Journal of Medical and Dental Practice

www.medinform.bgISSN 2367-6795

Issue One 2016

2016, Vol. 3, issue 1, (June)

Publisher: Medinform LTD
ISSN: 2367-6795
Pages: 370-421
Date of close: 2016/06/23

Original Article

Oral Health in Bulgarian Children with Diabetes Mellitus


Introduction: Diabetes mellitus (DM) is a disorder characterized by high glucose levels and metabolism abnormalities in processing carbohydrates, fats and proteins (2). Diabetes is a life-long disease. Studies show more oral complications among diabetics compared to non-diabetic individuals matched by age and sex. A crucial factor in examining oral pathology is the glycemic control of patients. Accordingly, different oral complications may be revealed.
Objectives: To examine and summarize the prevalence, symptoms and signs of oral manifestation of DM type 1 in a sample group of Bulgarian children.
Research design and methods: We studied 2 groups of children: diabetics and their age- and sex-matched non-diabetic individuals as controls.
Results: Data from our study showed that there is not significant higher prevalence of dental caries but significantly higher plaque, gingival inflammation, bad breath (halitosis) and dry mouth in diabetic patients compared with clinically healthy control subjects.
Conclusions: Our study finds that oral health problems in patients with DM can start very early. They become more prominent in adolescent patients. Dentists should be aware of signs, symptoms and treatment options for the disorders which accompany this disease, as well as to examine for such complications, even if the patients have no related complaints.


Christiana Madjova; Department of Conservative Dentistry and Oral Pathology, Faculty of Dental Medicine;
Vladimir Panov; Department of Conservative Dentistry and Oral Pathology, Faculty of Dental Medicine;
Violeta Iotova; Department of Pediatrics and Medical Genetics, Faculty of Medicine;
Dimitrichka Bliznakova; Department of Clinical Medical Sciences, Faculty of Dental Medicine, Medical University of Varna, Bulgaria;

Corresponding Author:

Christiana Madjova; Faculty of Dental Medicine, Department of Conservative Dentistry and Oral Pathology, Medical University –Varna; Email this author