Prevalence of Dental Caries in Type 1 Diabetic Patients Treated with Insulin Pump
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796 |
Resumo: | Introduction: Type 1 diabetes mellitus and oral health are strictly related on a reciprocal basis, and an increased susceptibility to a wide variety of oral diseases is recognised in these patients. The aim of the present study was to establish a relationship between the prevalence of dental caries in Type 1 diabetic patients treated with insulin pump and that of non-diabetic patients.Material and Methods: An observational clinical study of analytical and cross-sectional nature was conducted. The sample consisted of 30 adults with diabetes mellitus treated with insulin pump (selected from the Coimbra Hospital and Universitary Centre) and 30 nondiabetic adults (selected from the ones accompanying the diabetic patients). One dentist evaluated all of the patients between January and May of 2015 in the Faculty of Medicine of the University of Coimbra. During the clinical evaluation a case report form adapted to the objectives of the investigation was completed. Data analysis was performed and the significance level was set at 5%.Results: Diabetic patients showed similar levels on the caries and plaque index to non-diabetic patients. There were no statistically significant differences between the two groups as regards oral hygiene habits and frequency of visits to the dentist.Discussão: Although diabetics’ diet is less abundant in carbohydrates, which provides a smaller exposure to cariogenic food, the regularity of meals can increase the risk of caries since the critical pH for demineralization is reached frequently throughout the day. However, the existence of a chronic condition may determine a high concern for general preventive care, resulting in an overall improvement of their oral health, which could justify the results.Conclusion: Type 1 diabetic patients treated with insulin pump don’t have a higher prevalence of dental caries. |
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Prevalence of Dental Caries in Type 1 Diabetic Patients Treated with Insulin PumpPrevalência da Cárie Dentária de Doentes Diabéticos Tipo 1 Tratados com Bomba Infusora de InsulinaDental CariesDiabetes MellitusType 1InsulinInsulin Infusion SystemsOral HealthPrevalence.Cárie DentáriaDiabetes Mellitus Tipo 1InsulinaPrevalênciaSaúde OralSistemas de Infusão de Insulina.Introduction: Type 1 diabetes mellitus and oral health are strictly related on a reciprocal basis, and an increased susceptibility to a wide variety of oral diseases is recognised in these patients. The aim of the present study was to establish a relationship between the prevalence of dental caries in Type 1 diabetic patients treated with insulin pump and that of non-diabetic patients.Material and Methods: An observational clinical study of analytical and cross-sectional nature was conducted. The sample consisted of 30 adults with diabetes mellitus treated with insulin pump (selected from the Coimbra Hospital and Universitary Centre) and 30 nondiabetic adults (selected from the ones accompanying the diabetic patients). One dentist evaluated all of the patients between January and May of 2015 in the Faculty of Medicine of the University of Coimbra. During the clinical evaluation a case report form adapted to the objectives of the investigation was completed. Data analysis was performed and the significance level was set at 5%.Results: Diabetic patients showed similar levels on the caries and plaque index to non-diabetic patients. There were no statistically significant differences between the two groups as regards oral hygiene habits and frequency of visits to the dentist.Discussão: Although diabetics’ diet is less abundant in carbohydrates, which provides a smaller exposure to cariogenic food, the regularity of meals can increase the risk of caries since the critical pH for demineralization is reached frequently throughout the day. However, the existence of a chronic condition may determine a high concern for general preventive care, resulting in an overall improvement of their oral health, which could justify the results.Conclusion: Type 1 diabetic patients treated with insulin pump don’t have a higher prevalence of dental caries.Introdução: A diabetes mellitus tipo 1 e a saúde oral relacionam-se de forma estrita e recíproca, reconhecendo-se nos pacientes diabéticos uma maior suscetibilidade a uma grande variedade de patologias orais. O objetivo do presente estudo consistiu em investigar a relação entre a prevalência da cárie dentária em indivíduos diabéticos tipo 1 tratados com bomba infusora de insulina e a de indivíduos não diabéticos.Material e Métodos: Realizou-se um estudo clínico observacional, analítico e transversal. Incluíram-se no grupo de estudo 30 indivíduos adultos com diabetes mellitus tipo 1 tratados com bomba infusora de insulina (selecionados do Centro Hospitalar da Universidade de Coimbra) e no grupo de controlo 30 doentes não diabéticos (selecionados por entre os acompanhantes dos primeiros). Os elementos de ambos os grupos foram observados entre janeiro e maio de 2015, na Faculdade de Medicina da Universidade de Coimbra, por um médico dentista. A avaliação clínica foi acompanhada do preenchimento de um formulário clínico adaptado aos objetivosda investigação. Para análise estatística assumiu-se um nível de significância de 5%.Resultados: O grupo de estudo apresentou valores semelhantes de índice de cárie dentária e de placa bacteriana aos registados no grupo de controlo. Não se registaram diferenças estatisticamente significativas entre os dois grupos no que diz respeito a hábitos de higiene oral e à frequência de visitas ao médico dentista.Discussão: Embora a dieta dos doentes diabéticos seja menos abundante em hidratos de carbono, prevendo uma menor exposição a alimentos cariogénicos, o elevado número de refeições ingeridas de forma fracionada pode aumentar o risco de cárie, uma vez que o valor de pH crítico para desmineralização é atingido mais vezes ao longo do dia. No entanto, a existência de uma patologia crónica pode determinar um elevado nível de cuidados preventivos gerais, inclusivamente resultando numa melhoria global do seu nível de saúde oral, o que poderá justificar os resultados obtidos.Conclusão: A presença de diabetes mellitus tipo 1 em doentes tratados com bomba de insulina não está associada a um aumento da prevalência de lesões de cárie dentária.Ordem dos Médicos2016-08-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/mswordapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796oai:ojs.www.actamedicaportuguesa.com:article/6796Acta Médica Portuguesa; Vol. 29 No. 7-8 (2016): July-August; 461-467Acta Médica Portuguesa; Vol. 29 N.