Caries risk assessment as predictor of metabolic control in young type 1 diabetics
2005 (English)In: Diabetic Medicine, Vol. 22, no 3, 312-315 p.Article in journal (Refereed) Published
Aims: To investigate the relationship between caries risk and glucosylated haemoglobin and to evaluate the use of a computerised caries risk assessment program as predictor of metabolic control in schoolchildren with type 1 diabetes mellitus. Methods: The material consisted of 64 young type 1 diabetes mellitus patients (8-16 years) attending an outpatient paediatric clinic. Within two weeks after the diabetes onset, a caries risk assessment was carried out with aid of a computer-based program (Cariogram) and data on the level of metabolic control was collected from the medical records at the 3-year check-up. Caries increment was registered at recall clinical examinations.
Results: A statistically significant positive relationship between caries risk and metabolic control was disclosed (r=0.51; p<0.01), disclosing a 7-fold increased risk of impaired metabolic control after three years in those assessed with high caries risk at onset (OR 7.3;p<0.01). When the Cariogram was used as a predictor for the metabolic state of the disease, the sensitivity and specificity was 75% and 71% respectively. The negative predictive value was 91%.
Conclusions: Our data suggested that an onset caries risk assessment of young type 1 diabetics had a certain predictive power for the level of metabolic control after three years, especially in predicting good adherence to the treatment protocol. Thus, an early referral to a paediatric dentist could provide the physician with valuable prognostic information.
Place, publisher, year, edition, pages
2005. Vol. 22, no 3, 312-315 p.
IdentifiersURN: urn:nbn:se:umu:diva-13471PubMedID: 15717880OAI: oai:DiVA.org:umu-13471DiVA: diva2:153142