Oral health in young children with type 1 diabetes mellitus

S. Blumer, H. Eliasi, Mariana Rachmiel, Tal Ben AriSekel, D. Jakubowicz, J. Wainstein, B. Peretz, Z. Landau

Research output: Contribution to journalArticlepeer-review


Aims: Knowledge about the risk factors for oral pathology among children with Type 1 Diabetes Mellitus (T1DM) is essential
for establishing appropriate preventive and therapeutic strategies. We compared the oral health of youngsters with T1DM with
that of non-diabetic children according to dietary and hygiene habits, dental caries history, gingival health, saliva secretion, saliva
composition and number of mutant’s streptococci (MS, pathognomonic for early childhood caries) colonies in the saliva. We also
examined a possible association between glycemic control and oral health among T1DM children.
Methods: The T1DM children were examined by pediatric dentists who scored their oral health status using three indices: decayed
(D), missing (M) or filled (F) teeth (“DMFT” for permanent dentitions and “dmft” for primary dentitions) for caries parameters,
and the plaque index (PI) and gingival index (GI) for periodontal parameters. Age-matched siblings and friends of the
study children comprised the control group.
Results: The T1DM children (n=24, age 8.2 ± 2.4 yr) had higher MS levels, a higher prevalence of caries, and significantly higher
salivary Na levels compared to the controls (n=30, age 6.4 ± 2.7 yr). Caries history, evidence of current periodontal disease, oral
health-related behaviors, PI and GI findings, and other salivary parameters were similar for both groups. Glycemic control did
not influence oral health status.
Conclusions: T1DM children may bear potential compromised oral conditions, making early identification of those at high risk
essential for preventing oral complications. Salivary MS counts may be a useful tool to identify T1DM children at increased risk
for developing caries.
Original languageEnglish
Article number145
Pages (from-to)1-8
Number of pages8
JournalArchives of pediatrics
Issue number1
StatePublished - 1 Mar 2018


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