The place of periodontal examination and referral in general medicine

Chan, Samuel; Pasternak, Graham M.; West, Malcolm

doi:10.1111/prd.12199

Cited by 17 publications

(20 citation statements)

References 43 publications

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“…The fields of dentistry and medicine are interdependent and complementary, and recognizing the diseases that influence either profession is beneficial to all concerned 38 . The present study clearly reinforces the need to qualitatively and quantitatively develop the relationship between GPs and dentists.…”

Section: Resultssupporting

confidence: 76%

“…The fields of dentistry and medicine are interdependent and complementary, and recognizing the diseases that influence either profession is beneficial to all concerned. 38 The present study clearly reinforces the need to qualitatively and quantitatively develop the relationship between GPs and dentists. Future avenues of research could inform the development and implementation of public health campaigns and joint higher education programmes for GPs.…”

Section: Discussionsupporting

confidence: 81%

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Awareness and practices of general practitioners towards the oral‐systemic disease relationship: A regionwide survey in France

Dubar

Delatre

Moutier

et al. 2019

Evaluation Clinical Practice

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Rationale, aim, and objective: "Periodontal medicine" is based on evidence of interactions between periodontal disease and overall health. The aim of the present study was to assess awareness of oral-systemic disease relationship among French general practitioners (GPs) and clarify how this influences their practices in a wider effort to better integrate oral health concerns into global health care delivery. Method: GPs registered in the north of France were invited to complete an online self-administered questionnaire through local divisions of the French Medical Board. The questionnaire was divided into four sections: socio-demographic aspects, knowledge, practices, and an overview. Results: The questionnaire was completed by 253 GPs. Among these, 75% were aware of the association between periodontitis (PD) and diabetes, and 53% to 59% were aware of the impact of PD on cardiovascular diseases, inflammatory bowel diseases, and respiratory infections. Few GPs identified PD as a possible risk factor of rheumatoid arthritis and Alzheimer disease (35.18% and <15%, respectively); 74.31% of GPs reported never asking their patients about their periodontal health. However, a personal history of PD and professional experiences seem to influence the medical practices of GPs to include oral examination. GPs largely self-rated their knowledge of the oral-systemic disease connection as being insufficient and were favourable to completing an up-to-date training course (86.56%). Conclusion: French GPs' knowledge about the association of PD with systemic diseases seems to be fair, but discrepancies in their daily clinical routine were found. Promisingly, a positive attitude was observed towards improving their knowledge of oral-systemic diseases link. These results indicate the importance to reinforce collaboration between medical doctors and oral health care specialists.

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Section: Resultssupporting

confidence: 76%

Section: Discussionsupporting

confidence: 81%

Awareness and practices of general practitioners towards the oral‐systemic disease relationship: A regionwide survey in France

Dubar

Delatre

Moutier

et al. 2019

Evaluation Clinical Practice

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“…In 2007, the World Health Organization (WHO) called on the integration of health policies regarding oral and general health (1). The European Union and the USA have also emphasized the importance of oral health in overall health (2). Numerous studies have shown a relationship between deficiently poor oral hygiene and different systemic disorders, such as cardiovascular disease (CVD) and metabolic syndrome (MetS).…”

Section: Introductionmentioning

confidence: 99%

Periodontal Diseases and the Risk of Metabolic Syndrome: An Updated Systematic Review and Meta-Analysis

Gobin

Tian

et al. 2020

Front. Endocrinol.

