Oral health information from the dentist to the diabetologist

Ahdi, Mohamed; Teeuw, Wijnand J.; Meeuwissen, Hedvig G.T.A.; Hoekstra, J. B. L.; Gerdes, Victor E. A.; Loos, Bruno G.; Meesters, Eelco W.

doi:10.1016/j.ejim.2015.06.006

Cited by 11 publications

(10 citation statements)

References 23 publications

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“…Periodontitis is a biofilm‐induced chronic inflammatory disease with debilitating effects when left untreated and based on recent data, up to 50% of the population is affected by a form of periodontitis (Kassebaum et al, 2014 ; Wahlin et al, 2018 ). However, at least 10% of the subjects who are seen by general physicians do not visit the dentist (Ahdi et al, 2015 ), thus screening for periodontitis in a non‐dental medical professional setting could be a useful tool for early periodontal screening.…”

Section: Introductionmentioning

confidence: 99%

Comparing periodontitis biomarkers in saliva, oral rinse and gingival crevicular fluid: A pilot study

Katsiki

Nazmi

Loos

et al. 2021

J Clinic Periodontology

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Aim To explore the feasibility of screening for periodontitis by measuring biomarkers, namely total proteolytic activity (TPA), matrix metalloproteinase (MMP)‐8, chitinase, lysozyme or their combination, in saliva, oral rinse and gingival crevicular fluid (GCF). Material and methods Subjects were recruited among healthy/gingivitis individuals and untreated periodontitis patients in Academic Centre for Dentistry Amsterdam (ACTA). All participants donated samples of unstimulated whole saliva, oral rinse and GCF. The protein concentrations and MMP‐8 levels were determined by ELISA. Enzymatic activities were measured using appropriate fluorogenic substrates. Results In oral rinse samples, periodontitis patients (n = 19) exhibited significantly higher concentrations of MMP‐8 and TPA than controls (n = 20). MMP‐8 in combination with chitinase explained 88% of the variance and assigned a subject to control or periodontitis group, with best accuracy (87.2%) in oral rinse. Conclusions The combination of MMP‐8 and chitinase in the current oral rinse procedure has the potential to discriminate periodontitis from periodontal health/gingivitis.

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Section: Introductionmentioning

confidence: 99%

Comparing periodontitis biomarkers in saliva, oral rinse and gingival crevicular fluid: A pilot study

Katsiki

Nazmi

Loos

et al. 2021

J Clinic Periodontology

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“…Notably, among patients with moderate-to-high PSI scores, 65% had untreated PD. The study reported that moderate-to-high PSI was moderately more prevalent in 54% of the population with T2DM and in 57% of patients exhibiting obesity, but response rate for questionnaire completion was reported as 41% [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Observation of Outcomes and Patient Access to Integrated Care Following Point-of-Care Glycemic Screening in Community Health Center Dental Safety Net Clinics

Glurich

Berg

Panny

et al. 2021

Front. Oral. Health

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Introduction: Rates of diabetes/prediabetes continue to increase, with disparity populations disproportionately affected. Previous field trials promoted point-of-care (POC) glycemic screening in dental settings as an additional primary care setting to identify potentially at-risk individuals requiring integrated care intervention. The present study observed outcomes of POC hemoglobin A1c (HbA1c) screening at community health center (CHC) dental clinics (DC) and compliance with longitudinal integrated care management among at-risk patients attending dental appointments.Materials and Methods: POC HbA1c screening utilizing Food and Drug Administration (FDA)-approved instrumentation in DC settings and periodontal evaluation of at-risk dental patients with no prior diagnosis of diabetes/prediabetes and no glycemic testing in the preceding 6 months were undertaken. Screening of patients attending dental appointments from October 24, 2017, through September 24, 2018, was implemented at four Wisconsin CHC-DCs serving populations with a high representation of disparity. Subjects meeting at-risk profiles underwent POC HbA1c screening. Individuals with measures in the diabetic/prediabetic ranges were advised to seek further medical evaluation and were re-contacted after 3 months to document compliance. Longitudinal capture of glycemic measures in electronic health records for up to 2 years was undertaken for a subset (n = 44) of subjects with available clinical, medical, and dental data. Longitudinal glycemic status and frequency of medical and dental access for follow-up care were monitored.Results: Risk assessment identified 224/915 (24.5%) patients who met inclusion criteria following two levels of risk screening, with 127/224 (57%) qualifying for POC HbA1c screening. Among those tested, 62/127 (49%) exhibited hyperglycemic measures: 55 in the prediabetic range and seven in the diabetic range. Moderate-to-severe periodontitis was more prevalent in patients with prediabetes/diabetes than in individuals with measures in the normal range. Participant follow-up compliance at 3 months was 90%. Longitudinal follow-up documented high rates of consistent access (100 and 89%, respectively), to the integrated medical/DC environment over 24 months for individuals with hyperglycemic screening measures.Conclusion: POC glycemic screening revealed elevated HbA1c measures in nearly half of at-risk CHC-DC patients. Strong compliance with integrated medical/dental management over a 24-month interval was observed, documenting good patient receptivity to POC screening in the dental setting and compliance with integrated care follow-up by at-risk patients.

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“…Elangovan et al (2014), consideram o consultório odontológico como um cenário ideal que oportuniza a captação de pacientes com diabetes não diagnosticados e também o monitoramento do controle glicêmico em portadores de diabetes, durante as consultas da terapia periodontal de suporte (TPS) do paciente, que tem frequência comumente estipulada entre três e seis meses após a conclusão do tratamento inicial. Ahdi et al (2015), por outro lado, sugerem que a troca contínua de informações entre o médico do paciente e seu dentista pode ser uma ferramenta útil, para a identificação de pacientes que tenham diabetes com pobre saúde bucal, sobretudo aqueles portadores de DP não diagnosticada e, consequentemente, não tratada.…”

Section: Relação Entre Médico E Dentista No Cuidado Integral Com Diabunclassified

Cuidado integrado do paciente periodontal diabético tipo 2 na Atenção Básica: revisão scoping

Oliveira

Barbosa

Negreiros

et al. 2020

Physis

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Resumo Objetivo: Investigar a existência de protocolos validados para o cuidado do paciente periodontal com diabetes mellitus tipo 2 (DM2), a fim de transformá-los em recomendações para ações que poderiam ser desenvolvidas no âmbito da atenção primária em saúde. Métodos: Foi realizada uma revisão scoping, para a qual foi revista a literatura publicada de 2012 a 2019 nas bases de dados PubMed, Scielo, LILACS, Web of Science e Scopus, nas línguas inglesa, espanhola e portuguesa. Resultados: Foram encontrados 236 títulos, dos quais 37 foram selecionados para leitura integral. Os artigos foram agrupados em quatro eixos, de acordo com a similaridade de abordagens para o assunto tratado. Conclusão: Recomenda-se desenvolver estudos que investiguem o impacto da integração da assistência médica e odontológica no controle glicêmico de pacientes com DM2 e validem os protocolos clínicos para a assistência multidisciplinar desse paciente no contexto da atenção primária em saúde.

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Oral health information from the dentist to the diabetologist

Cited by 11 publications

References 23 publications

Comparing periodontitis biomarkers in saliva, oral rinse and gingival crevicular fluid: A pilot study

Comparing periodontitis biomarkers in saliva, oral rinse and gingival crevicular fluid: A pilot study

Longitudinal Observation of Outcomes and Patient Access to Integrated Care Following Point-of-Care Glycemic Screening in Community Health Center Dental Safety Net Clinics

Cuidado integrado do paciente periodontal diabético tipo 2 na Atenção Básica: revisão scoping

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