2017, Number 4
Revista Habanera de Ciencias Médicas 2017; 16 (4)
Buccal alterations associated to Type 1 Diabetes Mellitus in children and adolescents. Institute of Endocrinology. 2014-2015
Urbizo OD, Pérez SEH, Espinosa RT, Jiménez ETJ
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ABSTRACTIntroduction: Type 1 Diabetes Mellitus is a chronic systemic disease with a repercussion upon a buccal level. High concentrations of maintained blood glucose generate a decrease of both the salivary flow and the peripheral vascular response, which contributes to the accumulation of bacterial plaque and tartar, the growth of cavities, halitosis, and periodontal diseases. Objective: To determine the association between buccal alterations and Type 1 Diabetes Mellitus in children and adolescents. Material and Methods: A case-control observational study was done in a group of children and adolescents with Type 1 Diabetes Mellitus (Group 1), from ages 3 to 18, and in a group of children and adolescents without Diabetes Mellitus (Group 2), of compared ages and sexes. Results: The patients with diabetes were more affected by xerostomia (37.8 %), ulcers (55.6 %), and periodontopathies (71.1 %) than the patients without diabetes, being these results very significant statistically, unlike the affectation by dental cavities and the behavior of buccal hygiene where the differences were not statistically significant. Conclusions: Type 1 Diabetes Mellitus is related to buccal alterations; this way, diabetic children and adolescents present more frequent periodontopathies, xerostomies and ulcers than children and adolescents without diabetes, but it does not happen with dental cavities or buccal hygiene.