ISSN 2415-3060 (print), ISSN 2522-4972 (online)
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JMBS 2023, 8(1): 202–207
https://doi.org/10.26693/jmbs08.01.202
Dentistry

Evaluation of Oral Hygiene and Periodontal Indices of 6–14-Year-Old Children with Insulin-Dependent Diabetes Mellitus

Sheshukova O. V., Kuz I. O., Bauman S. S., Kazakova K. S., Mosiienko A. S., Polishchuk T. V., Trufanova V. P.
Abstract

The purpose of the study was to evaluate oral hygiene and periodontal indices in children with type 1 diabetes mellitus. Materials and methods. 258 children aged 6-14 years were examined, including 129 children with type 1 diabetes mellitus and 129 children without concomitant somatic diseases. All patients were divided into four subgroups according to the presence of gingivitis. We determined the oral hygiene index-simplified (according to Green, Vermillion, 1964), the papillary-marginal-alveolar index in Parma modification (1960), the gingival index according to Loe, Sillness (1967). The t-test for paired samples was used to compare values. The difference was considered statistically significant at p<0.05. Results and discussion. The worst level of oral hygiene was in group of children with type 1 diabetes mellitus and chronic catarrhal gingivitis because gum bleeding and pain in gums in these children did not allow them to make full efforts and carry out oral hygiene well. Our research showed a statistically significant difference between the patients with type 1 diabetes mellitus and control group in accordance with periodontal indices. Children with diabetes mellitus had the highest values of periodontal indices. The inflammatory processes in the tissues of periodontium in patients with type 1 diabetes mellitus are expanded, so it is very important to recognize them and diagnose them as early as possible. Periodontal indices in patients of the youngest age subgroup, namely, both the group of patients with diabetes mellitus and the group of children without somatic pathologies were the lowest. The totality of data on periodontal indices in children with chronic catarrhal gingivitis and type 1 diabetes mellitus indicated an average degree of severity of gingivitis, namely, the papillary-marginal-alveolar index was 42.77 ± 1.31%, the gingival index was 1.81 ± 0.05 points. Protective mechanisms in young patients with type 1 diabetes mellitus are changed. Children with this endocrine illness suffer from swelling of the gums and have extreme gum bleeding along with the development of the main endocrinological disease compared to healthy patients of the same age. According to the results we obtained, we believe that screenings of the oral cavity and preventive programs should emphasize the importance of early diagnosis of gingivitis and periodontitis even during the milk and mixed bite period, particularly in children with type 1 diabetes mellitus. Conclusion. Children with type 1 diabetes mellitus had a worse state of oral hygiene than healthy children. Children with diabetes mellitus had gum bleeding both during the period of temporary bite, and during the period of mixed bite

Keywords: gingivitis, children, diabetes mellitus, oral fluid, oral hygiene index

