OBJECTIVE: The aim of this paper is to examine the oral health of children attending a diabetes camp. Despite studies showing diabetes to be a risk factor for periodontitis on the one hand and periodontitis having been shown to affect glycemic control and increase the risk for developing complications among diabetic patients, oral health is only beginning to receive much needed attention as an important aspect of general health in diabetic patients.

METHODOLOGY: A simple count of the number of decayed, missing, and filled teeth was performed and added to come up with the Decayed Missing and Filled Teeth index (DMFT). Periodontal examination was performed using a Community Periodontal Index of Treatment Needs (CPITN) probe. Pocket probing was performed on six sites (mesiobuccal, midbuccal, distobuccal, mesiolingual, mid-lingual, and distolingual) on each tooth. The teeth were then scored on a scale of 0–4 similar to the CPITN method of the World Health Organization.

RESULTS: The proportion of participants with dental caries was 72% (18) with a mean number of decayed, missing and filled teeth (DMFT) of 4.6. 5 (20%) of the participants had a DMFT score of 0, meaning that they have no decayed missing or filled teeth while 10 (40%) either already had permanent teeth extracted. or required tooth extraction for nonrestorable, severely decayed permanent teeth. Periodontitis (Pockets > 3.5 mm; CPITN = 4) was found in only 1 (4%) patient. 21 (84%) of the participants either had a CPITN score of 1 or 2, meaning bleeding upon probing or calcular deposits were observed. 3 (12%) had a CPITN score of 0.

CONCLUSIONS. Diabetes camps are a good place to screen oral health problems among type 1 diabetic patients given the different socio-economic factors, levels of concern for oral health, and availability of dental care providers among families of with type 1 diabetic children. Physicians managing type 1 diabetics should motivate their patients to see the dentist twice a year for preventive visits and strongly encourage them to have treatment when dental diseases are present. An oral exam should be part of the cursory examination performed by physicians handling these patients.
Periodontitis

We report a case of severe gingival bleeding in a 15-year old, type 1 diabetic female. Examination revealed severe gingival inflammation with periodontal pockets (<6 mm), indicating mild-moderate periodontitis. Periodontal therapy resulted in reduction of fructosamine level (-72.98) after four weeks, but HbA1c level checked 3 months after treatmentincreased (+0.7). Reduction in gingival bleeding and periodontal pockets improved the patient’s quality of life. Insulin resistance is offered as a possible reason for non-improvement in HbA1c levels.
Periodontitis

Chronic periodontitis (CP) is an inflammatory disease of the supporting tissues of the teeth caused by specific microorganism. Hypertension is one of the major causes of cardiovascular disease whereas periodontitis has recently drawn increasing attention because of its potential relationship with cardiovascular disease. The objectives of this study were to determine the prevalence of the hypertension in CP patients as well as to evaluate the association between hypertension and severity of CP. One hundred and eighty five records of CP patients treated in Dental Clinic, Universiti Sains Malaysia Hospital (USM Hospital), Kelantan from 2010 until 2013 were retrieved and reviewed. The diagnosis of periodontal disease and the presence of hypertension were recorded. The severity of chronic periodontitis was classified into mild, moderate and severe according to the clinical attachment loss. The data was obtained and analyzed using SPSS version 20.0. Majority of the subjects were from Malay ethnic group (94.4%) at the age range between 41 and 61 years (67.8%). In conclusion, the prevalence of hypertension in chronic periodontitis patients was 12.2%. There was no significant association between hypertension and severity of CP (p=0.229).
Hypertension ; Periodontitis ; Chronic Periodontitis

Anaemia of chronic disease (ACD) is caused due to an underlying chronic inflammatory process. It is not due to marrow deficiency of iron. Chronic periodontitis is a chronic inflammatory condition which has been associated with anaemia of chronic disease. The aim of this study is to estimate various hematologic parameters suggestive of ACD in patients with chronic periodontitis and in the process to establish a relation between the two. Forty patients were selected and were categorized, based on the presence and absence of chronic periodontitis, into case and control groups, with 20 subjects in each group. Hematologic evaluation was done. Complete haemogram, haematocrit, erythrocyte sedimentation rate (ESR) and estimation of serum ferritin were done. An independent t-test was calculated. Statistically significant values (p<0.05) were obtained for neutrophil count, ESR, red blood cells (RBC), mean corpuscular haemoglobin concentration (MCHC) and serum ferritin. ESR, RBC and serum ferritin levels were significantly increased in subjects with chronic periodontitis. There were significant differences in neutrophil, ESR, RBC and serum ferritin in subjects having severe form of generalized chronic periodontitis. Thus, it was concluded that chronic generalized periodontitis, by means of an inflammatory process, influences various hematologic parameters are suggestive of anaemia of chronic disease.
Chronic Periodontitis ; Periodontitis

No abstract available.
Atherosclerosis* ; Periodontitis*

Study on the treatment of periodontitis by close splinting has shown that the treatment with steel splint for periodontitis gave a good function of chewing, aesthetics and convenience when orodontal hygiene. In many cases, the technique stopped and slowed the process of periodontoclasia. The study recommended that patients treated by this technique should be examined periodically and extracted the dental carries and received the orodontal hygience periodically
Periodontitis ; Therapeutics

Chronic periapical periodontitis is characterized by destruction of periapical tissue and demonstrates translucent feature under X-ray examination. In this article, a localized mineralized structure, which showed high density under X-ray examination, was reported in a patient with chronic periapical periodontitis of left maxillary first premolar. Possible causes of the structure were analyzed and relevant literatures were reviewed.
Bicuspid ; Humans ; Maxilla ; Periapical Periodontitis ; Periodontitis

No abstract available.
Humans ; Interleukin-1* ; Periodontitis*

No abstract available.
Adult* ; Chronic Periodontitis* ; Humans

No abstract available.
Adult* ; Chronic Periodontitis* ; Humans