Buccodental pathology in patients with insulin-dependent diabetes mellitus: a clinical study.
OBJECTIVE
A study is made to determine whether patients with type 1 (insulin-dependent) diabetes mellitus (IDDM) suffer oral complications attributable to the disease, or whether some disorder of the oral cavity can be regarded as pathognomonic of diabetes.


METHODS
Thirty juvenile diabetics and 30 healthy individuals were evaluated for dental caries and oral mucosal lesions, with the performance of basal and stimulated sialometry in all cases, to assess possible alterations in salivary flow. In addition, an study of periodontal variables was made such as the presence of bacterial plaque, gingival status and attachment losses.


CONCLUSIONS
The diabetics were found to have significantly greater periodontal attachment loss, even though oral hygiene was significantly better among these patients. There were no differences between the two groups in terms of the number of caries, the presence of mucosal lesions or salivary flow.
Master de Odontologia en Pacientes Especiales, Departamento de Estomatologia, Universidad de Valencia, Unidad de Estomatologia y Pacientes Especiales del Hospital Universitario Dr. Peset de Valencia, Spain.
L
L
Miralles-Jorda
F J
FJ
Silvestre-Donat
D M
DM
Grau Garcia-Moreno
A
A
Hernandez-Mijares
D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D003731:Dental Caries / Q000150:complications*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000378:metabolism; D006801:Humans; D010510:Periodontal Diseases / Q000150:complications*; D012463:Saliva / Q000378:metabolism*