Full text: PDF (Eng) 289K

References
  1. Bimstein E, Zangen D, Abedrahim W, Katz J. Type 1 Diabetes Mellitus (Juvenile Diabetes) - A Review for the Pediatric Oral Health Provider. J Clin Pediatr Dent. 2019;43(6):417-423. PMID: 31657992. https://doi.org/10.17796/1053-4625-43.6.10
  2. Mandura RA, Meligy OAE, Attar MH, Alamoudi RA. Diabetes Mellitus and Dental Health in Children: A Review of Literature. Int J Clin Pediatr Dent. 2021 Sep-Oct;14(5):719-725. PMID: 34934290 PMCID: PMC8645620. https://doi.org/10.5005/jp-journals-10005-2006
  3. Canga M, Malagnino I, Qafmolla A, Xhajanka E, Malagnino VA. The impact of the diabetes on oral health - an observational study. Wiad Lek. 2022;75(4 pt 1):753-758. PMID: 35633342. https://doi.org/10.36740/WLek202204101
  4. Jensen E, Allen G, Bednarz J, Couper J, Peña A. Periodontal risk markers in children and adolescents with type 1 diabetes: A systematic review and meta-analysis. Diabetes Metab Res Rev. 2021 Jan;37(1):e3368. https://doi.org/10.1002/dmrr.3368
  5. Maksymenko AI, Sheshukova OV, Kuz IO, Lyakhova NA, Tkachenko IM. The level of interleukin-18 in the oral fluid in primary school children with chronic catarrhal gingivitis and type I diabetes mellitus. Wiad Lek. 2021;74(6):1336-1340. PMID: 34159915. https://doi.org/10.36740/10.36740/WLek202106109
  6. Ismail AF, McGrath CP, Yiu CKY. Oral health status of children with type 1 diabetes: a comparative study. J Pediatr Endocrinol Metab. 2017 Oct 26;30(11):1155-1159. PMID: 28988224. https://doi.org/10.1515/jpem-2017-0053
  7. Pachoński M, Jarosz-Chobot P, Koczor-Rozmus A, Łanowy P, Mocny-Pachońska K. Dental caries and periodontal status in children with type 1 diabetes mellitus. Pediatr Endocrinol Diabetes Metab. 2020;26(1):39-44. PMID: 32272827. https://doi.org/10.5114/pedm.2020.93249
  8. Geetha S, Pramila M, Jain K, Suresh CM. Oral health status and knowledge among 10-15 years old type 1 diabetes mellitus children and adolescents in Bengaluru. Indian J Dent Res. 2019 Jan-Feb;30(1):80-86.
  9. Kaskova LF, Honcharenko VA, Klitynska OV. Peculiarities of free radical oxidation and antioxidant protection parameters of the oral fluid in children with chronic catarrhal gingivitis with underlying diabetes mellitus. Wiad Lek. 2021;74(4):887-890. PMID: 34155998. https://doi.org/10.36740/WLek202104114
  10. Petrushanko TA, Chereda VV, Loban' GA. The relationship between colonization resistance of the oral cavity and individual -typological characteristics of personality: dental aspects. Wiad Lek. 2017;70(4):754-757.
  11. Shynkevych VI, Kolomiiets SV, Kaidashev IP. Effects of l-arginine and l-ornithine supplementations on the treatment of chronic periodontitis: A preliminary randomized short-term clinical trial. Heliyon. 2021 Nov 9;7(11):e08353. PMID: 34816043. PMCID: PMC8593455. https://doi.org/10.1016/j.heliyon.2021.e08353
  12. Sheshukova OV, Polishchuk TV, Kostenko VG, Trufanova VP, Bauman SS, Davydenko VY. Consideration of childhood psychological factors at dental appointment. Wiad Lek. 2018;71(7):1305-1309.
  13. Savchenko LG, Digtiar NI, Selikhova LG, Kaidasheva EI, Shlykova OA, Vesnina LE, et al. Liraglutide exerts an anti-inflammatory action in obese patients with type 2 diabetes. Rom J Intern Med. 2019 Sep 1;57(3):233-240. PMID: 30901315. https://doi.org/10.2478/rjim-2019-0003
  14. Sheshukova OV, Kuz IO, Kostenko VO, Akimov OY, Maksymenko AI, Pysarenko OA, et al. Functioning of NO-cycle in the oral fluid in children of primary school age with type 1 diabetes mellitus in the treatment of chronic catarrhal gingivitis. Wiad Lek. 2022;75(3):654-658. PMID: 35522874. https://doi.org/10.36740/WLek202203116
  15. Elheeny AAH. Oral health status and impact on the oral health-related quality of life of Egyptian children and early adolescents with type-1 diabetes: a case-control study. Clin Oral Investig. 2020 Nov;24(11):4033-4042. PMID: 32468484. https://doi.org/10.1007/s00784-020-03273-w
  16. Gunasekaran S, Silva M, O'Connell MA, Manton DJ, Hallett KB. Caries experience and gingival health in children and adolescents with type 1 diabetes mellitus-A cross-sectional study. Pediatr Diabetes. 2022 Jun;23(4):499-506. PMID: 35138695. PMCID: PMC9311150. https://doi.org/10.1111/pedi.13324
  17. Zainal Abidin Z, Zainuren ZA, Noor E, Mohd Nor NS, Mohd Saffian S, Abdul Halim R. Periodontal health status of children and adolescents with diabetes mellitus: a systematic review and meta-analysis. Aust Dent J. 2021 Mar;66 Suppl 1:S15-S26. PMID: 33864280. https://doi.org/10.1111/adj.12845
  18. Kuz IO, Akimov OY, Kostenko VO, Sheshukova OV, Maksymenko AI, Pysarenko OA. Functioning of NO-cycle in the saliva of children with type 1 diabetes mellitus. Problems of Endocrine Pathology. 2021;78(4):34-39. https://doi.org/10.21856/j-PEP.2021.4.05
  19. Iscan TA, Ozsin-Ozler C, Ileri-Keceli T, Guciz-Dogan B, Alikasifoglu A, Uzamis-Tekcicek M. Oral health and halitosis among type 1 diabetic and healthy children. J Breath Res. 2020 Jul 3;14(3):036008. PMID: 32340013. https://doi.org/10.1088/1752-7163/ab8d8b
  20. AlMutairi FFJ, Pani SC, Alrobaie FM, Ingle NA. Relationship between type-I diabetes mellitus and oral health status and oral health-related quality of life among children of Saudi Arabia. J Family Med Prim Care. 2020 Feb 28;9(2):647-651. PMID: 32318397. PMCID: PMC7114047. https://doi.org/10.4103/jfmpc.jfmpc_1160_19