Anju Varughese1, R Kavitha1, Y Sravan Kumar2, R Venkitachalam2, Arun S Menon3, Paul T Francis4, Kaushik Haridas1. 1. Assistant Professor (Conservative Dentistry & Endodontics), Amrita School of Dentistry, Amrita Vishwa Vidyapeetam, AIMS, Kochi, Kerala, India. 2. Assistant Professor (Public Health Dentistry), Amrita School of Dentistry, Amrita Vishwa Vidyapeetam, AIMS, Kochi, Kerala, India. 3. Professor (Endocrinology), Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetam, AIMS, Kochi, Kerala, India. 4. Associate Professor (Community Medicine), Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetam, AIMS, Kochi, Kerala, India.
Abstract
Background: Studies among type 2 diabetes mellitus patients have reported total caries experience; however the severity and clinical consequences of untreated dental caries are often ignored. Methods: For this study, 150 well (I) and poorly controlled (II) diabetic participants were recruited. The spectrum of caries was evaluated using DMFT (Decayed, Missing and Filled Tooth) index, Dental Caries Severity Classification Scale, PUFA (Pulpal involvement, Ulceration, Fistula and Abscess) index, RCI (Root Caries Index) and the severity of radicular caries by Root Surface Caries Severity Index. Results: The prevalence of coronal and root caries was 90.7% and 23.3%, respectively. There was significant difference among caries experiences for D, M and DMFT. In group II, severity of coronal caries and mean rank of P, F, A and PUFA scores were higher, so were prevalence of root caries and severity of RD2, RD3 and RD4. HbA1c level had positive correlation with DMFT and PUFA scores (r = 0.458 and 0.522), so was the duration of diabetes with coronal caries, DMFT, PUFA score, root caries and RCI score (r = 0.235, 0.320, 0.273, 0.308 and 0.323). Conclusion: This is probably the first study to examine the severity of coronal caries, prevalence of untreated dental caries and severity of radicular caries in diabetic patients. Uncontrolled diabetes causes substantial increase in prevalence and severity of coronal and radicular caries.
Background: Studies among type 2 diabetes mellitus patients have reported total caries experience; however the severity and clinical consequences of untreated dental caries are often ignored. Methods: For this study, 150 well (I) and poorly controlled (II) diabetic participants were recruited. The spectrum of caries was evaluated using DMFT (Decayed, Missing and Filled Tooth) index, Dental Caries Severity Classification Scale, PUFA (Pulpal involvement, Ulceration, Fistula and Abscess) index, RCI (Root Caries Index) and the severity of radicular caries by Root Surface Caries Severity Index. Results: The prevalence of coronal and root caries was 90.7% and 23.3%, respectively. There was significant difference among caries experiences for D, M and DMFT. In group II, severity of coronal caries and mean rank of P, F, A and PUFA scores were higher, so were prevalence of root caries and severity of RD2, RD3 and RD4. HbA1c level had positive correlation with DMFT and PUFA scores (r = 0.458 and 0.522), so was the duration of diabetes with coronal caries, DMFT, PUFA score, root caries and RCI score (r = 0.235, 0.320, 0.273, 0.308 and 0.323). Conclusion: This is probably the first study to examine the severity of coronal caries, prevalence of untreated dental caries and severity of radicular caries in diabetic patients. Uncontrolled diabetes causes substantial increase in prevalence and severity of coronal and radicular caries.
Authors: B Monse; R Heinrich-Weltzien; H Benzian; C Holmgren; W van Palenstein Helderman Journal: Community Dent Oral Epidemiol Date: 2009-12-07 Impact factor: 3.383
Authors: Ekta A Malvania; Sona A Sheth; Ashish S Sharma; Saloni Mansuri; Faizan Shaikh; Saloni Sahani Journal: J Int Soc Prev Community Dent Date: 2016-12