Oral Health in Children with Obesity or Diabetes Mellitus

Pediatric Endocrinology Reviews : PER
Fima LifshitzSilvia Maria Friedman

Abstract

Oral health status must be considered in the care of children with obesity (OB) and diabetes mellitus (DM). The health of these patients' mouths may have significant effects on their overall health and evolution of their disease. Here we address periodontal disease (PD) and dental caries (DC), since these are two of the most common chronic diseases affecting OB and DM patients. OB plays a plausible role in the development of PD. Both overall OB and central adiposity are associated with increased hazards of gingivitis and its progression to PD. The inflammatory changes of PD might not be limited to the oral cavity, these may also trigger systemic consequences. Patients with type 1 and type 2 diabetes mellitus (T1DM, T2DM) present an increased prevalence of gingivitis and PD. In diabetics PD develops at a younger age than in the healthy population, it also worsens with the prolongation of DM. The progression to PD has been correlated with the metabolic control of the disease as it is more prevalent and more severe in patients with elevated hemoglobin A1c (A1c) levels. PD negatively affects glycemic control and other diabetes related complications and there is a general consensus that treatment of PD can positively influence these...Continue Reading

Citations

Jun 11, 2019·Journal of Breath Research·Qing ZhouZhang Zhongwen
Sep 7, 2019·Journal of Breath Research·Qing ZhouZhongwen Zhang
May 1, 2021·Scientific Reports·Jeffrey L EbersoleOctavio A Gonzalez

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