DOI:

10.37988/1811-153X_2024_3_14

The effect of hyperglycemia in type I diabetes mellitus in children aged 7–12 years on the condition of periodontal tissues in acute periodontitis

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Authors

  • S.N. Gontarev 1, Doctor of Science in Medicine, full professor of the Pediatric dentistry Department
    ORCID: 0000-0003-3472-6566
  • I.S. Gontareva 1, PhD in Medical Sciences, associate professor of the Pediatric dentistry Department
    ORCID: 0000-0002-0281-2462
  • A.A. Bogdanova 1, postgraduate at the Paediatric dentistry Department
    ORCID: 0000-0003-3734-7422
  • A.I. Stepanova 1, postgraduate at the Paediatric dentistry Department
    ORCID: 0009-0009-4964-6041
  • 1 Belgorod State University, 308015, Belgorod, Russia

Abstract

In the pediatric population, acute periodontitis is an urgent dental pathology, the risk of which increases significantly against the background of type I diabetes mellitus. However, the effect of different levels of hyperglycemia on the parameters of dental indices in children aged 7—12 years with type I diabetes mellitus has not been sufficiently studied. The aim of the study was to study the effect of hyperglycemia in type I diabetes mellitus in children aged 7—12 years on the condition of periodontal tissues in acute periodontitis.
Materials and methods.
The study was conducted among 85 children aged 7—12 years with acute periodontitis and type I diabetes mellitus (the main group) and 82 patients of the same age with acute periodontitis without type I diabetes mellitus. The level of hyperglycemia was determined by the amount of glycated hemoglobin. When assessing the condition of periodontal tissues, the following were used: gingival inflammation, Green-Vermillion index, tooth mobility, bleeding during probing, determined by a generally accepted method.
Results.
In patients with acute periodontitis with type I diabetes mellitus and without the latter, the values of gingival inflammation, the Green-Vermillion index, and bleeding during probing were statistically significantly higher, amounting to 1.8±0.3 and 1.9±0.2 points, 0.5±0.04 minutes and 0.7±0.2 points, 1.2±0.1 points, 0.1±0.06 minutes (p<0.01), respectively. An increased glycemic level of more than 8.4% had a more negative effect on all dental indices with a reliable association and 95% confidence intervals, with the exception of dental mobility, which had a relative risk of 0.83 (p<0.357).
Conclusion.
The amount of hyperglycemia over 8.4% in type I diabetes mellitus in children aged 7—12 years significantly worsens the condition of periodontal tissues according to most dental indices.

Key words:

acute periodontitis, hyperglycemia, type I diabetes mellitus, children 7—12 years old, dental indices

For Citation

[1]
Gontarev S.N., Gontareva I.S., Bogdanova A.A., Stepanova A.I. The effect of hyperglycemia in type I diabetes mellitus in children aged 7–12 years on the condition of periodontal tissues in acute periodontitis. Clinical Dentistry (Russia).  2024; 27 (3): 14—19. DOI: 10.37988/1811-153X_2024_3_14

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Received

June 25, 2024

Accepted

August 5, 2024

Published on

October 2, 2024