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Dental caries & diabetes mellitus - Pakistan Oral and Dental Journal ...

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<strong>Dental</strong> Caries <strong>and</strong> Diabetes MellitusEL. supports the results of this study, also having lowcalcium value in diabetics that is mean of salivarycalcium in diabetic was 2.93mg/dl <strong>and</strong> in non-diabetic3.44mg/dl. In contrast to this, another study shows thatthere is no significant difference of calcium in salivabetween the two groups. 17-19The findings of the present study suggest thatbeside the clinical examinations, the determination ofthe possible alterations in the composition of wholesaliva might also be helpful in underst<strong>and</strong>ing theincreased severity of dental <strong>caries</strong> in diabetic patients.An increase in dental <strong>caries</strong> in permanent teethwas observed among diabetics. DFT in diabetic patientswas 2.49 where as in control group DFT was 0.53. Onemore study shows that diabetics have higher DMFTvalues as compared to the control group children 5 .REFERENCES1 National <strong>diabetes</strong> educational program. <strong>Oral</strong> health <strong>and</strong> Diabetes.Available from, www.ndep.nih.gov/<strong>diabetes</strong>.2 Aren G et al. Periodontal health, salivary status <strong>and</strong> metaboliccontrol in children with type1 <strong>diabetes</strong> <strong>mellitus</strong>. J Periodontal.2003; 74:1789-95.3 WHO/International <strong>diabetes</strong> federation. Launch of <strong>diabetes</strong>action now. 5th May 2004, Geneva, Switzerl<strong>and</strong>.4 Herenia P Lawrence. Salivary Markers of Systemic Disease:Non invasive Diagnosis <strong>and</strong> Monitoring of General Health. JCan Dent Assoc 2002; 68:170-74.5 Lopez M E et al. A. Salivary characteristics of diabetic children:Brazilian <strong>Dental</strong> <strong>Journal</strong>. June 2003:14:1.6 Vernillo A T. <strong>Dental</strong> consideration for the treatment ofpatients with <strong>diabetes</strong> <strong>mellitus</strong>. <strong>Journal</strong> of American <strong>Dental</strong>Association 2003; 134:24S-33S.7 Ben-Aryeh H, Cohen M, Kanter Y, Szargel R, Laufer D.Salivary composition in diabetic patients. J Diabet Complications1988;2: 96–99.8 Belazi MA, Galli-Tsinopoulou A, Drakoulakos D, Fleva A,Papanayiotou PH. Salivary alterations in insulin-dependent<strong>diabetes</strong> <strong>mellitus</strong>. Int J Paediatr Dent 1998; 8: 29–33.9 Twetman S et al. Two-year longitudinal observations ofsalivary status <strong>and</strong> dental <strong>caries</strong> in children withinsulin-dependent <strong>diabetes</strong> <strong>mellitus</strong>. Pediatr Dent 1992;14:184–88.10 Tenovuo J et al. <strong>Oral</strong> health of patients with insulindependent<strong>diabetes</strong> <strong>mellitus</strong>. Sc<strong>and</strong> J Dent Res 1986; 94:338–46.11 Darwazeh AMG et al. Mixed salivary glucose levels <strong>and</strong>c<strong>and</strong>idal carriage in patients with <strong>diabetes</strong> <strong>mellitus</strong>. J <strong>Oral</strong>Pathol Med 1991; 20: 280–83.12 Camp Bell MJA. Glucose in the saliva of the non diabetic <strong>and</strong>the diabetic patient .Archive of <strong>Oral</strong> Biology 1965; 10:197-205.13 Kjellman O. The presence of glucose in gingival exudates <strong>and</strong>resting saliva of subjects with insulin-treated <strong>diabetes</strong> <strong>mellitus</strong>.Swede Dent J 1970; 63: 11–19.14 Thorstensson H et al. Some salivary factors in insulin-dependentdiabetics. Acta Odontol Sc<strong>and</strong> 1989; 47: 175–83.15 Hara K et al. Carbohydrate components of the gingivalexudates. J Periodontal Res 1969; 4: 202–07.16 Karjalainen KM et al. Salivary factors in children <strong>and</strong> adolescentswith insulin dependent <strong>diabetes</strong> <strong>mellitus</strong>. Pied Dent1996; 18:306-11.17 Twetman S et al. Mutans streptococci <strong>and</strong> lactobacilli in salivafrom children with insulin-dependent <strong>diabetes</strong> <strong>mellitus</strong>. <strong>Oral</strong>Microbiol Immunol 1989; 4:165–68.18 Marchisio O, Esposito MR, Genovesi A. Salivary pH level <strong>and</strong>bacterial plaque evaluation in orthodontic patients treatedwith Recaldent products. Int J Dent Hyg. 2010 Aug;8(3):232-3619 Jawed M, Shahid SM, Qader SA, Azhar A. <strong>Dental</strong> Carries in<strong>diabetes</strong> <strong>mellitus</strong>: Role of Salivary flow rate & minerals. JDiabetes Complications 2010;25(3):183-86.<strong>Pakistan</strong> <strong>Oral</strong> & <strong>Dental</strong> <strong>Journal</strong> Vol 31, No. 1 (June 2011)63

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