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Summary

The aims of the study were to evaluate differences in dietary, oral hygiene habits and social class in children with Type I diabetes mellitus (DM), compared to non-diabetics, and to investigate relationship between selected caries-risk factors and caries experience in diabetics. Material and methods: 70 children with Type I DM and 70 age- and sex-matched non-diabetic controls were included in the study. Metabolic control of diabetes was categorized into well- to- moderately-controlled and poorly-controlled groups based on glycosylated haemoglobin HbA1c. The study was based on the data obtained from the questionnaire including information about dietary and oral hygiene habits, pattern of dental visits and social class. Results showed that the diabetic children had more frequent main meals and less snacking than their controls: the mean number of main meals/day was 4.33 (SD = 0.93) in the diabetics, and 2.53 (SD = 0.85) in the controls. Significantly less diabetics (43%) used sweet drinks than their controls (79%). There were no differences according to the frequency of toothbrushing as well as frequency of dental visits between the diabetics and controls, however, significantly more diabetics reported that they never used dental floss than non-diabetics. There were no significant differences in the diet, toothbrushing frequency between the diabetics with different metabolic control. Multiple logistic regression analysis showed that among caries risk associated variables only age of children (OR = 1.98; CI = 1.23-3.19) and level of metabolic control of diabetes (OR = 4.65; CI = 1.28-16.89) were statistically significantly associated with high caries experience in the diabetics. Conclusions: frequent consumption of sweet drinks and snacks can influence caries development in children. Amongst the diabetics, the differences in caries prevalence can be explained by combination of biological and behavioral factors rather than single dietary or oral hygiene elements.

Key words: diet, oral hygiene, caries, diabetes, children.

Received: 29 04 2005

Accepted for publishing: 20 06 2005

*Clinic of Dental and Oral Diseases, Faculty of Odontology, Kaunas University of Medicine, Lithuania

Jolanta Siudikienė* - D.D.S.

Vita Mačiulskienė* - D.D.S., PhD, assoc. prof.

Irena Nedzelskienė* - biostatistitian.

Address correspondence to Jolanta Siudikiene: Clinic of Dental and Oral Diseases, Faculty of Odontology, Kaunas University of Medicine, Eiveniu Str. 2, Kaunas LT-3007, Lithuania.
E-mail: jolantasiu@hotmail.com



	Baltic Dental and Maxillofacial Journal

June, 2005, Vol. 7, No. 2 CONTENTS SCIENTIFIC ARTICLES Comparative analysis of the effectiveness of the mandibular angle fracture treatment methods 35 - 39 Chemomechanical caries removal for children 40 - 44 The microbiological status of patients with periodontitis in Southern Estonia after non-surgical periodontal therapy 45 - 47 The response of peripheral blood neutrophils unstimulated and stimulated by prodigiosan to smoking 48 - 51 Effectiveness evaluation of different suction systems 52 - 57 Dietary and oral hygiene habits in children with type I Diabetes Mellitus related to dental caries 58 - 62 © 2005 Stomatologija		Stomatologija 2005; 7 (2): 58-62 186 KB Dietary and Oral Hygiene Habits in Children with Type I Diabetes Mellitus Related to Dental Caries Jolanta Siudikienė, Vita Mačiulskienė, Irena Nedzelskienė Summary The aims of the study were to evaluate differences in dietary, oral hygiene habits and social class in children with Type I diabetes mellitus (DM), compared to non-diabetics, and to investigate relationship between selected caries-risk factors and caries experience in diabetics. Material and methods: 70 children with Type I DM and 70 age- and sex-matched non-diabetic controls were included in the study. Metabolic control of diabetes was categorized into well- to- moderately-controlled and poorly-controlled groups based on glycosylated haemoglobin HbA1c. The study was based on the data obtained from the questionnaire including information about dietary and oral hygiene habits, pattern of dental visits and social class. Results showed that the diabetic children had more frequent main meals and less snacking than their controls: the mean number of main meals/day was 4.33 (SD = 0.93) in the diabetics, and 2.53 (SD = 0.85) in the controls. Significantly less diabetics (43%) used sweet drinks than their controls (79%). There were no differences according to the frequency of toothbrushing as well as frequency of dental visits between the diabetics and controls, however, significantly more diabetics reported that they never used dental floss than non-diabetics. There were no significant differences in the diet, toothbrushing frequency between the diabetics with different metabolic control. Multiple logistic regression analysis showed that among caries risk associated variables only age of children (OR = 1.98; CI = 1.23-3.19) and level of metabolic control of diabetes (OR = 4.65; CI = 1.28-16.89) were statistically significantly associated with high caries experience in the diabetics. Conclusions: frequent consumption of sweet drinks and snacks can influence caries development in children. Amongst the diabetics, the differences in caries prevalence can be explained by combination of biological and behavioral factors rather than single dietary or oral hygiene elements. Key words: diet, oral hygiene, caries, diabetes, children. Received: 29 04 2005 Accepted for publishing: 20 06 2005 Clinic of Dental and Oral Diseases, Faculty of Odontology, Kaunas University of Medicine, Lithuania Jolanta Siudikienė - D.D.S. Vita Mačiulskienė* - D.D.S., PhD, assoc. prof. Irena Nedzelskienė* - biostatistitian. Address correspondence to Jolanta Siudikiene: Clinic of Dental and Oral Diseases, Faculty of Odontology, Kaunas University of Medicine, Eiveniu Str. 2, Kaunas LT-3007, Lithuania. E-mail: jolantasiu@hotmail.com