Clinical Association between Dental Caries and Diabetes Mellitus among Children and young adults: ICDAS and Microbiological Assessment

Abstract

Objective: Diabetes mellitus (DM) is a common systemic disease which usually combined with various oral consequences among the diabetic population. However, there was a high risk of caries incidence among the diabetic population. Therefore, this study aimed to correlate the incidence of dental caries and this systemic disease, using a new caries assessment system known as International Caries Detection and Assessment System (ICDAS). Subject and methods: A total of four hundred Egyptian children and young adults aged between 5-16 years was enrolled in this study. Designed criteria were outlined during the selection of the enrolled subjects. The enrolled subjects were divided into a healthy “control group”, and subjects with DM “studied group”. Results: ICDAS results revealed a significantly higher caries incidence among the subjects with DM with significantly higher dentine defects. However, the microbiological results showed a significant increase in the Streptococcus mutans and Lactobacilli bacterial count. Conclusion: Children and young with DM showed a significant increase in carious lesions and bacterial count.