Dentalno zdravlje kod dece sa dijabetesom melitusom tipa I u Crnoj Gori
Sažetak
Uvod/Cilj. Broj dece sa dijabetes melitusom u stalnom je porastu. Cilj istraživanja je bio da se utvrdi stanje dentalnog zdravlja kod dece obolele od dijabetes melitusa tip I (T1DM) u odnosu na zdravu decu. Metode. Studijom je bilo obuhvaćeno 177 pacijenata uzrasta 10–15 godina, podeljenih u dve grupe. Grupu T1DM činila su deca obolela od T1DM. Zdrava deca činila su kontrolnu grupu. Stanje zdravlja zuba ocenjeno je pomoću indeksa karioznih, ekstrahovanih i plombiranih (KEP) zuba. Za utvrđivanje oralne higijene primenjivan je Plak indeks (PI) po Silness-Löe i Indeks zubnog kamenca po Green-u (CI). Salivarni status je podrazumevao određivanje količine izlučene stimulisane pljuvačke i puferski kapacitet istog pacijenta. Rezultati. Nije bilo statistički značajnih razlika između obolele i zdrave dece u prosečnim vrednostima indeksa KEP stalnih zuba. Uočena je značajna razlika u vrednostima PI između grupe T1DM (1,29 ± 0,56) i kontrolne grupe (1,01 ± 0,50), (p = 0,001), kao i značajna razlika u vrednostima CI između grupe T1DM (0,09 ± 0,23) i kontrolne grupe (0,03 ± 0,14), (p = 0,047). Prosečna količina izlučene stimulisane pljuvačke kod obolele dece bila je značajno niža i iznosila je 0,99 ± 0,14 mL/min, u odnosu na zdravu decu, kod koje bila 1,06 ± 0,20 mL/min (p = 0,02). Zaključak. Deca obolela od T1DM u Crnoj Gori nemaju više obolelih zuba, ali imaju više dentalnog plaka, zubnog kamenca i manji protok pljuvačke u odnosu na decu iz kontrolne grupe. Takođe, naši rezultati ukazuju na nepostojanje preventivnih mera i programa u očuvanju zdravlja zuba u Crnoj Gori.
Reference
Samardžić M, Martinović M, Nedović-Vuković M, Popović-Samardžić M. Recent Incidence of type 1 diabetes mellitus in montenegro: a shift toward younger age at disease onset. Acta Clin Croat 2016; 55(1): 63‒8.
Samardžić M, Popović N, Terzić N, Popović-Samardžić M, Nedović-Vuković M. Rising incidence of childhood type 1 diabetes in Montenegro. Srp Arh Celok Lek 2016; 144(7‒8): 408‒12.
Ismail AF, McGrath CP, Yiu CKY. Oral health status of children with type 1 diabetes: a comparative study. J Pediatr Endocrinol Metab 2017; 30(11): 1155‒9.
Novotna M, Podzimek S, Broukal Z, Lencova E, Duskova J. Periodontal Diseases and Dental Caries in Children with Type 1 Diabetes Mellitus. Mediators Inflamm 2015; 2015: 379626.
Petrović MS, Barać M, Kuzmanović PJ, Radunović M, Jotić A, Pucar A. Presence of Different Candida Species at Denture Wearers With Type 2 Diabetes and Clinically Healthy Oral Mucosa-Pilot Study. Balk J Dent Med 2018; 22(1): 15‒21.
Noueiri B, Nassif N, Ollek A. Impact of General and Oral Complications of Diabetes Mellitus Type I on Lebanese Children's Quality of Life. Int J Clin Pediatr Dent 2018; 11(1): 40‒5
Löe H. Periodontal disease: the sixth complication of diabetes mellitus. Diabetes Car. 1993; 16(1): 329–34.
Lešović S. Effect of age, sex and the insulin regiment on insulin needs in children and adolescents suffering from type 1 diabetes mellitus Medicinski glasnik Specijalne bolnice za bolesti štitaste žlezde i bolesti metabolizma 'Zlatibor' 2016; 21(60): 36–45. (Serbian)
Malik FS, Taplin CE. Insulin therapy in children and adolescents with type 1 diabetes. Paediatr Drugs 2014; 16(2): 141‒50.
EUROSTAT—Income, Social Inclusion and Living Conditions. Available from: http://epp.eurostat.ec.europa.eu/portal/page/portal/income_social_inclusion_living_conditions/introduction [updated 2013September 25].
World Health Organization. Oral Health Surveys. Basic Methods. 4th ed. Geneva: World Health Organization; 1997. Available from: https://apps.who.int/iris/handle/10665/41905
Löe H. The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol 1967; 38(6): Suppl: 610–6.
Greene JC. The Oral Hygiene Index-Development and Uses. J Periodontol 1967; 38(6): Suppl: 625‒37.
