Indian patients’ attitudes towards chairside screening in a dental setting for medical conditions

Sansare, Kaustubh; Raghav, Mamta; Kasbe, Abhiram M.; Karjodkar, Freny; Sharma, Neeraj; Gupta, Ambika; Singh, Harpreet; Iyengar, Asha R; Patil, Seema; Selvamuthukumar, Sanarpalayam Chinaswamy; Krithika, Chandrasekaran; Glick, Michael; Greenberg, Barbara

doi:10.1111/idj.12175

Cited by 11 publications

(19 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among studies that asked patients whether they felt it was "important" that dentists identify individuals at high risk of T2DM, patient support was strong, in a range of 73%-87% [33,35,36,[39][40][41]. In addition to this acknowledgement, most patients surveyed were willing to undergo chairside screening methods that yielded immediate results and discuss the results of such tests with their dentist [35,36,39,40].…”

Section: Resultsmentioning

confidence: 99%

The Role of the Oral Healthcare Team in Identification of Type 2 Diabetes Mellitus: A Systematic Review

Yonel

Batt

Jane

et al. 2020

Curr Oral Health Rep

View full text Add to dashboard Cite

Purpose of Review Type 2 diabetes (T2DM) presents a growing global health and economic burden. Dental settings have been employed to identify individuals who may be at high risk of diabetes, who exhibit non-diabetic hyperglycaemia (NDHalso termed "prediabetes") and who already unknowingly have the condition, through the use of targeted risk-assessments. This review aims to synthesize the existing literature supporting dental teams' identification of individuals at an increased risk of or suffering from undiagnosed NDH or T2DM in dental specialist care settings. Recent Findings Electronic databases were searched for studies reporting the identification of NDH and or T2DM, in specialist care dental settings. Screening of returned articles and data extraction were completed by two independent reviewers (RJ, ZY). A descriptive synthesis of the included articles was undertaken. Due to heterogeneity of the literature, a meta-analysis could not be performed. The search yielded 52 eligible studies, of which 12 focused primarily on stakeholder opinions. Opinions of patients, dentists, dental hygienists, dental students and physicians on case identification of T2DM by oral health professionals were generally positive. The main barriers cited were time, cost, inadequate training and low follow-up of participants by primary care physicians. The risk assessment processes varied, with most studies using a combination of methods consisting of a questionnaire followed by a chairside blood sample. Methods utilizing questionnaires, gingival crevicular blood (GCB), fingerstick blood (FSB) and urine samples have all been evaluated. Summary This review demonstrates that there may be benefit in engaging the dental workforce to identify cases of NDH and undiagnosed T2DM and that such a care pathway has the support of multiple stakeholders. Further high-quality research is required to assess both the clinical and cost-effectiveness of such practice in order to optimize protocols and patient care pathways. Studies should include a comparison of methods, health economic analyses and protocols to ensure those identified as high-risk go on to receive appropriate follow-up care.

show abstract

Section: Resultsmentioning

confidence: 99%

The Role of the Oral Healthcare Team in Identification of Type 2 Diabetes Mellitus: A Systematic Review

Yonel

Batt

Jane

et al. 2020

Curr Oral Health Rep

View full text Add to dashboard Cite

show abstract

“…Chair-side screening for diabetes in the dental office is generally well accepted by dental care providers [133][134][135], physicians [136], medical and dental authorities and professional organizations (although uncertain about the concept) [137], and dental patients [138], inclusive older minority groups [139].…”

Section: Acceptance Of Screening For Diabetes In the Dental Officementioning

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

“…35,36 Several studies have suggested that a dental office is a suitable setting for the purpose of screening and referrals for many diseases and conditions, including CVD, HIV, and others. 23,[44][45][46][47] Other studies have explored how dentists can contribute to a related activity: that of increasing awareness of a healthier lifestyle. 23,[44][45][46][47] Other studies have explored how dentists can contribute to a related activity: that of increasing awareness of a healthier lifestyle.…”

Section: Implications For Dental Educationmentioning

confidence: 99%

“…[36][37][38][39][40][41][42][43] Furthermore, studies have found that dentists, patients, and physicians were willing to perform medical screenings in a dental setting. 23,[44][45][46][47] Other studies have explored how dentists can contribute to a related activity: that of increasing awareness of a healthier lifestyle. 48,49 Suggestions have also been made for OHCPs to become involved in other nontraditional health-related activities, including vaccinations.…”

Section: Implications For Dental Educationmentioning

confidence: 99%

The Role of Oral Health Care Professionals in Providing Medical Services

Glick¹,

Greenberg

2017

Journal of Dental Education

Self Cite

View full text Add to dashboard Cite

Integration of oral health care professionals (OHCPs) into medical care could advance efforts to control increasingly prevalent conditions such as cardiovascular disease, diabetes mellitus, human immunodeficiency virus infection, and hepatitis C infection, each of which is associated with significant morbidity and health care costs. Prevention and early intervention are effective for reducing the incidence and severity of these diseases, while increasing cost of health care may drive the need for nontraditional models of health education and delivery. Studies have suggested that a dental office is a suitable setting for the purpose of screening and referrals for these conditions and may result in medical expenditure savings. Such innovations would challenge the current dental educational model and the education and training of faculty. Implementing this change would require recognizing opportunities and challenges for the profession and the need for new competencies in dental curricula. Challenges and opportunities are described, including reimbursement models and integration of OHCPs into emerging health care delivery models. Ideas for curricular change are presented, including the need for added emphasis on biological sciences and the introduction of new courses to address systems thinking and forces driving preventive behavior. To embrace the evolving health care arena and be a part of the future interprofessional health care delivery dynamic, dental curricula should also include substantive interprofessional education opportunities. Such opportunities would provide the basic skills and training to recognize and appreciate patients' oral health issues in the broader context of their overall health and well-being. This article was written as part of the project "Advancing Dental Education in the 21 Century."

show abstract

Indian patients’ attitudes towards chairside screening in a dental setting for medical conditions

Abstract: Indian dental patients were in favour of chairside medical screening.

Cited by 11 publications

References 23 publications

The Role of the Oral Healthcare Team in Identification of Type 2 Diabetes Mellitus: A Systematic Review

The Role of the Oral Healthcare Team in Identification of Type 2 Diabetes Mellitus: A Systematic Review

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

The Role of Oral Health Care Professionals in Providing Medical Services

Contact Info

Product

Resources

About