Influence of the metabolic control in patients with type 1 diabetes on their oral health status and the need for orthodontic treatment in a group of Spanish children (aged 6–12 years): a cross–sectional study
Abstract Background The aim of this study was to analyze the influence of good metabolic control, based on glycosylated hemoglobin (HbA1c) levels, on oral health status and the need for orthodontic treatment in children. Methods This cross–sectional study was carried out at the Dental Clinic of the...
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2025-01-01
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| Online Access: | https://doi.org/10.1186/s12903-025-05541-1 |
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| author | Adrián Curto Cristina Gómez-Polo Daniel Curto Marta Muñoz-Bruguier Mari Cruz Lorenzo-Luengo Javier Montero |
| author_facet | Adrián Curto Cristina Gómez-Polo Daniel Curto Marta Muñoz-Bruguier Mari Cruz Lorenzo-Luengo Javier Montero |
| author_sort | Adrián Curto |
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| description | Abstract Background The aim of this study was to analyze the influence of good metabolic control, based on glycosylated hemoglobin (HbA1c) levels, on oral health status and the need for orthodontic treatment in children. Methods This cross–sectional study was carried out at the Dental Clinic of the University of Salamanca (Spain) during the years 2020 and 2024. A total of 260 children with type 1 diabetes (aged between 6 and 12 years) participated. The sample was divided into two study groups based on their metabolic control: good metabolic control (HbA1c < 7%) (n = 130) and poor metabolic control (HbA1c > 7%) (n = 130). Oral health status was assessed using the Decayed, Missing, and Filled Teeth index for permanent teeth (DMF-T) and the need for orthodontic treatment using the Dental Health Component of the Index of Orthodontic Treatment Need (DHC-IOTN). Results The mean age was 9.2 ± 1.9 years old. The total sample (n = 260) consisted of 53.8% boys and 46.2% girls. In the group of patients with poor metabolic control, a significant increase was observed in the number of decayed teeth (1.83 ± 1.36), filled teeth (1.05 ± 0.84), and DMF-T score (3.14 ± 1.87) compared to patients with good metabolic control (1.38 ± 1.20 decayed teeth; 0.88 ± 0.86 filled teeth; DMF-T score 2.46 ± 1.87). However, no significant differences were observed in relation to the influence of metabolic control on the need for orthodontic treatment. Conclusions In the sample studied, metabolic control had a negative influence on caries rates in children with type 1 diabetes, but not on the need for orthodontic treatment. |
| format | Article |
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| institution | Kabale University |
| issn | 1472-6831 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
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| series | BMC Oral Health |
| spelling | doaj-art-21f79fe5ac9442c18a5cc9440cfa065f2025-02-02T12:45:18ZengBMCBMC Oral Health1472-68312025-01-012511810.1186/s12903-025-05541-1Influence of the metabolic control in patients with type 1 diabetes on their oral health status and the need for orthodontic treatment in a group of Spanish children (aged 6–12 years): a cross–sectional studyAdrián Curto0Cristina Gómez-Polo1Daniel Curto2Marta Muñoz-Bruguier3Mari Cruz Lorenzo-Luengo4Javier Montero5Department of Surgery, Faculty of Medicine, University of SalamancaDepartment of Surgery, Faculty of Medicine, University of SalamancaDepartment of Pathology, 12 de Octubre University HospitalDepartment of Surgery, Faculty of Medicine, University of SalamancaDepartment of Surgery, Faculty of Medicine, University of SalamancaDepartment of Surgery, Faculty of Medicine, University of SalamancaAbstract Background The aim of this study was to analyze the influence of good metabolic control, based on glycosylated hemoglobin (HbA1c) levels, on oral health status and the need for orthodontic treatment in children. Methods This cross–sectional study was carried out at the Dental Clinic of the University of Salamanca (Spain) during the years 2020 and 2024. A total of 260 children with type 1 diabetes (aged between 6 and 12 years) participated. The sample was divided into two study groups based on their metabolic control: good metabolic control (HbA1c < 7%) (n = 130) and poor metabolic control (HbA1c > 7%) (n = 130). Oral health status was assessed using the Decayed, Missing, and Filled Teeth index for permanent teeth (DMF-T) and the need for orthodontic treatment using the Dental Health Component of the Index of Orthodontic Treatment Need (DHC-IOTN). Results The mean age was 9.2 ± 1.9 years old. The total sample (n = 260) consisted of 53.8% boys and 46.2% girls. In the group of patients with poor metabolic control, a significant increase was observed in the number of decayed teeth (1.83 ± 1.36), filled teeth (1.05 ± 0.84), and DMF-T score (3.14 ± 1.87) compared to patients with good metabolic control (1.38 ± 1.20 decayed teeth; 0.88 ± 0.86 filled teeth; DMF-T score 2.46 ± 1.87). However, no significant differences were observed in relation to the influence of metabolic control on the need for orthodontic treatment. Conclusions In the sample studied, metabolic control had a negative influence on caries rates in children with type 1 diabetes, but not on the need for orthodontic treatment.https://doi.org/10.1186/s12903-025-05541-1ChildrenMetabolic controlOral healthOrthodontic treatment needType 1 diabetes |
| spellingShingle | Adrián Curto Cristina Gómez-Polo Daniel Curto Marta Muñoz-Bruguier Mari Cruz Lorenzo-Luengo Javier Montero Influence of the metabolic control in patients with type 1 diabetes on their oral health status and the need for orthodontic treatment in a group of Spanish children (aged 6–12 years): a cross–sectional study BMC Oral Health Children Metabolic control Oral health Orthodontic treatment need Type 1 diabetes |
| title | Influence of the metabolic control in patients with type 1 diabetes on their oral health status and the need for orthodontic treatment in a group of Spanish children (aged 6–12 years): a cross–sectional study |
| title_full | Influence of the metabolic control in patients with type 1 diabetes on their oral health status and the need for orthodontic treatment in a group of Spanish children (aged 6–12 years): a cross–sectional study |
| title_fullStr | Influence of the metabolic control in patients with type 1 diabetes on their oral health status and the need for orthodontic treatment in a group of Spanish children (aged 6–12 years): a cross–sectional study |
| title_full_unstemmed | Influence of the metabolic control in patients with type 1 diabetes on their oral health status and the need for orthodontic treatment in a group of Spanish children (aged 6–12 years): a cross–sectional study |
| title_short | Influence of the metabolic control in patients with type 1 diabetes on their oral health status and the need for orthodontic treatment in a group of Spanish children (aged 6–12 years): a cross–sectional study |
| title_sort | influence of the metabolic control in patients with type 1 diabetes on their oral health status and the need for orthodontic treatment in a group of spanish children aged 6 12 years a cross sectional study |
| topic | Children Metabolic control Oral health Orthodontic treatment need Type 1 diabetes |
| url | https://doi.org/10.1186/s12903-025-05541-1 |
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