The integration of diet and nutrition lifestyle management strategies into the dental office visit for diabetes risk reduction and management

Are dental providers the next line of HPV-related prevention? Providers’ perceived role and needs

“…Further, approximately 63% [95% CI 50–75%] of all oropharyngeal cancers are attributable to HPV and may be preventable [6] , [7] , demonstrating a need for public health interventions to reduce HPV-related oropharyngeal cancer incidence.In response to HPV-related oropharyngeal cancers as a growing public health concern, the American Dental Association (ADA) released a statement instructing dental providers “to educate themselves and their patients about the relationship between HPV and oropharyngeal cancer [8] ”. The dental profession has historically been involved in prevention efforts related to a number of health concerns, including tobacco use, diabetes, cardiovascular disease, human immunodeficiency virus, and disordered eating [9] , [10] , [11] , [12] , [13] , [14] , [15] . Dental providers have engaged in secondary prevention methods related to HPV and oropharyngeal cancer, and may be well positioned to engage in other HPV-related prevention efforts.…”

Oral health and nutrition as gatekeepers to overall health: We are all in this together

“…[19,23] Diabetes screening in the dental practice may include identification of some level of risk based on age, race/ethnicity, overweight or obesity, central adiposity through self-reported waist circumference, and physical inactivity, followed by a periodontal examination and a point-of-care hemoglobin A1c test. [23,25] For those with suspected prediabetes or diabetes, lifestyle interventions include losing a modest amount of weight (7% of bodyweight), increasing physical activity to at least 150 min/week, reducing calories and dietary fat to improve weight loss, limiting alcohol consumption, choosing whole grain or higher fiber carbohydrates in controlled quantities, and limiting refined carbohydrate sources. [25] Patients should be referred to a physician for a definitive diagnosis and to a registered dietitian to receive appropriate and detailed medical nutrition therapy in order to receive proper treatment.…”

“…[23,25] For those with suspected prediabetes or diabetes, lifestyle interventions include losing a modest amount of weight (7% of bodyweight), increasing physical activity to at least 150 min/week, reducing calories and dietary fat to improve weight loss, limiting alcohol consumption, choosing whole grain or higher fiber carbohydrates in controlled quantities, and limiting refined carbohydrate sources. [25] Patients should be referred to a physician for a definitive diagnosis and to a registered dietitian to receive appropriate and detailed medical nutrition therapy in order to receive proper treatment. [25]…”

“…[25] Patients should be referred to a physician for a definitive diagnosis and to a registered dietitian to receive appropriate and detailed medical nutrition therapy in order to receive proper treatment. [25]…”

A Mixed-Methods Examination of Factors Related to HPV Vaccination Promotion in Private Dental Settings, Iowa, 2019

“…Dental hygienists and dentists (collectively called dental providers) have been identified as a group to enlist in HPV vaccine promotion (6,7). The American Dental Association (ADA) released a statement that "urges dentists, as well as local and state dental societies, to support the use and administration of the HPV vaccine" (8). Moreover, dental providers have long been essential in providing preventive health care, with documented success helping patients understand diabetes management (9) and tobacco cessation (10).…”