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Articles

Title: Dental caries-associated risk factors and type 1 diabetes mellitus

Author:
Norma Sampaio, Sandra Mello, Cresio Alves
Type:
Review articles
Language:
EN
Journal:
Pediatric Endocrinology, Diabetes and Metabolism
Year:
2011
Volume:
17
Number:
3
Start page:
152
Final page:
157
ISSN:
2081-237X
Keywords:
caries, type 1 diabetes mellitus, salivary flow, dental plaque
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Introduction: Type 1 diabetes mellitus (T1DM) is associated with various oral complications. However there is no consensus regarding the association of T1DM and caries. Aim of the study: Critical revision of dental caries-associated risk factors and type 1 diabetes mellitus. Materials and methods: Search of the MEDLINE and LILACS databases from 2000 to 2010, using, in different combination, the key words "dental caries", "diabetes mellitus" and "type 1 diabetes mellitus". Results: The association between T1DM and dental caries remains controversial. Although some studies demonstrate a higher prevalence of caries due to the increased concentration of salivary glucose, acidity of the oral cavity, salivary viscosity, reduced salivary flow rate, and salivary gland dysfunction; other studies report a reduction of caries levels, probably caused by decreased sucrose ingestion. Conclusions: Although patients with uncontrolled T1DM and poor oral hygiene may present increased prevalence of dental caries, the literature does not describe a consistent relationship between T1DM and dental caries. Further investigations are warranted. If a true association is substantiated, intervention studies to prevent or reduce the occurrence of caries in this population should follow.