title: [Prevalence of Dental Caries in Type 1 Diabetic Patients Treated with Insulin Pump].
abstract: BACKGROUND
  Type 1 diabetes mellitus and oral health are strictly related on a reciprocal basis, and an increased susceptibility to a wide variety of oral diseases is recognised in these patients. The aim of the present study was to establish a relationship between the prevalence of dental caries in Type 1 diabetic patients treated with insulin pump and that of non-diabetic patients.
  
  
  METHODS
  An observational clinical study of analytical and cross-sectional nature was conducted. The sample consisted of 30 adults with diabetes mellitus treated with insulin pump (selected from the Coimbra Hospital and Universitary Centre) and 30 nondiabetic adults (selected from the ones accompanying the diabetic patients). One dentist evaluated all of the patients between January and May of 2015 in the Faculty of Medicine of the University of Coimbra. During the clinical evaluation a case report form adapted to the objectives of the investigation was completed. Data analysis was performed and the significance level was set at 5%.
  
  
  RESULTS
  Diabetic patients showed similar levels on the caries and plaque index to non-diabetic patients. There were no statistically significant differences between the two groups as regards oral hygiene habits and frequency of visits to the dentist. Discussão: Although diabetics' diet is less abundant in carbohydrates, which provides a smaller exposure to cariogenic food, the regularity of meals can increase the risk of caries since the critical pH for demineralization is reached frequently throughout the day. However, the existence of a chronic condition may determine a high concern for general preventive care, resulting in an overall improvement of their oral health, which could justify the results.
  
  
  CONCLUSIONS
  Type 1 diabetic patients treated with insulin pump don't have a higher prevalence of dental caries.
authors.affiliation: Área de Medicina Dentária. Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal.
authors.forename: Rosana
authors.initials: R
authors.lastname: Garcia
authors.affiliation: Área de Medicina Dentária. Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal. Programa de Doutoramento em Medicina Dentária. Faculdade de Medicina Dentária. Universidade do Porto. Porto. Portugal.
authors.forename: Ana
authors.initials: A
authors.lastname: Coelho
authors.affiliation: Área de Medicina Dentária. Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal.
authors.forename: Anabela
authors.initials: A
authors.lastname: Paula
authors.affiliation: Área de Medicina Dentária. Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal.
authors.forename: Manuel
authors.initials: M
authors.lastname: Marques Ferreira
authors.affiliation: Serviço de Bioestatística e Informática Médica. Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal.
authors.forename: Francisco
authors.initials: F
authors.lastname: Caramelo
authors.affiliation: Serviço de Endocrinologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
authors.forename: Luísa
authors.initials: L
authors.lastname: Barros
authors.affiliation: Serviço de Endocrinologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
authors.forename: Carla
authors.initials: C
authors.lastname: Batista
authors.affiliation: Serviço de Endocrinologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
authors.forename: Miguel
authors.initials: M
authors.lastname: Melo
authors.affiliation: Departamento de Dentisteria Operatória. Faculdade de Medicina Dentária. Universidade do Porto. Porto. Portugal.
authors.forename: Mário Jorge
authors.initials: MJ
authors.lastname: Silva
authors.affiliation: Área de Medicina Dentária. Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal.
authors.forename: Eunice
authors.initials: E
authors.lastname: Carrilho
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003731:Dental Caries / Q000150:complications / Q000453:epidemiology*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007332:Insulin Infusion Systems; D008297:Male; D015995:Prevalence