Prevalence and Severity of Dental Caries in Patients with Type 2 Diabetes, According to the ICDAS System
DOI:
https://doi.org/10.59334/ROV.v2i45.683Keywords:
dental caries , type 2 diabetes, ICDAS-II, oral health, epidemiologyAbstract
Abstract
Introduction: Dental caries is a global public health problem, exacerbated in patients with type 2 diabetes due to factors such as xerostomia and immunological alterations.
Objective: This study evaluated the prevalence and severity of caries in diabetic patients from Abancay, Peru, using the ICDAS-II system.
Method: A cross-sectional study was conducted in 199 diabetic patients (20–60 years of age) clinically evaluated using the ICDAS-II (codes 0–6). The relationship between glycemic control and caries severity was analyzed using the chi-square test.
Results: 59% of the teeth presented caries (41% healthy). The most frequent codes were 1 (13.3%), 4 (13.0%), and 5 (12.5%), with 10% in severe stages (code 6). Patients with uncontrolled diabetes showed a higher prevalence of advanced caries, with 50.9% having codes 4-6 (p < 0.05).
Conclusion: Glycemic control is significantly associated with lower caries severity. The ICDAS-II allows for early detection of lesions, highlighting the need for preventive interventions in diabetics.
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