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

Abstract

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.

Versorgungsforschung in der Zahnmedizin in Deutschland

“…An der Universität Hamburg ist der Lehrstuhl für Zahnärztliche Prothetik erfolgreich in der HCHS engagiert, u. a. zu Fragen der mundgesundheitsbezogenen Lebensqualität und Patientenautonomie [ 14 , 15 ]. Die Polikliniken für Zahnerhaltung an den Universitätskliniken Freiburg, Göttingen (gemeinsam mit der Zahnersatzkunde) und Leipzig haben praxisbasierte Forschungsnetzwerke geschaffen [ 8 ]; letzterer Verbund widmet sich schwerpunktmäßig den Zusammenhängen von Zahnmedizin und chronischen Allgemeinerkrankungen [ 16 , 17 ]. Weiter finden sich Aktivitäten an der Universität Münster – etwa zum Register Oraler Manifestationen Seltener Erkrankungen [ 18 ] – und der Universitätszahnklinik Witten/Herdecke, u. a. zu den Themen „Zuckerkonsum“ und „Menschen mit Behinderung“ [ 19 ].…”

Evaluation of a Digital Decision Support System to Integrate Type 2 Diabetes Mellitus and Periodontitis Care: Case-Vignette Study in Simulated Environments

“…Improving cooperation and information exchange between primary and oral health care could offer health and economic benefits. For example, previous studies have demonstrated the potential of screening instruments for prediabetes or diabetes and periodontitis risk as a basis for more integrated care concepts [11][12][13].…”