Sanpei S, Endo T, Shimooka S. Caries risk factors in children under treatment with sectional brackets. Angle Orthod 2010; 80(3): 509–14.
Arheiam A, Omar S. Dental caries experience and periodontal treatment needs of 10- to 15-year old children with type 1 diabetes mellitus. Int Dent J 2014; 64(3): 150–4.
Vidya K, Shetty P, Anandakrishna L. Oral health and glycosylated hemoglobin among type 1 diabetes children in South India. J Indian Soc Pedod Prev Dent 2018; 36(1): 38‒42.
Babu KLG, Subramaniam P, Kaje K. Assessment of dental caries and gingival status among a group of type 1 diabetes mellitus and healthy children of South India – a comparative study. J Pediatr Endocrinol Metab 2018; 31(12): 1305‒10.
Ferizi L, Dragidella F, Spahiu L, Begzati A, Kotori V. The Influence of Type 1 Diabetes Mellitus on Dental Caries and Salivary Composition. Int J Dent 2018; 2018: 5780916.
Coelho ASEDC, Carneiro AS, Pereira VF, Paula AP, Macedo AP, Carrilho EVP. Oral Health of Portuguese Children with Type 1 Diabetes: A Multiparametric Evaluation. J Clin Pediatr Dent 2018; 42(3): 231‒5.
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; 30(1): 80‒6.
Alves C, Menezes R, Brandao M. Salivary flowand dental caries in Brazilian youth with type 1 diabetes mellitus. Indian J Dent Res 2012; 23(6): 758–62.
El-Tekeya M, El Tantawi M, Fetouh H, Mowafy E, Abo Khedr N. Caries risk indicators in children with type 1 diabetes mellitus in relation to metabolic control. Pediatr Dent 2012; 34(7): 510‒6.
Rafatjou R, Razavi Z, Tayebi S, Khalili M, Farhadian M. Dental Health Status and Hygiene in Children and Adolescents with Type 1 Diabetes Mellitus. J Res Health Sci 2016; 16(3): 122‒6.
Akpata ES, Alomari Q, Mojiminiyi OA, Al-Sanae H. Caries experience among children with type 1 diabetes in Kuwait. Pediatr Dent 2012; 34(7): 468–72.
Fazlić R, Husenbegović A, Hasanbegović S, Dragaš SM. Differences in dental caries experience between diabetic adolescents and healthy controls. J Health Sci 2016; 6(1): 46‒51.
Orbak R, Simsek S, Orbak Z, Kavrut F, Colak M. The influence of type 1 diabetes mellitus on dentition and oral health in children and adolescents. Yonsei Med J 2008; 49(3): 357–65.
Daković D, Mileusnić I, Hajduković Z, Čakić S, Hadži-Mihajlović M. Gingivitis and periodontitis in children and adolescents suffering from type 1 diabetes mellitus. Vojnosanit Pregl 2015; 72(3): 265‒73.
del Valle LML, Ocasio-López C. Comparing the oral health status of diabetic and non-diabetic children from Puerto Rico: a case-control pilot study. Puerto Rico Health Sci J 2011; 30(3): 123‒7.
Saes Busato IM, Antoni CC, Calcagnotto T, Ignácio SA, Azevedo-Alanis LR. Salivary flow rate, buffer capacity, and urea concentration in adolescents with type 1 diabetes mellitus. J Pediatr Endocrinol Metab 2016; 29(12): 1359‒63.
López-Pintor RM, Casañas E, González-Serrano J, Serrano J, Ramírez L, de Arriba L, et al. Xerostomia, Hyposalivation, and Salivary Flow in Diabetes Patients. J Diabetes Res 2016; 2016: 4372852.
Latti BR, Kalburge JV, Birajdar SB, Latti RG. Evaluation of relationship between dental caries, diabetes mellitus and oral microbiota in diabetics. J Oral Maxillofac Pathol 2018; 22(2): 282.
Sadeghi R, Taleghani F, Mohammadi S, Zohri Z. The Effect of Diabetes Mellitus Type I on Periodontal and Dental Status. J Clin Diagn Res 2017; 11(7): ZC14‒7.
Lai S, Cagetti MG, Cocco F, Cossellu D, Meloni G, Campus G, Lingström P. Evaluation of the difference in caries experience in diabetic and non-diabetic children – A case control study. PLoS One 2017; 12(11): e0188451.
Sohn HA, Rowe DJ. Oral health knowledge, attitudes and behaviors of parents of children with diabetes compared to those of parents of children without diabetes. J Dent Hyg 2015; 89(3): 170‒9.
Kuźmiuk A, Marczuk-Kolada G, Łuczaj-Cepowicz E, Obidzińska M, Chorzewska E, Wasilczuk U, et al. Importance of dental care to maintain oral health of children and youth with type 1 diabetes. Med Pr 2018; 69(1): 37‒44. (Polish)