 50 children (male and female), aged 6-12 years, with T1DM. The unstimulated salivary flow rate, pH and buffering capacity of stimulated saliva were determined using the GC saliva check buffer kit. The CAMBRA risk assessment form was used to determine caries risk for patients aged 6 to adults. Data were analyzed by SPSS. Comparisons of the caries subcategories with pH, buffering capacity, and flow rate were performed using the Kruskal-Wallis test and Dunn-Bonferroni post hoc test at p < 0.05.
RESULTS: The study found that all children were susceptible to dental caries, with 46% classified as being at extreme risk, 32% at moderate risk, and 22% at high risk. The mean pH was 5.75 ± 0.49 (very acidic), and the buffer capacity was 6.36 ± 1.87 (poor). The mean flow rate was 0.25 ± 0.16 (low). The extreme group had lower pH, buffer capacity, and flow rate than the other two groups. Saliva buffer capacity is moderately positively correlated with pH.
CONCLUSION: In children with T1DM, a high caries risk was associated with reduced salivary pH, buffering capacity, and flow rate, highlighting the relationship between salivary characteristics and caries susceptibility.
CLINICAL SIGNIFICANCE: In order to enhance dental and overall health outcomes, the study highlights the need for early salivary examination and caries risk assessment in children with Type 1 diabetes. Timely preventive treatments, such as customized oral hygiene practices, nutritional counseling, and routine dental follow-up, are made possible by early detection of children at higher risk. The burden of dental caries may be reduced, and comprehensive diabetes management may be supported by integrating salivary and caries risk assessments into the routine clinical care of children with Type 1 diabetes.
MATERIALS AND METHODS: The study included 50 children (male and female), aged 6-12 years, with T1DM. The unstimulated salivary flow rate, pH and buffering capacity of stimulated saliva were determined using the GC saliva check buffer kit. The CAMBRA risk assessment form was used to determine caries risk for patients aged 6 to adults. Data were analyzed by SPSS. Comparisons of the caries subcategories with pH, buffering capacity, and flow rate were performed using the Kruskal-Wallis test and Dunn-Bonferroni post hoc test at p < 0.05.
RESULTS: The study found that all children were susceptible to dental caries, with 46% classified as being at extreme risk, 32% at moderate risk, and 22% at high risk. The mean pH was 5.75 ± 0.49 (very acidic), and the buffer capacity was 6.36 ± 1.87 (poor). The mean flow rate was 0.25 ± 0.16 (low). The extreme group had lower pH, buffer capacity, and flow rate than the other two groups. Saliva buffer capacity is moderately positively correlated with pH.
CONCLUSION: In children with T1DM, a high caries risk was associated with reduced salivary pH, buffering capacity, and flow rate, highlighting the relationship between salivary characteristics and caries susceptibility.
CLINICAL SIGNIFICANCE: In order to enhance dental and overall health outcomes, the study highlights the need for early salivary examination and caries risk assessment in children with Type 1 diabetes. Timely preventive treatments, such as customized oral hygiene practices, nutritional counseling, and routine dental follow-up, are made possible by early detection of children at higher risk. The burden of dental caries may be reduced, and comprehensive diabetes management may be supported by integrating salivary and caries risk assessments into the routine clinical care of children with Type 1 diabetes.