Screening for dysglycaemia in dental primary care practice settings: systematic review of the evidence

Glurich, Ingrid; Bartkowiak, Barbara; Berg, Richard L.; Acharya, Amit

doi:10.1111/idj.12405

Cited by 19 publications

(26 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interestingly, and as synthesized in a 2018 systematic review [122], a significant proportion of dental patients denying having diabetes, namely almost one-third of dental patients both in Denmark [76], Saudi Arabia [123], and the US [124][125][126] actually had pre-diabetes or manifest diabetes; or were considered having high risk therefore [127]. In Great Britain, 29.5% were considered of moderate risk and 18.1% high risk for diabetes, for a total of 47.6% [128].…”

Section: 2mentioning

confidence: 99%

IDF Diabetes Atlas: Diabetes and oral health – A two-way relationship of clinical importance

Borgnakke

2019

Diabetes Research and Clinical Practice

View full text Add to dashboard Cite

The current scientific evidence for the bi-directional associations between oral health and diabetes is summarized. The universal biologic mechanisms and demographic and behavioral risk drivers underlying these associations in both directions are also described. Dysglycemia, even slightly elevated blood sugar levels, adversely affects oral health, manifesting itself in several oral diseases and conditions. In the opposite direction, any oral infection with its subsequent local and systemic inflammatory responses adversely affects blood glucose levels. Moreover, painful, mobile, or missing teeth may lead to intake of soft food items representing a sub-optimal diet and hence poor nutrition, and thereby contribute to incident type 2 diabetes or to poorer glucose control in existing diabetes. Treatment of inflammation related oral conditions, such as non-surgical periodontal treatment and extraction of infected teeth, can lead to a clinically significant decrease in blood glucose levels. Attention to infectious oral diseases and referral to dental care professionals for treatment can therefore be an important novel tool for medical care professionals in preventing and managing diabetes mellitus. Dental professionals can detect unrecognized potential dysglycemia and refer for medical examination. Such interprofessional, patient centered care may contribute to improved health, wellbeing, and quality of life in people with diabetes.

show abstract

Section: 2mentioning

confidence: 99%

IDF Diabetes Atlas: Diabetes and oral health – A two-way relationship of clinical importance

Borgnakke

2019

Diabetes Research and Clinical Practice

View full text Add to dashboard Cite

show abstract

“…A US study in Manhattan reported 8.6% potentially having diabetes and 46.5% having pre-diabetes, for a total of 54.1 [13]; and in Washington State, 45% of adults had HbA1c > 5.6% [14]. Among 2003 Nigerians, 4.4% had random plasma glucose levels of >200 mg/dl [15]. Notably, there was a doseresponse pattern of increasing levels of hyperglycemia with increasing severity of periodontitis [16].…”

Section: Resultsmentioning

confidence: 99%

Validity of Screening for Pre-Diabetes and Type2 DM in Patients Presenting with Oral Symptoms

Muthuvel¹,

Karthikeyan²

2021

Int J Med Res Rev

View full text Add to dashboard Cite

Introduction: Type 2 DM is a major health problem in the present world with its high micro andmacrovascular complications leading to increased mortality and morbidity. Our diagnosed T2DMrepresents the tip of the iceberg, where the hidden part places a vital challenge to the health caresystem. Objectives: Various risk factors are identified to screen the population for diabetes which isstill an incomplete list hence we aimed to identify the dental illness as a potent risk factor to screenT2DM and Prediabetes. Methodology: This is an observational study in which 92 patients attendingto dental clinic except for traumatic problems were screened for T2DM with random blood sugar andHbA1c. Results: In our study we observed 22.8% pre-diabetic and 8.8% with newly diagnosedT2DM among the study population. Chronic periodontitis was accounting for more than 60% of thesubjects presenting dental illness. Conclusion: In our study we conclude that dental illness to beaccounted as a potent risk factor for T2DM/Pre-Diabetes.

show abstract

“…Accordingly, a systematic review concluded that point-of-care testing was effective. 30 In contrast, this form of screening has several limitations. The correct use of blood collection and analysis by dental staff appears difficult and may result in many false-positive results.…”

Section: Comparison To the Existing Literaturementioning

confidence: 99%

Evaluation of a questionnaire‐based diabetes screening concept in German patients with Stage III or IV periodontitis: A practice‐based study

Schmalz

Wolf

Merle

et al. 2020

Journal of Periodontology

View full text Add to dashboard Cite

Background: This practice-based retrospective study evaluated a screening method for diabetes mellitus (DM) in patients with Stage 3 or 4 periodontitis using the FINDRISC questionnaire. Methods: Patients with Stage 3 or 4 periodontitis who received FINDRISC screening in a German private dental practice were recruited. Individuals with positive FINDRISC scores (≥12, FINDRISC+) were referred for diabetological examination. Several general and periodontal findings from the patients' documentation were recorded and analyzed. Results: A total of 179 patients (52.65 ± 11.49 years) were included. In DM screening, 24.6% (n = 44) patients were FINDRISC+, including all patients with currently known DM (21 of 21). Of the remaining FINDRISC+ patients, 82.6% (19 of 23) visited their general practitioner, and 63.2% (12 of 19, 7.6% of total cohort) had an HbA1c ≥5.7%. Accordingly, 75% of the FINDRISC+ patients were diabetologically conspicuous (HbA1c ≥ 5.7%), including those with already known DM. Patients with previously unknown DM showed higher mean age, more missing teeth, a higher periodontitis stage (more Stage 4) and more frequently teeth with suppuration compared with the diabetologically inconspicuous individuals (P <0.01). Conclusion: The FINDRISC questionnaire is appropriate for patients with Stage 3 or 4 periodontitis and can be recommended in dental practice setting.

show abstract

Screening for dysglycaemia in dental primary care practice settings: systematic review of the evidence

Cited by 19 publications

References 63 publications

IDF Diabetes Atlas: Diabetes and oral health – A two-way relationship of clinical importance

IDF Diabetes Atlas: Diabetes and oral health – A two-way relationship of clinical importance

Validity of Screening for Pre-Diabetes and Type2 DM in Patients Presenting with Oral Symptoms

Evaluation of a questionnaire‐based diabetes screening concept in German patients with Stage III or IV periodontitis: A practice‐based study

Contact Info

Product

Resources

About