The Relation of Some Salivary Physiochemical Characteristics with Periodontal Status in Type I Diabetic Patients

Abstract

Diabetes mellitus plays a substantial role in the dentition and oral health. Oral manifestation identified with Diabetes mellitus may have a strong inclination to periodontal disease. This study was to assess the relation of salivary pH, flow rate, and buffer capacity with severity of periodontitis among patients with type 1 diabetes mellitus in comparison with healthy volunteers. A study was conducted on 58 volunteers (aged 18-25 years), of them 28 volunteers had type I diabetes mellitus (study group), and 30 volunteers were health persons with absence of medical conditions that could decrease salivary flow (control group) from both genders. Stimulated whole saliva was collected, salivary flow rate (ml/min), pH, and buffer capacity were measured and they examined orally to evaluate the plaque index according to Sinless and Lӧe (1964) and the calculus index according to Green and Vermillion (1964), all information recorded. There were a significant difference (p-value<0.01) in plaque index in the diabetic group in compared with heathy group, while the calculus index shown no differences. The salivary pH decreased significantly (p<0.045) in diabetic group in compared with heathy group, while other parameters (salivary flow rate and buffer capacity) had no effect. There were no differences in both genders.Periodontitis can be seen in the same severity in both genders, and in diabetic patients more than the normal individuals. The clinical indicators of periodontitis that observed in diabetic patients are more common than the normal individuals.