Oral Health and Dental Management

Abstract

Influence of Oral Preventive Program on Periodontal and General Health of Type 1 Diabetes (T1D) in Egyptian Children

Mona Nagy Mahmoud Hamdi, Nagwa Mohammed Ali Khattab, Basma Abd-El-Moez Ali, Wafaa Khairy Mohammed

Background: Some studies show the relationship between the duration of diabetes and severity of periodontitis. On the other hand, it was confirmed that there is a negative effect of periodontitis on blood glucose levels. Human cytomegalovirus was suggested in many studies to have a relationship with both diabetes and periodontitis. Aim of the study: The present study was conducted to assess the bidirectional relationship between T1D and periodontal diseases in Egyptian children. Patients and Methods: This study included 40 children their age ranged from 8 – 13 years and both sexes were presented, the study was done through assessment of gingival health using gingival index (GI), oral cleanliness using plaque index (PI), periodontal health using clinical attachment loss (CAL), as well as Glycosylated hemoglobin (HbA1c %), Human Cytomegalovirus (HCMV) using the real time PCR. Results: all the dental clinical parameters were higher in poorly controlled diabetic group and also had higher levels of HbA1c % than good controlled group which had improvement in both after dental treatment. It was found that (50%) of the studied cases were infected with CMV, and the poor controlled group had a higher prevalence of patient positivity and higher number of CMV than the good controlled group. Thirty five percent of CMV positive results became negative after the period of dental treatment and the rest had very low number of CMV that was considered nearly as negative. Conclusion: Improvements of dental clinical parameters were associated with improvement of HbA1c % and also with the decrease in the number of CMV.