Association between metabolic control and oral health in adolescents with type 1 diabetes mellitus.
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.
Saes Busato
Ivana Maria
IM
Department of Stomatology, School of Dentistry, Pontifical Catholic University of Paraná, Curitiba, Brazil.
Bittencourt
Mônica Sommer
MS
Machado
Maria Angela Naval
MA
Grégio
Ana Maria Trindade
AM
Azevedo-Alanis
Luciana Reis
LR
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
D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents