Marek Pachoński1*, PrzeMysława Jarosz-chobot2, aleksandra koczor-rozMus3, PatrycJa łanowy3, katarzyna Mocny-Pachońska3, hanna hüPsch-Marzec4
1Pachońscy Dental Clinic, Lubliniecka 38, 42-288 Strzebiń, Poland - 2Department of Children’s Diabetology, Medical University of Silesia, 40-752 Katowice, Medyków 16, Poland - 3Department of Conservative Dentistry with Endodontics, Medical University of Silesia, Pl. Akademicki 17, 41-902 Bytom - 4Department of Conservative Dentistry with Endodontics, The Division of Periodontal and Oral Mucosa Diseases, Pl. Traugutta 2, 41-800 Zabrze
Introduction: Type 1 diabetes mellitus (DM) is one of the most common, chronic metabolic diseases, which also occurs during childhood. Pediatric patients with diabetes, especially those who receive incorrect treatment or have poor disease control, experience disorders in salivary secretion and function that result is an increased incidence of oral diseases.
Materials and methods: We quantitatively and qualitatively evaluated saliva abnormalities among 50 underaged patients, who had been diagnosed with type 1 diabetes for at least five years. Patients from the study group were divided into two research groups of 25 people each, according to their level of diabetes control- Well controlled (WC) and Poorly controlled (PC).
Results: Saliva quantity disorders can be diagnosed early and easily using available strips tests. Post hoc analysis revealed a statistically significant difference between the pH values of the PC group and Control Group (CG), p = 0.0176. There was a statistically significant difference in buffer capacities between the PC group and the control group (p = 0.0314) and between the PC group and the WC group (p= 0.0018). In the PC group, the amount of stimulated saliva was significantly low compared to the values obtained for patients in the WC and CG groups.
Conclusion: Rapid strip testing can be used for screening salivary gland disfunction in patients with diabetes. The metabolic control of diabetes and its occurrence significantly affects salivary pH, saliva buffering capacity and the amount of stimulated saliva
Diabetes Mellitus, Type 1, saliva, salivary glands, buffers