Oral health implications and its management for type 1 diabetes children: A narrative review

Introduction: Type 1 diabetes mellitus (T1DM) is a chronic autoimmune condition that significantly affects oral health in children, increasing susceptibility to oral complications. Oral hygiene maintenance can improve the glycemic control and vice versa. Aim: This narrative review was conducted to a...

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Bibliographic Details
Main Authors: Happy Pachani, Seema Bargale, Bhavna Dave, Divya Shinde
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:SRM Journal of Research in Dental Sciences
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Online Access:https://journals.lww.com/10.4103/srmjrds.srmjrds_140_24
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Summary:Introduction: Type 1 diabetes mellitus (T1DM) is a chronic autoimmune condition that significantly affects oral health in children, increasing susceptibility to oral complications. Oral hygiene maintenance can improve the glycemic control and vice versa. Aim: This narrative review was conducted to assess the oral manifestations in pediatric T1DM and outline multidisciplinary management strategies involving pediatricians, endocrinologists, and dentists. Methods: A literature review was conducted to examine oral complications in children with T1DM, their link to glycemic control, and relevant dental management strategies – from prevention to follow-up care. Protocols for handling in-office glycemic emergencies were also reviewed. Results: Poor glycemic control worsens oral complications, raising the risk of infections. Preventive strategies such as fluoride therapy, dietary counseling, oral hygiene, and regular dental visits are effective in minimizing complications. Dental procedures require careful glucose monitoring and emergency preparedness to prevent hypo- or hyperglycaemia. Conclusion: A proactive, interdisciplinary approach and increased awareness among healthcare providers and caregivers are essential for early diagnosis and individualized care. Paediatric dentists play a critical role in improving oral health outcomes and overall quality of life in children with T1DM.
ISSN:2772-5243
2772-5251