º 7-8 (2016): Julho-Agosto; 461-4671646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796/4732https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796/8002https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796/8341https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796/8343https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796/8531https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796/8648Direitos de Autor (c) 2016 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessGarcia, RosanaCoelho, AnaPaula, AnabelaFerreira, Manuel MarquesCaramelo, FranciscoBarros, LuísaBatista, CarlaMelo, MiguelSilva, Mário JorgeCarrilho, Eunice2022-12-20T11:04:59Zoai:ojs.www.actamedicaportuguesa.com:article/6796Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:21.947996Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Prevalence of Dental Caries in Type 1 Diabetic Patients Treated with Insulin Pump Prevalência da Cárie Dentária de Doentes Diabéticos Tipo 1 Tratados com Bomba Infusora de Insulina |
title |
Prevalence of Dental Caries in Type 1 Diabetic Patients Treated with Insulin Pump |
spellingShingle |
Prevalence of Dental Caries in Type 1 Diabetic Patients Treated with Insulin Pump Garcia, Rosana Dental Caries Diabetes Mellitus Type 1 Insulin Insulin Infusion Systems Oral Health Prevalence. Cárie Dentária Diabetes Mellitus Tipo 1 Insulina Prevalência Saúde Oral Sistemas de Infusão de Insulina. |
title_short |
Prevalence of Dental Caries in Type 1 Diabetic Patients Treated with Insulin Pump |
title_full |
Prevalence of Dental Caries in Type 1 Diabetic Patients Treated with Insulin Pump |
title_fullStr |
Prevalence of Dental Caries in Type 1 Diabetic Patients Treated with Insulin Pump |
title_full_unstemmed |
Prevalence of Dental Caries in Type 1 Diabetic Patients Treated with Insulin Pump |
title_sort |
Prevalence of Dental Caries in Type 1 Diabetic Patients Treated with Insulin Pump |
author |
Garcia, Rosana |
author_facet |
Garcia, Rosana Coelho, Ana Paula, Anabela Ferreira, Manuel Marques Caramelo, Francisco Barros, Luísa Batista, Carla Melo, Miguel Silva, Mário Jorge Carrilho, Eunice |
author_role |
author |
author2 |
Coelho, Ana Paula, Anabela Ferreira, Manuel Marques Caramelo, Francisco Barros, Luísa Batista, Carla Melo, Miguel Silva, Mário Jorge Carrilho, Eunice |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Garcia, Rosana Coelho, Ana Paula, Anabela Ferreira, Manuel Marques Caramelo, Francisco Barros, Luísa Batista, Carla Melo, Miguel Silva, Mário Jorge Carrilho, Eunice |
dc.subject.por.fl_str_mv |
Dental Caries Diabetes Mellitus Type 1 Insulin Insulin Infusion Systems Oral Health Prevalence. Cárie Dentária Diabetes Mellitus Tipo 1 Insulina Prevalência Saúde Oral Sistemas de Infusão de Insulina. |
topic |
Dental Caries Diabetes Mellitus Type 1 Insulin Insulin Infusion Systems Oral Health Prevalence. Cárie Dentária Diabetes Mellitus Tipo 1 Insulina Prevalência Saúde Oral Sistemas de Infusão de Insulina. |
description |
Introduction: Type 1 diabetes mellitus and oral health are strictly related on a reciprocal basis, and an increased susceptibility to a wide variety of oral diseases is recognised in these patients. The aim of the present study was to establish a relationship between the prevalence of dental caries in Type 1 diabetic patients treated with insulin pump and that of non-diabetic patients.Material and Methods: An observational clinical study of analytical and cross-sectional nature was conducted. The sample consisted of 30 adults with diabetes mellitus treated with insulin pump (selected from the Coimbra Hospital and Universitary Centre) and 30 nondiabetic adults (selected from the ones accompanying the diabetic patients). One dentist evaluated all of the patients between January and May of 2015 in the Faculty of Medicine of the University of Coimbra. During the clinical evaluation a case report form adapted to the objectives of the investigation was completed. Data analysis was performed and the significance level was set at 5%.Results: Diabetic patients showed similar levels on the caries and plaque index to non-diabetic patients. There were no statistically significant differences between the two groups as regards oral hygiene habits and frequency of visits to the dentist.Discussão: Although diabetics’ diet is less abundant in carbohydrates, which provides a smaller exposure to cariogenic food, the regularity of meals can increase the risk of caries since the critical pH for demineralization is reached frequently throughout the day. However, the existence of a chronic condition may determine a high concern for general preventive care, resulting in an overall improvement of their oral health, which could justify the results.Conclusion: Type 1 diabetic patients treated with insulin pump don’t have a higher prevalence of dental caries. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-08-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796 oai:ojs.www.actamedicaportuguesa.com:article/6796 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796 |
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oai:ojs.www.actamedicaportuguesa.com:article/6796 |
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por |
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por |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796/4732 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796/8002 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796/8341 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796/8343 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796/8531 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6796/8648 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2016 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2016 Acta Médica Portuguesa |
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openAccess |
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application/pdf application/msword application/pdf application/pdf application/pdf application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 29 No. 7-8 (2016): July-August; 461-467 Acta Médica Portuguesa; Vol. 29 N.º 7-8 (2016): Julho-Agosto; 461-467 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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