Diabetes and Oral Health: Summary of Current Scientific Evidence for Why Transdisciplinary Collaboration Is Needed

Borgnakke, Wenche S.; Poudel, Prakash

doi:10.3389/fdmed.2021.709831

Cited by 27 publications

(27 citation statements)

References 240 publications

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“…To make this curriculum more cost-effective, it proposes to deliver this education during predoctoral education, within existing Commission on Dental Education (CODA) Standards (10). Hence, this educational action step augments recently published aspects of dental and medical integration related to the challenge (3,4,(11)(12)(13)(14)(15).…”

Section: Introduction Definition Of the Problemmentioning

confidence: 76%

“…But factors beyond expert opinion are also influencing the practice of dentistry and the shape of dental education. Changes wrought by the pandemic and the evolving recognition of oral-systemic interactions (3,50) support increased interest in expanding the role of dentists. A growing emphasis on IPE and integration of oral health into primary care is evident in curriculum development, specific funding programs, and other efforts (51)(52)(53)(54)(55).…”

Section: Discussionmentioning

confidence: 99%

“…Dentistry and medicine practice as separate professions despite their shared missions to optimize their patients' health. Yet more efficient interprofessional collaboration could broaden access to oral and general healthcare, potentially reducing disparities and costs (1)(2)(3)(4). Dental team disease screening could save between $42.4 million and $102.6 million in U.S. healthcare costs annually (5).…”

Section: Introduction Definition Of the Problemmentioning

confidence: 99%

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Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies

et al. 2021

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Dentistry and medicine traditionally practice as separate professions despite sharing goals for optimal patient health. Many US residents experience both poor oral and general health, with difficulty accessing care. More efficient collaboration between these professions could enhance health. The COVID-19 pandemic disclosed further disparities while underscoring concerns that physician supply is inadequate for population needs. Hence, enhancing healthcare provider education to better meet the public's health needs is critical. The proposed titles “Oral Physician” or “Oral Health Primary Care Provider” (OP-PCP) acknowledge dentist's capacity to diagnose and manage diseases of the orofacial complex and provide some basic primary healthcare. The US Surgeon General's National Prevention Council and others recommend such models. Medical and dental education already overlap considerably, thus it is plausible that dental graduates could be trained as OP-PCPs to provide primary healthcare such as basic screening and preventive services within existing dental education standards. In 2018, 23 dental and medical educators participated in an expert-opinion elicitation process to review educational competencies for this model. They demonstrated consensus on educational expansion and agreed that the proposed OP-PCP model could work within existing US Commission on Dental Accreditation (CODA) standards for predoctoral education. However, there were broader opinions on scope of practice details. Existing CODA standards could allow interested dental programs to educate OP-PCPs as a highly-skilled workforce assisting with care of medically-complex patients and to helping to reduce health disparities. Next steps include broader stakeholder discussion of OC-PCP competencies and applied studies including patient outcome assessments.

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Section: Introduction Definition Of the Problemmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Introduction Definition Of the Problemmentioning

confidence: 99%

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Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies

et al. 2021

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“…Moreover, the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) added DM among the risk factors for the progression of periodontal disease [ 3 , 24 ] and recommend the use of HbA1c for periodontitis grading [ 3 ]. Nonetheless, awareness of the risk of periodontitis in DM is still scarce among diabetologists, dentists, and patients [ 25 , 26 ].…”

Section: Bidirectional Relationship Between Periodontitis and Dmmentioning

confidence: 99%

“…In addition, in patients with established DM, periodontitis is associated with poorer glycemic control [ 29 , 30 ] and higher prevalence of DM-related complications. Periodontitis is independently associated with CVD, ischemic stroke, neuropathy, nephropathy, and retinopathy [ 7 , 25 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]. Moreover, subjects with DM and periodontitis have a greater CVD and all-cause mortality compared to people with DM alone [ 38 ].…”

Section: Bidirectional Relationship Between Periodontitis and Dmmentioning

confidence: 99%

Novel Insight into the Mechanisms of the Bidirectional Relationship between Diabetes and Periodontitis

et al. 2022

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Periodontitis and diabetes are two major global health problems despite their prevalence being significantly underreported and underestimated. Both epidemiological and intervention studies show a bidirectional relationship between periodontitis and diabetes. The hypothesis of a potential causal link between the two diseases is corroborated by recent studies in experimental animals that identified mechanisms whereby periodontitis and diabetes can adversely affect each other. Herein, we will review clinical data on the existence of a two-way relationship between periodontitis and diabetes and discuss possible mechanistic interactions in both directions, focusing in particular on new data highlighting the importance of the host response. Moreover, we will address the hypothesis that trained immunity may represent the unifying mechanism explaining the intertwined association between diabetes and periodontitis. Achieving a better mechanistic insight on clustering of infectious, inflammatory, and metabolic diseases may provide new therapeutic options to reduce the risk of diabetes and diabetes-associated comorbidities.

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The rosetta stone of successful ageing: does oral health have a role?

et al. 2023

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Ageing is an inevitable aspect of life and thus successful ageing is an important focus of recent scientific efforts. The biological process of ageing is mediated through the interaction of genes with environmental factors, increasing the body’s susceptibility to insults. Elucidating this process will increase our ability to prevent and treat age-related disease and consequently extend life expectancy. Notably, centenarians offer a unique perspective on the phenomenon of ageing. Current research highlights several age-associated alterations on the genetic, epigenetic and proteomic level. Consequently, nutrient sensing and mitochondrial function are altered, resulting in inflammation and exhaustion of regenerative ability.Oral health, an important contributor to overall health, remains underexplored in the context of extreme longevity. Good masticatory function ensures sufficient nutrient uptake, reducing morbidity and mortality in old age. The relationship between periodontal disease and systemic inflammatory pathologies is well established. Diabetes, rheumatoid arthritis and cardiovascular disease are among the most significant disease burdens influenced by inflammatory oral health conditions. Evidence suggests that the interaction is bi-directional, impacting progression, severity and mortality. Current models of ageing and longevity neglect an important factor in overall health and well-being, a gap that this review intends to illustrate and inspire avenues for future research.

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Diabetes and Oral Health: Summary of Current Scientific Evidence for Why Transdisciplinary Collaboration Is Needed

Cited by 27 publications

References 240 publications

Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies

Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies

Novel Insight into the Mechanisms of the Bidirectional Relationship between Diabetes and Periodontitis

The rosetta stone of successful ageing: does oral health have a role?

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