IADR Abstract Archives
The Comparison of Periodontal Health Status and Metabolic Control in Diabetic Children and Adolescents at Tygerberg Hospital.
Objectives: The aim of this study is to compare the periodontal health status of diabetic children and adolescents attending Paediatric Diabetic clinic at Tygerberg Hospital to their metabolic control.
Methods:
A descriptive cross-sectional study was employed and a questionnaire was use to record the HbA1c%, the Type and Duration of Diabetes Mellitus, the Body Mass Index (BMI), age, gender, puberty and the treatment management system. A Basic Periodontal screening examination was conducted to determine the periodontal status of diabetic children and adolescents. Data was analyzed in Microsoft Excel and The STATA using frequencies, means, standard deviations, confidence intervals, Chi-square and Fishers exact tests.
Results:
The mean age of the participants was 11.53. There were 52 % females and 48% males in the study sample. The HbA1c% was 9.756 (2.13). There were more participants with possible periodontal clinical health or biofilm induced gingivitis 72.22 % (n=130) compared to participants with possible periodontitis 27.78% (n=50). The HbA1c% levels in males was 9.684 (2.17) and in females it was 9.877 (2.08) p = 0.5446. There was no statistically significant difference in HbA1c% levels between those who were undergoing puberty, 9.486 (1.93), compared to those who were not undergoing puberty, 10.032 (2.27), p = 0.0858. There was no statistically significant difference between Type I and Type II DM, p =0.1167. The HbA1c% levels in subjects with possible periodontitis was 11.692 (2.11) compared to those with periodontal health/ gingivitis, 9.040 (1.62). This difference was statistically significant, p < 0.001.
Conclusions: Findings confirm that there is a direct relationship between the periodontal health status and metabolic control of diabetic children and adolescents. Indicating that the prevalence of periodontal disease increases if HbA1c % is high/ uncontrolled. Educational programs designed to promote periodontal disease prevention and treatment should be provided to children and adolescents with diabetes.
Methods:
A descriptive cross-sectional study was employed and a questionnaire was use to record the HbA1c%, the Type and Duration of Diabetes Mellitus, the Body Mass Index (BMI), age, gender, puberty and the treatment management system. A Basic Periodontal screening examination was conducted to determine the periodontal status of diabetic children and adolescents. Data was analyzed in Microsoft Excel and The STATA using frequencies, means, standard deviations, confidence intervals, Chi-square and Fishers exact tests.
Results:
The mean age of the participants was 11.53. There were 52 % females and 48% males in the study sample. The HbA1c% was 9.756 (2.13). There were more participants with possible periodontal clinical health or biofilm induced gingivitis 72.22 % (n=130) compared to participants with possible periodontitis 27.78% (n=50). The HbA1c% levels in males was 9.684 (2.17) and in females it was 9.877 (2.08) p = 0.5446. There was no statistically significant difference in HbA1c% levels between those who were undergoing puberty, 9.486 (1.93), compared to those who were not undergoing puberty, 10.032 (2.27), p = 0.0858. There was no statistically significant difference between Type I and Type II DM, p =0.1167. The HbA1c% levels in subjects with possible periodontitis was 11.692 (2.11) compared to those with periodontal health/ gingivitis, 9.040 (1.62). This difference was statistically significant, p < 0.001.
Conclusions: Findings confirm that there is a direct relationship between the periodontal health status and metabolic control of diabetic children and adolescents. Indicating that the prevalence of periodontal disease increases if HbA1c % is high/ uncontrolled. Educational programs designed to promote periodontal disease prevention and treatment should be provided to children and adolescents with diabetes.