title: Association between metabolic control and oral health in adolescents with type 1 diabetes mellitus.
abstract: OBJECTIVE
  The aim of this study was to evaluate the association between metabolic control and oral health of adolescents with type 1 diabetes mellitus (DM1).
  
  
  METHODS
  A case-control epidemiologic study was performed on adolescents allocated between 2 groups: DM1 group composed of 51 with DM1, and control group composed of 51 without diabetes. In the DM1 group, metabolic control data were observed (glycosylated hemoglobin (GHb) and capillary glucose), whereby GHb < or =8.0% was considered to indicate good metabolic control (DM1-A) and >8.0% poor metabolic control (DM1-B). Oral mucosal abnormalites, Community Periodontal Index (CPI), and decayed, missing, and filled (DMF) index were documented. Salivary flow was evaluated by means of stimulated saliva collection (SSFR).
  
  
  RESULTS
  Glycosylated hemoglobin values of < or =8.0% (DM1-A) were observed in 17 (24%) and >8.0% (DM1-B) in 34 (76%) of the subjects. The average DMF indexes were 1.5 (control) and 3.3 (DM1-group) (P < or = .05). The average CPIs were 0.2 (control), 1.4 (DM1-A), and 2.0 (DM1-B) (P < or = .05). Average SSFRs were 0.997 (DM1-A), 0.903 (DM1-B), and 1.224 (control) mL/min.
  
  
  CONCLUSIONS
  Oral health of adolescents with DM1 was impaired regardless of metabolic control.
authors.affiliation: Department of Stomatology, School of Dentistry, Pontifical Catholic University of Paraná, Curitiba, Brazil.
authors.forename: Ivana Maria
authors.initials: IM
authors.lastname: Saes Busato
authors.forename: Mônica Sommer
authors.initials: MS
authors.lastname: Bittencourt
authors.forename: Maria Angela Naval
authors.initials: MA
authors.lastname: Machado
authors.forename: Ana Maria Trindade
authors.initials: AM
authors.lastname: Grégio
authors.forename: Luciana Reis
authors.initials: LR
authors.lastname: Azevedo-Alanis
mesh_terms: D000293:Adolescent; D001786:Blood Glucose / Q000378:metabolism; D016022:Case-Control Studies; D004245:DMF Index; D003731:Dental Caries / Q000150:complications* / Q000378:metabolism; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000188:drug therapy / Q000378:metabolism; D005260:Female; D006442:Glycated Hemoglobin; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D016555:Matched-Pair Analysis; D009909:Oral Health; D010510:Periodontal Diseases / Q000150:complications* / Q000378:metabolism; D010512:Periodontal Index; D012016:Reference Values; D012472:Salivation / Q000502:physiology*; D018709:Statistics, Nonparametric; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents