Experience of dental caries among libyan children with type 1 diabetes mellitus: a cross-sectional study
Keywords:
Children, Type 1 diabetes mellitus, Prevalence of caries, DMFT, DFTAbstract
Background: Diabetes is often associated with a number of medical and oral complications as a result of the metabolic changes taking place systemically.
Aim: To assess the impact of type1 diabetes mellitus (T1DM) on oral health among a group of Libyan children and compare these findings to matched medically fit children.
Subjects and methods: A comparable cross-sectional study between diabetic and non-diabetic groups of children. A total of 80 children aged between 8 and 15 years with Insulin Dependent Diabetes Mellitus presenting to the pediatric endocrinology clinic of the BMC and Pediatric hospital, Benghazi were age, gender and socioeconomic matched to a control group of 80 children attending for a dental checkup at the dental clinics. Caries experience of all children was recorded using WHO examination criteria and personal data was collected using self-administered questionnaire. The SPSS Inc., Chicago, IL for Windows version 24.0 was used for statistical analysis.
Results: The two groups were matched in term of gender and each of them was composed of 37 (46.3%) males and 43 (53.7%) females. The prevalence of dental caries was higher among non-diabetic subjects (58.8%, 52.5% respectively) compared to diabetic group (38.7%, 41.3% respectively). Whereas children with diabetes mellitus had a higher DMFT score with mean 1.48+2.2 which indicate more carious intensity (p=0.33). More than one third of diabetic children (41.3%) had at least one decayed, missing or filled tooth. Decayed teeth comprised the biggest component of the DMFT and dft scores in the two groups.
Conclusion: The difference in caries experience between the diabetic and non-diabetic children were not statistically significant. A more detailed study may provide more information on the influence of T1DM on the oral health status in this group.
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