The Association Between Type 1 Diabetes and The Severity of Periodontitis In Children

Ashraf Abdelkader, Mohamed el tonsy, Mansoor Atya, A. Waly
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Abstract

Aim: primary goal of this research was to demonstrate the link between severity of periodontal disease and type 1 diabetes in children. Subjects and Methods: this prospec-tive study included total of 40 children aged 5 to 12 years were included in this study, and the evaluation of periodontal disease was done using “Gingival Index (GI), Plaque Index (PI), and Clinical Attachment Loss (CAL)”; the blood glucose level was assessed using “Glycosylated hemoglobin (HbA1c percent)”; and the patients were reevaluated after 3 months, 6 month and 9 month intervals. Results: The study comprised 40 children, 23 females and 17 males, with a mean age of 8.52 4.16. The two groups did not differ much. Both groups’ mean gingival index, plaque index, and clinical attachment level decreased over time. Group 1 had significantly lower mean gingival index, plaque index, and clinical attachment level scores than group 2 at baseline and three months post-intervention. Both groups’ mean HbA1c percent dropped with time. This decrease was only seen in group 2, and only between baseline and 9 months post-intervention in group 1. Conclusion: Determining the risk of periodontitis and associated consequences in poorly treated diabetic children should be a priority in this study. Children with severe periodontitis should also have their blood glucose levels checked. causes complications such as diabetic ketoacidosis, nephropathy, neuropathy, cardiovascular disease, and acute coronary syndrome. The good news is that many people with type 1 diabetes do not develop major long-term problems. Glucose monitoring and insulin therapy are usually used to treat it 1
儿童1型糖尿病与牙周炎严重程度的关系
目的:本研究的主要目的是证明儿童牙周病的严重程度与1型糖尿病之间的联系。对象与方法:本前瞻性研究共纳入40例5 ~ 12岁儿童,采用“牙龈指数(GI)、菌斑指数(PI)、临床附着丧失(CAL)”评价牙周病;采用“糖化血红蛋白(HbA1c百分比)”评估血糖水平;每隔3个月、6个月和9个月对患者进行重新评估。结果:共纳入儿童40例,其中女性23例,男性17例,平均年龄8.52 ~ 4.16岁。这两组没有太大差别。两组的平均牙龈指数、菌斑指数和临床依恋水平均随时间下降。在基线和干预后3个月,组1的平均牙龈指数、菌斑指数和临床依恋水平评分明显低于组2。两组患者的平均HbA1c水平都随着时间的推移而下降。这种下降仅在组2中出现,并且仅在组1干预后的基线和9个月之间出现。结论:确定治疗不良的糖尿病儿童牙周炎的风险及其相关后果应是本研究的重点。患有严重牙周炎的儿童也应该检查血糖水平。引起糖尿病酮症酸中毒、肾病、神经病变、心血管疾病、急性冠状动脉综合征等并发症。好消息是,许多1型糖尿病患者不会出现严重的长期问题。通常采用血糖监测和胰岛素治疗
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