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Abstract
The aim of this study was to assess bone density in juvenile
controlled and uncontrolled diabetic patients versus normal (non diabetic)
patients radiometrically.
The study was performed on forty patients of both sexes, ranging
of age from 6-14 years, were selected from the out patient clinic of
Internal Medicine Department, Faculty of Medicine, Suez Canal
University.
The selected patients were divided into three groups; twenty
diabetic patients that were further divided into two groups according to
their blood sugar level; ten with controlled blood sugar level [Group1
(G1)] and ten with uncontrolled blood sugar level [Group2 (G2)].
Moreover, twenty non diabetic individuals [Group3 (G3)] were included
and compared with the previously mentioned groups.
The three groups under investigation were subjected to the same
examination procedures including; detailed case history, thorough clinical
examination of the oral structures, clinical attachment loss and blood
sampling to estimate the serum glucose level.
For standardization of the linear and densitometric measurements,
all patients were evaluated intra oral direct digital paralleling periapical
radiograph for upper central incisors and lower first molars to evaluate
linear measurements of pocket depth and bone density of the supporting
dental structures.
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Summary 90
Evaluation of linear and radiodensitometric measurements were
carried out using Digora software at different areas to evaluate the linear
measurements, the alveolar bone height and bone density of the
supporting structures of upper central incisors and lower first molars.
The results of the present study revealed that, the values of linear
measurements of the remaining bone level (pocket depth) were higher in
un controlled diabetic patients (G2) than controlled diabetic patients (G1),
Which in turn was higher than normal non diabetic patients (G3).
Similarly, densitometric measurements of bone density in the
diabetic patients were low in uncontrolled diabetic patients (G2) than
controlled diabetic patients (G1), which in turn was lower than normal
non diabetic patients (G3).
This means that insulin dependent diabetes mellitus (type I) is
destructive disease that leads to decrease in bone density of the
supporting structure of the teeth which may result in their loss.