Diabète de type I chez l'enfant : gestion clinique des pathologies bucco-dentaires.

The type I diabetes mellitus results from the destruction of the cell ß of islets Langerhans of the pancreas. The purpose of the present study is to present a strategy for management the oral complications caused by the low rate of the salivary flow, observed in the child or adolescent with diabetes of type I. It was a cross-sectional study comparative study in a sample of 150 children (75 children with diabetes type I, and 75 children not diabetics) 6 to 15-year-old selected within a clinical liberal and of a university hospital center pediatric in Lomé (Togo). The salivary flow, the prevalence of dental caries, decayed, missing and filled teeth (DMFT score), the frequency of brushing teeth then the conditions of oral hygiene of the children were evaluated. The majority of children lived in a middle socioeconomic means and is painted the teeth once to three times a day. So, 50 children with diabetes showed poor oral hygiene with an OHIS of 33.3%. The difference is statistically significant (p = 41 × 10-4). The index mixed DMFT corresponding to an age range of 6 to 9 years of age was 5.41 and the average DMFT means, indicates for the age bracket of 10 to 15 years of age is 6.30. A treatment of these children needs a supported and an interdisciplinary action by the doctor diabetologist, associating the dentists. [ABSTRACT FROM AUTHOR]