Volume 34, Issue 235 (7-2024)                   J Mazandaran Univ Med Sci 2024, 34(235): 60-68 | Back to browse issues page

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Salehi M, Molania T, Mollaei M, Tabarestani A, Masnavipour B, Zamanfar D, et al . Comparison of oral Health and Quality of Life Related to it in Two- to Five-Year-Old Children with Type 1 Diabetes with Healthy Children. J Mazandaran Univ Med Sci 2024; 34 (235) :60-68
URL: http://jmums.mazums.ac.ir/article-1-20557-en.html
Abstract:   (540 Views)
Background and purpose: Diabetes is the most common metabolic disorder associated with chronic hyperglycemia and a disfunction in carbohydrate metabolism, fat, and protein. Oral complications of diabetes include gingival hyperplasia, periodontitis, dental caries, and xerostomia. Although diabetes can be effective on oral and dental health, limited studies have investigated the increase of oral and dental caries in children with type 1 diabetes compared to healthy children. This study compares oral health and quality of life in two to five-year-old children with type 1 diabetes with healthy children in Sari City in 2022.
Materials and methods: In this case-control study, 33 children aged 2-5 with type 1 diabetes (case group) and 33 healthy children matched in terms of age and gender (control group) referred to BuAli Hospital in Sari were included using the census method. After obtaining informed consent from the parents, the Early Childhood Oral Health Impact Scale (ECOHIS) was provided to them. This questionnaire was classified into two areas: the child impact section (CIS) and the family impact section (FIS). Generally, the sum of the raw scores of this index varies from 0-52, which includes 0-26 scores for the CIS section and 0-16 for the FIS section. The higher score in the ECOHIS index suggests worse oral health-related quality of life (OHRQOL). Children were examined for dmft index under sufficient light. Data was analyzed using SPSS 22 statistical software.
Results: In this investigation, 36 boys (54.5 %) participated, of which 19 (57.6%) were in the case group and 17 (51.5%) were in the control group. The girls also made up 45.5 % (30 cases) of the sample size, of which 42.4 % (14 cases) were in the case group and 45.5 % (16 cases) were in the control group. The findings revealed that the mean FIS, ECOHIS, and dmft scores in the case group were significantly higher than the control group (P<0.05), but no significant difference was observed in the CIS score. The mean scores of CIS and ECOHIS in the control group were statistically significant between boys and girls (P<0.05), but no significant difference was found in these variables in the case group (P>0.05).
Conclusion: According to the current results, the oral health-related quality of life according to the ECOHIS index in type 1 diabetic children is more inappropriate than healthy patients at the same age. Moreover, as the child with type 1 diabetes grows older, the oral health-related quality of life decreases. The results of the present study also show that children with type 1 diabetes are at risk of dental caries (more dmft), which increases with age but does not have any significant association with sex.
 
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Type of Study: Research(Original) | Subject: Dentistry

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