Aim. To evaluate the oral health status, oral health related habits and halitosis of children with and without type 1 diabetes. Materials and methods. In this study the oral health status of children with and without type 1 diabetes were evaluated by using different indices (dmft/DMFT, International Caries Detection and Assessment System(ICDAS) II, pufa, gingival and periodontal indices). Halitosis was determined by organoleptic assessment and sulfur monitoring. Results. One hundred children with the age range between 6–13 years, 50 type 1 diabetics (24 boys,26 girls) with mean age (±sd) of 10.3 ± 2.1 years and 50 healthy (30 boys, 20 girls) with mean age (±sd) of 9.9 ± 1.5 years, participated in the study. The median values of dmft and dmfs was lower in children with type 1 diabetes, while for DMFT and DMFS indices were similar with the healthy group. Cavitated caries lesions were observed in 60.0% of children with diabetes and in 58.0% of healthy children. According to the ICDAS II index, 42.0% of children with diabetes and 56.0% of healthy children had severe decay. The mean plaque index was statistically significantly less in diabetic children (p = 0.04). In 12.0% of children with type 1 diabetes and in 18.0% of healthy children, volatile sulfur compounds (VSC) were determined to be ≥150 ppb and the most diagnosed score was 1 in both groups. In diabetic children with the cut off value of 7.5% HbA1c, there was no statistically significant difference in oral health indices results and VSC scores. Conclusion. Findings of the present study are insufficient to support a significant effect of diabetes on increasing the risk of oral and periodontal diseases. Nonetheless, it is important to emphasize the importance of oral and dental health, regular oral care and dental visits both to the patients with type 1 diabetes and their parents.
Background: The early form of caries can affect solid food consumption.Objective: The aim of the study was to evaluate the effect of oral health status on chewing performance, and tolerated food texture among preschool children suffering from early childhood caries (ECC).Methods: A cross‐sectional study was conducted with a sample of 109 children aged between 3 and 6 years, who were allocated to three groups (severe‐ECC (s‐ECC), ECC and control) on the basis of their caries. Chewing function was evaluated by using the ‘Karaduman Chewing Performance Scale (KCPS)’ and the Turkish version of the ‘Mastication Observation and Evaluation instrument (T‐MOE)’, and the tolerated food texture was determined by the ‘International Dysphagia Diet Standardization Initiative (IDDSI)’. Carious lesions, oral hygiene and gingival health status were evaluated by using the ‘decayed, missing, filled tooth/surface indices (dmft/s)’, ‘plaque and gingival indices’; respectively.Results: A total of 56 children (51.4%) had s‐ECC, 39 (35.8%) had ECC and 14 (12.8%) had no caries (control group). KCPS showed that 26 (86.7%) children suffering from s‐ECC were at level 1, and 11 (100%) children were at level 2. Seven (100%) children with s‐ECC had IDDSI level‐5. All children with healthy oral status had IDSSI level‐7. Compared to the ECC and control groups, the s‐ECC group had significantly lower scores from the T‐MOE total and subscale scores (p < .001).Conclusion: The evaluation of chewing performance during routine dental examinations of children with ECC (especially s‐ECC) may considerably contribute to the early diagnosis of chewing problems and the provision of necessary oral rehabilitation.