scholarly journals ANALYSIS OF THE RELATIONSHIP OF BEHAVIORAL HABITS AND PERIODONTAL STATUS AND ORAL HEALTH IN CHILDREN OF PRIMARY SCHOOL AGE WITH DIABETES MELLITUS TYPE I AND PARENTS RESULTS USING DENTAL QUESTIONNAIRE

Author(s):  
I.O. Kuz

Type I diabetes mellitus is an autoimmune disease in genetically susceptible individuals that leads to the destruction of pancreatic β-cells with the subsequent development of absolute insulin deficiency. The presence of type I diabetes mellitus in children is the main risk factor for the onset of inflammatory periodontal diseases. When comparing the values of the hygiene indices according to Fedorov - Volodkina and the simplified OHI-S index (Green-Vermillion), a statistically significant difference (p ≤ 0.05) was found when comparing groups 1 and 2, 3 and 4, 2 and 4, 1 and 4 and was not found (p≥0.05) between groups 1 and 3 (in children with healthy gums with and without type I diabetes). We also found a statistically significant difference between patients with type 1 diabetes and healthy children in periodontal indices and gingival indices. Inflammatory processes in the periodontium of children with diabetes are elevated, so it is very important to recognize and diagnose them as soon as possible. Based on the answers to the "Dental questionnaire for children and parents" (certificate of copyright registration, registration date 01.24.2020), the relationship between behavior patterns, parent’s habits and the dental status of schoolchildren was quite informative, it opens up the possibility of early detection of problems in medical and preventive work among the children. We made the following conclusions: by questioning parents, we can reveal their attitude to their dental health and dental health of children, as well as to determine in more detail the risk factors for periodontal disease and dental diseases in general. Despite the availability of educational programs and routine dental examinations in kindergartens and schools (they are mainly focused on the formation of a conscious attitude to dental health directly in children), the dental literacy of parents should be increased.

2020 ◽  
pp. 90-95
Author(s):  
O.V. Sheshukova ◽  
I.О. Kuz

Gingivitis and periodontitis are two forms of periodontal disease that are well known as oral complications in diabetic patients. Particular attention should be paid to the diagnosis of periodontal disease at an early age among patients with this endocrinological pathology. The aim of this scientific work was to assess the gum bleeding and the state of the periodontium in children with type I diabetes mellitus during the periods of milk bite and period of mixed dentition. Scientific studies of gingivitis during milk and variable occlusion in children with diabetes are quite rare. In addition, the period limited by the age ranges is transitional for the dental-maxillary system. This fact will allow us to have a great opportunity to study the differences from deciduous and permanent teeth. 258 children aged from six to fourteen were examined for this scientific work, namely 129 children with type I diabetes mellitus and 129 children without somatic diseases. All patients were divided into appropriate subgroups: somatically healthy children without signs of gingivitis, somatically healthy children with signs of gingivitis, children with type I diabetes mellitus without signs of gingivitis, children with type I diabetes mellitus with signs of gingivitis. The hygiene index was determined according to Fedorov - Volodkina (1968) and OHI-S (Green, Vermillion, 1964). The periodontal condition was assessed by the PMA index (papillary-marginal-alveolar index) modified with Parma (1960). Bleeding index was determined according to Loe, Silness (1967), that is, the so-called gingival index (GI). We also calculated the bleeding index according to Muhleman H.R. (1971). There was no statistically significant difference in the values of the intensity of caries, its prevalence and hygiene indexes in the group with insulin-dependent diabetes mellitus compared with healthy children. Our studies showed a statistically significant difference between the control group and patients with type I diabetes mellitus regarding periodontal indexes and gingival bleeding, consistent with existing data in the literature. Inflammatory processes in the periodontium of children and adults with diabetes mellitus have been increased. It is also very important to recognize this process as soon as possible. The results of this research work determine that children with diabetes have a great risk of bleeding gums compared to children without diabetes. We cannot say that gingivitis in children always lead to destructive periodontal disease in adulthood, a number of Ukrainian and foreign authors point out that children with insulin-dependent diabetes are more prone to periodontal destruction, than healthy ones. This is important because the most common periodontal diseases can be prevented even in people with an increased susceptibility to them and the development of destruction can be stopped by early detection of the disease in the early stages. Moreover, there is evidence that the treatment of periodontal disease in adults with diabetes has a positive effect on the level of metabolic control of these individuals. Thus, in light of the current results, oral screening and preventive programs should emphasize the importance of timely diagnosis of periodontal disease even during the milk occlusion and period of mixed dentition, especially in children with insulin-dependent diabetes mellitus.


2015 ◽  
Vol 32 (12) ◽  
pp. 1745-1753 ◽  
Author(s):  
Abdullah Nabi Aslan ◽  
Telat Keleş ◽  
Hüseyin Ayhan ◽  
Hacı Ahmet Kasapkara ◽  
Murat Akçay ◽  
...  

2021 ◽  
Vol 74 (6) ◽  
pp. 1336-1340
Author(s):  
Alina I. Maksymenko ◽  
Olga V. Sheshukova ◽  
Iryna O. Kuz ◽  
Natalia A. Lyakhova ◽  
Iryna M. Tkachenko

The aim: Of our research work was to study the level of proinflammatory interleukin-18 (IL-18) in the oral fluid of children with type I diabetes mellitus (DM), and to determine their periodontal status and the level of oral hygiene. Materials and methods: 82 children were examined, they were divided into groups by presence of gingivitis and diabetes mellitus. The level of interleukin-18 in oral fluid was determined by immunoassay. Results: In patients with chronic catarrhal gingivitis and type I diabetes mellitus the level of interleukin-18 in oral fluid is the highest (70.91±7.48 pg / ml); the level of interleukin-18 in children with diabetes mellitus and healthy gums is high enough too, it is 14.87±1.11 pg / ml. Interleukin-18 is 3.41±0.25 pg / ml in healthy children with healthy gums. It is 5.74±0.27 pg / ml in somatically healthy children with chronic catarrhal gingivitis. Conclusions: We indicated that an increase in the value of interleukin-18 in oral fluid is associated with the presence of diabetes mellitus in children. Moreover, this cytokine can be considered as a potential biomarker of gum inflammation in children with diabetes mellitus.


Diabetes ◽  
1984 ◽  
Vol 33 (4) ◽  
pp. 394-400 ◽  
Author(s):  
G. Bolli ◽  
P. De Feo ◽  
S. De Cosmo ◽  
G. Perriello ◽  
G. Angeletti ◽  
...  

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