Reuters Health

Adult teeth may come in early in diabetic kids

May 06, 2008
By Amy Norton

NEW YORK (Reuters Health) - Children with diabetes may develop their permanent teeth earlier than normal, which could potentially increase their risk of dental problems, according to findings published in the medical journal Pediatrics.

The researchers found that 10- to 14-year-olds with diabetes tended to have their final permanent teeth come in earlier than their peers did. The problem with such accelerated tooth "eruptions" is that they could raise the odds of misaligned or "crowded" teeth -- which, in addition to cosmetic effects, can make it harder to clean the teeth and keep the gums healthy.

It's not yet clear whether these children do have more dental problems, lead researcher Dr. Shantanu Lal, of Columbia University Medical Center in New York, told Reuters Health. He and his colleagues are finishing up a study to answer that question.

For now, Lal said, the findings underscore the importance of regular dental checkups for children with diabetes.

The study looked at children 6 to 14 years old -- 270 with diabetes (mostly type 1 diabetes) and 320 without diabetes. The researchers found that among children age 10 and up, those with diabetes were more likely to have teeth in an "advanced stage of eruption."

According to Lal's team, the reasons for the speedier tooth eruption may have to do with gum inflammation, which tended to be greater in children with diabetes. Gum inflammation may diminish the mass of the bones supporting the teeth, shortening the distance that developing teeth need to progress to break through the gums.

SOURCE: Pediatrics, May 2008.

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