PURPOSE: This study assessed gingival bleeding in diabetic children during the mixed dentition period. METHODS: Three hundred fifty-five 6- to 13-year-old diabetic (99% type 1) and nondiabetic control children in the mixed dentition stage were evaluated from a total cohort of 700 6- to 18-year-old children. Gingival status was assessed, and data on important diabetes-related variables were collected. Analyses were performed using Poisson's regression. RESULTS: Diabetic children had significantly more gingival bleeding than controls for both primary and permanent teeth. The risk of gingival bleeding around the primary teeth in cases was 35% more than in the control group (P=.001); and the risk of gingival bleeding around the permanent teeth in cases was 57% more than in the controls (P<.001). The number of teeth with bleeding had a very modest, but statistically significant, association with: (1) mean HbA1c; (2) body mass index (BMI)-for-age percentile; and (3) duration of diabetes. CONCLUSIONS: These findings demonstrate that diabetic children are at a significantly higher risk for gingival bleeding. Diabetes-related oral complications affect the primary periodontium as early as age 6 and possibly earlier. The emphasis on oral hygiene may be valuable in preventing future periodontal complications in diabetic patients.
PURPOSE: This study assessed gingival bleeding in diabeticchildren during the mixed dentition period. METHODS: Three hundred fifty-five 6- to 13-year-old diabetic (99% type 1) and nondiabetic control children in the mixed dentition stage were evaluated from a total cohort of 700 6- to 18-year-old children. Gingival status was assessed, and data on important diabetes-related variables were collected. Analyses were performed using Poisson's regression. RESULTS:Diabeticchildren had significantly more gingival bleeding than controls for both primary and permanent teeth. The risk of gingival bleeding around the primary teeth in cases was 35% more than in the control group (P=.001); and the risk of gingival bleeding around the permanent teeth in cases was 57% more than in the controls (P<.001). The number of teeth with bleeding had a very modest, but statistically significant, association with: (1) mean HbA1c; (2) body mass index (BMI)-for-age percentile; and (3) duration of diabetes. CONCLUSIONS: These findings demonstrate that diabeticchildren are at a significantly higher risk for gingival bleeding. Diabetes-related oral complications affect the primary periodontium as early as age 6 and possibly earlier. The emphasis on oral hygiene may be valuable in preventing future periodontal complications in diabeticpatients.
Authors: Waleed F Janem; Frank A Scannapieco; Amarpeet Sabharwal; Maria Tsompana; Harvey A Berman; Elaine M Haase; Jeffrey C Miecznikowski; Lucy D Mastrandrea Journal: PLoS One Date: 2017-03-02 Impact factor: 3.240
Authors: Mark A Reynolds; Anwar T Merchant; Teodor T Postolache; Hina Makkar; Abhishek Wadhawan; Aline Dagdag Journal: Pteridines Date: 2018-11-13 Impact factor: 0.581
Authors: Areej K Al-Khabbaz; Khalaf F Al-Shammari; Abdulaziz Hasan; Majedah Abdul-Rasoul Journal: Med Princ Pract Date: 2012-10-13 Impact factor: 1.927