29.10.2020

Diabetes, a child

In adults, the negative effect of diabetes and pre-diabetes on the oral cavity is quite well understood. Dentists understand the mechanism of its formation and can make predictions, select the means of treatment and prevention. But the effect of diabetes on the teeth in children has not been studied so deeply. And according to many scholars, this issue was not given enough attention.

It is common to associate diabetes with periodontal diseases and oral mucosa (persistent inflammation, periodontitis, and even possible loss of teeth). Also in children with diabetes, persistent stomatitis is noted, and any, even minor, injury to the mucous membrane is long and poorly healed.

Understanding the relationship of diabetes and dental caries in children was, but this problem was not well studied in detail, the mechanisms were not identified. So it was until recently. In 2014, a large-scale study was published.

Diseases in children are reflected in the state of the oral cavity. New data and research only confirm this fact. Dentists identified risk groups that include children with certain diseases. It would seem that atopic dermatitis affects the teeth in children? But recent research by scientists has proven this connection. In this connection, experts urge parents and dentists to pay close attention to the disease and the consequences for the teeth and gums.

Atopic dermatitis and dental status

Scientists from Singapore have proven the relationship between such diseases in children as atopic dermatitis and caries. Children aged 2-3 years, who were sensitive to the most common allergens in which skin manifestations were recorded, were three times more likely to suffer from caries than their peers without a tendency to allergies.

Atopic dermatitis  is a chronic recurrent form of skin inflammation. Dermatitis is characterized by red, itchy, inflamed and cracked skin and a rash. According to statistics, there is a progression of the disease, and today it occurs in 15-30% of children in developed countries. On the prevalence of caries can not speak. The first debut of the pathological process in Russia falls on the age of 2.5-3 years. Moreover, the children come to the dentist with a complicated form of caries.

Effect of atopic dermatitis on teeth in children

The study involved more than 500 children. Among the parents of the survey was conducted, scientists were attracted by the presence of symptoms of atopic dermatitis. Children who had recorded allergic manifestations were carried out skin tests, which allowed to assess the sensitivity to common allergens.

During the study, which lasted several years, the children underwent a thorough dental examination. Dentists were interested in the state of the teeth in children, the presence of caries and its complications. Analysis of the data showed that children aged 3-4 years with positive results of allergy tests were 3 times more likely to suffer from caries than toddlers without symptoms of dermatitis.

According to dentists, these data will allow parents to take measures in advance to prevent caries in children with atopic dermatitis. Regular dental examinations and a list of preventive measures can significantly reduce the prevalence of caries.

Such procedures include: satisfactory oral hygiene, dietary correction, regular dental examinations, sealing of fissures and enamel saturation with minerals. Parents should understand that the treatment of children with atopic dermatitis and an allergic tendency is complicated. The choice of anesthetics is limited, some substances used for treatment may also cause allergies.

According to the authors of the study, the connection between these diseases was established for the first time. And, according to scientists, the reason for such an aggressive effect is presumably structural defects that have arisen during the laying and formation of tissues in the fetus during pregnancy. For a more detailed study of the connection “dermatitis caries”, scientists conduct further research at the genetic level.

Children caries and diabetes

Studies of dentists have shown that children with obesity and diabetes have problems with teeth 2 times more often than their peers, regardless of body weight. The study involved more than a thousand children aged 10-19 years.

All of them were divided into several groups:

  • children without weight problems and endocrine diseases;
  • guys are obese;
  • obese children with diabetes.

The study participants were questioned, a thorough examination was performed in the dentist’s chair, the composition and properties of saliva were studied, markers of inflammation and the composition of the microflora of the oral cavity were determined.

The analysis showed that dental indices reflecting the prevalence of caries in the group of children with obesity and its combination with diabetes were approximately the same. But the progression and rate of transition of caries into complications was significantly different in children from the third group. If for the transition of caries to pulpitis in children it took 3-8 months, then in group 2 it was 2-6, but in the first group it was 1-4 months.

Scientists were interested not only in the condition of the teeth in children, gingival indexes were also evaluated. If in the children from the first two groups these indicators were good and satisfactory, then in patients with diabetes everything was different. No child even had a satisfactory gum condition.

The results of the questionnaire led to the conclusion that children with diabetes and obesity less often visited the dentist. Perhaps this is due to a lack of understanding of the connection between diabetes and the state of the oral cavity. Doctors and patients themselves give all their efforts only to stabilize the problem, stop complications from the internal organs, forgetting about the dental status.

But, according to dentists, the condition of the oral cavity affects diabetes, its course and the development of complications. Caries, gum disease – sources of infection for the whole body. In the conditions of those changes that are characteristic of diabetes mellitus, the spread of bacteria and their parasitization is facilitated.

Published studies once again prove that everything in the body is interconnected. And in the event of any disease, and even more so serious, the dentist should also be involved in the treatment and take all necessary measures to prevent complications.

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