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Accelerated tooth eruption in children with diabetes mellitus
Shantanu Lal1, Bin Cheng, Selma Kaplan
1Division of Pediatric Dentistry, Columbia University College of Dental Medicine, P&S 3-454c, 630W 168th St, New York, NY 10032, USA. sl784@columbia.edu
Children with diabetes experience faster tooth eruption, particularly during late mixed dentition. This accelerated eruption in pediatric diabetes warrants further investigation into potential oral health complications.
Area of Science:
- Pediatric Endocrinology
- Dental Development
- Metabolic Disorders
Background:
- Diabetes mellitus is a chronic metabolic disorder affecting various bodily systems.
- Dental development, including tooth eruption, can be influenced by systemic health conditions.
- Understanding these influences is crucial for comprehensive pediatric care.
Purpose of the Study:
- To investigate the relationship between diabetes mellitus and tooth eruption patterns in children aged 6-14.
- To compare tooth eruption timelines in children with and without diabetes.
- To identify potential correlations between diabetes-related factors and eruption speed.
Main Methods:
- A cohort study involving 270 children with diabetes and 320 controls.
- Assessment of tooth eruption status using standardized methods.
- Statistical analysis employing logistic regression models to evaluate associations.
Main Results:
- Children with diabetes showed accelerated tooth eruption during the late mixed dentition period (10-14 years).
- Girls exhibited significantly higher odds of advanced tooth eruption compared to boys in both groups.
- Gingival inflammation showed a trend towards association with expedited eruption; no link found with HbA1c or diabetes duration.
Conclusions:
- Diabetes in children is associated with accelerated tooth eruption.
- Further research is needed to explore links between eruption aberrations and dental complications like malocclusion and periodontal disease.
- Oral health promotion and disease prevention, including screening and referral, should be integrated into the care standards for children with diabetes.
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