Public Attitudes Toward Chairside Screening for Medical Conditions in Dental Settings

Mubayrik, Azizah Bin; Dosary, Sara Al; Al-Shawaf, Reema; Alduweesh, Reem; Alfurayh, Shada; Alojaymi, Tagreed; Tuwaym, Malath; Alsuhaibani, Daniyah; Aldaghri, Ebtihal

doi:10.2147/ppa.s297882

Cited by 6 publications

(10 citation statements)

References 43 publications

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“…PreDM was found in 9.9% of unaware dental patients in Sweden (242), 28.7% in the US (235), and 46.6% among patients with Dutch periodontal (243). Such screening in dental offices is well-accepted by patients (245)(246)(247), dentists (246)(247)(248)(249)(250) and physicians (251), and their professional organizations (252), and can lead to positive lifestyle changes and decreased HbA1c level (253,254).…”

Section: Screening For T2dm In the Dental Officementioning

confidence: 99%

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

Borgnakke

Poudel

2021

Front. Dent. Med

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This Perspective provides a brief summary of the scientific evidence for the often two-way links between hyperglycemia, including manifest diabetes mellitus (DM), and oral health. It delivers in a nutshell examples of current scientific evidence for the following oral manifestations of hyperglycemia, along with any available evidence for effect in the opposite direction: periodontal diseases, caries/periapical periodontitis, tooth loss, peri-implantitis, dry mouth (xerostomia/hyposalivation), dysbiosis in the oral microbiome, candidiasis, taste disturbances, burning mouth syndrome, cancer, traumatic ulcers, infections of oral wounds, delayed wound healing, melanin pigmentation, fissured tongue, benign migratory glossitis (geographic tongue), temporomandibular disorders, and osteonecrosis of the jaw. Evidence for effects on quality of life will also be reported. This condensed overview delivers the rationale and sets the stage for the urgent need for delivery of oral and general health care in patient-centered transdisciplinary collaboration for early detection and management of both hyperglycemia and oral diseases to improve quality of life.

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Section: Screening For T2dm In the Dental Officementioning

confidence: 99%

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

Borgnakke

Poudel

2021

Front. Dent. Med

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“…46 In addition to dentists' general willingness to engage in screening patients for potential MH concerns, patients have expressed favorable views of screening for nondental conditions. [47][48][49][50] Patient acceptability of such screenings improves based on factors such as younger age, relationship with dental provider, perceived dentist knowledge, and having experienced a previous screening. 47,51 Factors associated with lower levels of patient acceptability of screenings (but still above 50%) include increased invasiveness, such as a biopsy 47 and attendance at a private clinic.…”

Section: Introductionmentioning

confidence: 99%

“…[47][48][49][50] Patient acceptability of such screenings improves based on factors such as younger age, relationship with dental provider, perceived dentist knowledge, and having experienced a previous screening. 47,51 Factors associated with lower levels of patient acceptability of screenings (but still above 50%) include increased invasiveness, such as a biopsy 47 and attendance at a private clinic. 48 Brief interventions for substance use disorders, depression, and anxiety provide a quick and acceptable means of screening and referral to practitioners and have been found to benefit patients with previously unknown MH concerns in various settings, including primary care practices, federally qualified health centers, school-based health centers, safety net emergency departments 52 and in cardiac care.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to dentists’ general willingness to engage in screening patients for potential MH concerns, patients have expressed favorable views of screening for nondental conditions 47–50 . Patient acceptability of such screenings improves based on factors such as younger age, relationship with dental provider, perceived dentist knowledge, and having experienced a previous screening 47,51 .…”

Section: Introductionmentioning

confidence: 99%

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Mental health screening and referral to treatment in dental practices: A scoping review

Culmer,

Smith,

Berryhill

et al. 2024

Journal of Dental Education

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ObjectiveThe purpose of this study was to conduct a scoping review to examine and summarize the characteristics of research related to mental health (MH) screenings and/or referrals to treatment in dental practices.MethodsWe followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines for Scoping Reviews and searched multiple databases for terms connected with dental care, MH concerns, screening, and referral. Included articles: (1) described care provided in a dental practice, (2) described a situation where the patient is experiencing the potential MH problem, (3) did not involve dental anxiety exclusively, and (4) involved some form of MH screening and/or referral to treatment. Article analysis included a summary of key study characteristics, types of evidence, study design, and central concepts and definitions.ResultsThe search generated 2050 records, with 26 ultimately included. Most studies involved only adults (22, 85%), but only three (12%) reported on rurality (two urban; one mixed) and only two each (8%) reported race or ethnicity. Fifteen (58%) articles were prospective and 11 (42%) were retrospective. The studies varied widely in study designs, from 11 (42%) cross‐sectional methodologies to only one (4%) randomized controlled trial. Thirty‐four screening tools were used to screen for symptoms of 43 MH conditions, with depression and anxiety screened for most frequently. Few articles discussed making referrals, practice workflows, or follow‐up outcomes.ConclusionsIncluded studies provide evidence of viable options for dental practitioners regarding MH screening, referring, and conducting follow‐up, but lack specificity regarding these processes. Overall, more research is needed to clarify what workflows are most efficient for dental practitioners and efficacious in identifying patients with MH concerns.

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“…For example, random blood glucose testing in the dental office was well accepted by American patients and clinicians (21). Saudi Arabian patients accepted screening for hypertension and diabetes from dentists (37). In response to the pandemic, viral screening and immunizations became part of dentistry's scope of practice in many states (38).…”

Section: Introduction Definition Of the Problemmentioning

confidence: 99%

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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Public Attitudes Toward Chairside Screening for Medical Conditions in Dental Settings

Cited by 6 publications

References 43 publications

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

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

Mental health screening and referral to treatment in dental practices: A scoping review

Dentists as Primary Care Providers: Expert Opinion on Predoctoral Competencies

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