ANALYSIS OF THE RELATIONSHIP OF BEHAVIORAL HABITS AND PERIODONTAL STATUS AND ORAL HEALTH IN CHILDREN OF PRIMARY SCHOOL AGE WITH DIABETES MELLITUS TYPE I AND PARENTS RESULTS USING DENTAL QUESTIONNAIRE

Abstract

Type I diabetes mellitus is an autoimmune disease in genetically susceptible individuals that leads to the destruction of pancreatic β-cells with the subsequent development of absolute insulin deficiency. The presence of type I diabetes mellitus in children is the main risk factor for the onset of inflammatory periodontal diseases. When comparing the values of the hygiene indices according to Fedorov - Volodkina and the simplified OHI-S index (Green-Vermillion), a statistically significant difference (p ≤ 0.05) was found when comparing groups 1 and 2, 3 and 4, 2 and 4, 1 and 4 and was not found (p≥0.05) between groups 1 and 3 (in children with healthy gums with and without type I diabetes). We also found a statistically significant difference between patients with type 1 diabetes and healthy children in periodontal indices and gingival indices. Inflammatory processes in the periodontium of children with diabetes are elevated, so it is very important to recognize and diagnose them as soon as possible. Based on the answers to the "Dental questionnaire for children and parents" (certificate of copyright registration, registration date 01.24.2020), the relationship between behavior patterns, parent’s habits and the dental status of schoolchildren was quite informative, it opens up the possibility of early detection of problems in medical and preventive work among the children. We made the following conclusions: by questioning parents, we can reveal their attitude to their dental health and dental health of children, as well as to determine in more detail the risk factors for periodontal disease and dental diseases in general. Despite the availability of educational programs and routine dental examinations in kindergartens and schools (they are mainly focused on the formation of a conscious attitude to dental health directly in children), the dental literacy of parents should be increased.