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Updated: Nov 8, 2025

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
Oral microbiota in children with type 1 diabetes mellitus
Marek Pachoński1, Aleksandra Koczor-Rozmus2, Katarzyna Mocny-Pachońska2
1NZOZ Pachońscy Dental Clinic Marek Pachoński, Tarnowskie Gory, Poland.
Insights
Children with type 1 diabetes have significantly different oral bacterial microbiota compared to healthy children. This quantitative and qualitative difference in oral microbiome is linked to diabetes status.
Area of Science:
- Microbiology
- Pediatric Endocrinology
- Oral Health
Background:
- The oral cavity hosts a complex microbiome essential for health.
- Type 1 diabetes can influence systemic health, potentially affecting oral microbial balance.
Purpose of the Study:
- To compare the quantity and quality of oral bacterial microbiota in children with type 1 diabetes against a healthy control group.
- To investigate potential differences based on diabetes control levels (well-controlled vs. poorly-controlled).
Main Methods:
- Microbiological analysis of oral swabs from 50 children with type 1 diabetes (aged 10-18) and 25 healthy children.
- Participants with type 1 diabetes were categorized into well-controlled (HbA1c ≤ 7.5%) and poorly-controlled (HbA1c > 7.5%) groups.
Main Results:
- Statistically significant differences in the total number of oral microorganisms were found between poorly-controlled diabetic children and healthy children (p=0.003).
- Significant differences were also observed between well-controlled diabetic children and healthy children (p<0.001).
- No significant quantitative differences in oral microbiota were detected between well-controlled and poorly-controlled diabetic groups (p=0.195).
Conclusions:
- The oral microbiome in children with type 1 diabetes exhibits significant quantitative differences compared to healthy children.
- Qualitative variations in the oral microbiota profile are also evident in type 1 diabetic children.
- Diabetes status, rather than control level, appears to be a key factor influencing oral microbiome composition.
Introduction:
The oral cavity is a unique ecosystem in which the microbiome is formed by the colonization of billions of bacteria, viruses, and fungi. Aim of the study was to assess the quality and quantity of bacterial microbiota of the oral cavity in children with type 1 diabetes in comparison to healthy children.
Material And Methods:
The study group consisted of 50 randomly selected type 1 diabetic children aged 10-18 years divided into 2 groups (25 people each) according to the level of diabetes control: well-controlled group (WC) - HbA1c ≤ 7.5%) and poorly-controlled group (PC) - HbA1c > 7.5%. The control group (GC) consisted of 25 randomly selected children with no systemic diseases. The material for microbiological tests was collected as two swabs: one from the bottom of the oral cavity and the other one from the posterior part of the dorsum of the tongue).
Results:
The statistical analysis revealed statistically significant differences in the total number of isolated microorganisms between PC and GC (post hoc test p = 0.003) and WC and GC (post hoc test p < 0.001). There were no statistically significant differences in the number of isolated microorganisms between PC and WC (p = 0.195).
Conclusions:
Oral microbiome in type 1 diabetic children is significantly quantitatively different in comparison to healthy children. There are also visible qualitative differences in the profile of oral microbiota in type 1 diabetic children and healthy children.
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