Index-based assessment of type I diabetes mellitus compensation level influence on oral health condition in adolescents

Abstract

Relevance. Type I diabetes mellitus is generally recognized as a socially significant disease which directly affects the nature and severity of clinical symptoms of comorbidities, including in the oral cavit y.Material and methods. The study, which was conducted in the Department of Pediatrics of the “V.A. Almazov National Medical Research Center” in St. Petersburg, included 54 patients with type I diabetes mellitus. The mean age of the study group was 15.4 ± 1.27 years. Diabetes duration was 71.2 ± 46 months. The average value of glycated hemoglobin is 8.64 ± 1.69. 11% of patients appeared to have uncontrolled hyperglycemia (HbA1c > 7%). The dental examination included a questionnaire, examination and index evaluation using the Green-Vermillion Hygiene Index (OHI), the PMA index modified by Parma, Russell’s periodontal index (PI) and the DMF index. Statistical data was processed using the JAMOVI 2.3.13 software.Results. The principal component analysis distributed the studied indices by three independent mathematical models-constructs. The binomial regression of the OHI and glycated hemoglobin showed a specificity of 0.903 and a sensitivity of 0.348. Regression analysis of the PI and Hb1Ac showed a specificity of 0.919 and a sensitivity of 0.294.Conclusion. The binomial regression model of dental indices with the glycated hemoglobin index values helped to formulate the Hb1Ac key-point values, which allows for suspecting a highly likely initial stage of gingivitis. Hb1Ac above 8.6 is this value.