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Background: Periodontitis and metabolic syndrome (MetS) are two major global health problems that are widely prevalent in the world, although the former is a common infection in developing countries and the latter is a non-infectious but prevalent disease in developed countries. This study aims to provide an updated review on the existence and magnitude of the relationship between periodontal disease and the risk of MetS. Methods: We searched the PubMed, Web of Science, ScienceDirect, Chinese National Knowledge Infrastructure, and Wanfang databases for original studies assessing the association between periodontitis and MetS published before August 2019. We calculated the pooled crude and adjusted odds ratios (ORs) together with the 95% confidence intervals (95% CIs) to estimate the strength of this association. Subgroup analysis was performed by considering the diagnostic method or the country where the studies were performed. Results: We identified 43 potentially eligible articles for this systematic review, including 32 cross-sectional studies, eight case-control studies, and three cohort studies. Among them, 39 articles presented enough information to be included in the meta-analysis. The pooled crude and adjusted ORs were 1.99 (95% CI: 1.75-2.25) and 1.46 (95% CI: 1.31-1.61), respectively. Subgroup analysis showed a consistent relation stratified by either the diagnostic method or the country where the studies were performed. The pooled OR was 1.68 (95% CI: 1.41-2.00) for Japan, 1.75 (95% CI: 1.31-2.34) for the USA, 1.81 (95% CI: 1.35-2.42) for Korea, and 2.29 (95% CI: 1.53-3.41) for China. Conclusion: Our results provide compelling evidence for the association between periodontitis and MetS. Patients with periodontal disease are a critical screening population for MetS. We also recommend that people exhibiting components of MetS should receive a periodontal checkup and pay attention to their oral health.

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“…The composition of the oral microbial community is highly variable from person to person and is affected by many factors, including diet, personal oral hygiene, stress, and medicinal drug exposure. Perturbations in the indigenous oral microbial population can cause oral infections, which have been linked to bacterial endocarditis, kidney disease, and diabetes [9–11]. In consideration of the importance of the oral microbiota to the overall health of an individual, disturbing the oral microbiota by exposure to STPs could be a critical step for initiating those adverse health consequences.…”

Section: Introductionmentioning

confidence: 99%

Smokeless tobacco impacts oral microbiota in a Syrian Golden hamster cheek pouch carcinogenesis model

et al. 2018

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The use of smokeless tobacco products (STPs) can cause many serious health problems. The oral microbiota plays important roles in oral and systemic health, and the disruption in the oral microbial population is linked to periodontal disease and other health problems. To assess the impact of smokeless tobacco on oral microbiota in vivo, high-throughput sequencing was used to examine the oral microbiota present in Syrian Golden hamster cheek pouches. Sixteen hamsters were divided into four groups and treated with the STP Grizzly snuff (0, 2.5, 25, or 250 mg) twice daily for 4 weeks. After 0, 1, 2, 3, and 4 weeks of treatment, bacterial genomic DNA was extracted from oral swabs sampled from the cheek pouches of the hamsters. The oral bacterial communities present in different hamster groups were characterized by sequencing the hypervariable regions V1-V2 and V4 of 16S rRNA using the Illumina MiSeq platform. Fifteen phyla, 27 classes, 59 orders, 123 families, and 250 genera were identified from 4,962,673 sequence reads from the cheek pouch samples. The bacterial diversity and taxonomic abundances for the different treatment groups were compared to the non–treated hamsters. Bacterial diversity was significantly decreased after 4 weeks of exposure to 2.5 mg, and significantly increased by exposure to 250 mg STP. Treatment with 250 mg STP significantly increased Firmicutes, transiently increased Cyanobacteria and TM7, and decreased Bacteroidetes and Fusobacteria compared to the control group. At the genus level, 4 weeks of administration of 250 mg STP significantly increased Granulicatella, Streptococcus, Oribacterium, Anaerococcus, Acidaminococcus, Actinomyces, Eubacterium, Negativicoccus, and Staphylococcus, and decreased Bacteroides, Buleidia, Dialister, and Leptotrichia, and transiently decreased Arcanobacterium compared to the control group. For the first time, an animal model was used for evaluating the effects of STP on oral microbiota by metagenomic sequencing. Our results provide a view of the shift of the oral microbiota in response to STP exposure in Syrian Golden hamster. Our findings indicate that the use of smokeless tobacco significantly disrupts the oral microbiota.

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The place of periodontal examination and referral in general medicine

Cited by 17 publications

References 43 publications

Awareness and practices of general practitioners towards the oral‐systemic disease relationship: A regionwide survey in France

Awareness and practices of general practitioners towards the oral‐systemic disease relationship: A regionwide survey in France

Periodontal Diseases and the Risk of Metabolic Syndrome: An Updated Systematic Review and Meta-Analysis

Smokeless tobacco impacts oral microbiota in a Syrian Golden hamster cheek pouch carcinogenesis model

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