Structural Changes in Primary Teeth of Diabetic Children: Composition and Ultrastructure Analysis

Diabetes affects the developing enamel by altering the mineralization process, which can have a detrimental effect on oral health. The objectives of this study were to examine the ultrastructure and composition of surface enamel in primary teeth of diabetic children and its clinical implications. Hu...

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Main Authors: Sadatullah Syed, Syed M. Yassin, Abdulrahman Yahya Almalki, Salma Abubaker Abbas Ali, Abdulaziz M. Maken Alqarni, Yousef M. Moadi, Abdulrahman Masoud Alkhaldi, Nasser M. Alqahtani, Jagadish Hosmani, Artak Heboyan, Shankargouda Patil
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/3/317
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author Sadatullah Syed
Syed M. Yassin
Abdulrahman Yahya Almalki
Salma Abubaker Abbas Ali
Abdulaziz M. Maken Alqarni
Yousef M. Moadi
Abdulrahman Masoud Alkhaldi
Nasser M. Alqahtani
Jagadish Hosmani
Artak Heboyan
Shankargouda Patil
author_facet Sadatullah Syed
Syed M. Yassin
Abdulrahman Yahya Almalki
Salma Abubaker Abbas Ali
Abdulaziz M. Maken Alqarni
Yousef M. Moadi
Abdulrahman Masoud Alkhaldi
Nasser M. Alqahtani
Jagadish Hosmani
Artak Heboyan
Shankargouda Patil
author_sort Sadatullah Syed
collection DOAJ
description Diabetes affects the developing enamel by altering the mineralization process, which can have a detrimental effect on oral health. The objectives of this study were to examine the ultrastructure and composition of surface enamel in primary teeth of diabetic children and its clinical implications. Hundred extracted primary teeth from diabetic children (Test group: <i>n</i> = 50) and healthy children (Control group: <i>n</i> = 50), between 6 and 12 years of age, were subjected to scanning electron microscopy to qualitatively examine the enamel surface. Energy dispersive X-ray (EDX) analysis was performed to investigate the mass percentage of calcium (Ca) and phosphorous (P) in the surface enamel. Ultrastructural aberrations of surface enamel were observed in the test group teeth. Additionally, prism perforations were seen at the junction of rod and inter-rod enamel and the prisms were loosely packed. An even aprismatic layer of surface enamel was evident in the control group teeth. There was a statistically significant difference (<i>p</i> < 0.05) of Ca and P mass percentage between the test and control group teeth. The mean mass percentage rates of Ca and P were 33.75% and 16.76%, respectively. A poor surface characteristic and elemental composition of the enamel surface of primary teeth is observed in diabetic children. Therefore, appropriate caries preventive measures are mandatory to maintain the structural integrity of the tooth in these patients.
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spelling doaj.art-99dc680f13c34590bdd9fa7780b8c5b82023-11-24T00:46:25ZengMDPI AGChildren2227-90672022-02-019331710.3390/children9030317Structural Changes in Primary Teeth of Diabetic Children: Composition and Ultrastructure AnalysisSadatullah Syed0Syed M. Yassin1Abdulrahman Yahya Almalki2Salma Abubaker Abbas Ali3Abdulaziz M. Maken Alqarni4Yousef M. Moadi5Abdulrahman Masoud Alkhaldi6Nasser M. Alqahtani7Jagadish Hosmani8Artak Heboyan9Shankargouda Patil10Department of Diagnostic Sciences and Oral Biology, College of Dentistry, King Khalid University, Abha 61471, Saudi ArabiaDepartment of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha 61471, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan 25412, Saudi ArabiaDepartment of Diagnostic Sciences and Oral Biology, College of Dentistry, King Khalid University, Abha 61471, Saudi ArabiaDepartment of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha 61471, Saudi ArabiaDepartment of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha 61471, Saudi ArabiaDepartment of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha 61471, Saudi ArabiaDepartment of Prosthodontics, College of Dentistry, King Khalid University, Abha 61471, Saudi ArabiaDepartment of Diagnostic Sciences and Oral Biology, College of Dentistry, King Khalid University, Abha 61471, Saudi ArabiaDepartment of Prosthodontics, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Str. Koryun 2, Yerevan 0025, ArmeniaDepartment of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan 45412, Saudi ArabiaDiabetes affects the developing enamel by altering the mineralization process, which can have a detrimental effect on oral health. The objectives of this study were to examine the ultrastructure and composition of surface enamel in primary teeth of diabetic children and its clinical implications. Hundred extracted primary teeth from diabetic children (Test group: <i>n</i> = 50) and healthy children (Control group: <i>n</i> = 50), between 6 and 12 years of age, were subjected to scanning electron microscopy to qualitatively examine the enamel surface. Energy dispersive X-ray (EDX) analysis was performed to investigate the mass percentage of calcium (Ca) and phosphorous (P) in the surface enamel. Ultrastructural aberrations of surface enamel were observed in the test group teeth. Additionally, prism perforations were seen at the junction of rod and inter-rod enamel and the prisms were loosely packed. An even aprismatic layer of surface enamel was evident in the control group teeth. There was a statistically significant difference (<i>p</i> < 0.05) of Ca and P mass percentage between the test and control group teeth. The mean mass percentage rates of Ca and P were 33.75% and 16.76%, respectively. A poor surface characteristic and elemental composition of the enamel surface of primary teeth is observed in diabetic children. Therefore, appropriate caries preventive measures are mandatory to maintain the structural integrity of the tooth in these patients.https://www.mdpi.com/2227-9067/9/3/317calciumphosphorousdiabetes mellitusdental enameltype 1child health
spellingShingle Sadatullah Syed
Syed M. Yassin
Abdulrahman Yahya Almalki
Salma Abubaker Abbas Ali
Abdulaziz M. Maken Alqarni
Yousef M. Moadi
Abdulrahman Masoud Alkhaldi
Nasser M. Alqahtani
Jagadish Hosmani
Artak Heboyan
Shankargouda Patil
Structural Changes in Primary Teeth of Diabetic Children: Composition and Ultrastructure Analysis
Children
calcium
phosphorous
diabetes mellitus
dental enamel
type 1
child health
title Structural Changes in Primary Teeth of Diabetic Children: Composition and Ultrastructure Analysis
title_full Structural Changes in Primary Teeth of Diabetic Children: Composition and Ultrastructure Analysis
title_fullStr Structural Changes in Primary Teeth of Diabetic Children: Composition and Ultrastructure Analysis
title_full_unstemmed Structural Changes in Primary Teeth of Diabetic Children: Composition and Ultrastructure Analysis
title_short Structural Changes in Primary Teeth of Diabetic Children: Composition and Ultrastructure Analysis
title_sort structural changes in primary teeth of diabetic children composition and ultrastructure analysis
topic calcium
phosphorous
diabetes mellitus
dental enamel
type 1
child health
url https://www.mdpi.com/2227-9067/9/3/317
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