Screening for diabetes mellitus in dental practices

Genco, Robert J.; Schifferle, Robert E.; Dunford, Robert G.; Falkner, Karen L.; Hsu, William C.; Balukjian, James

doi:10.14219/jada.2013.7

Cited by 97 publications

(137 citation statements)

References 18 publications

Supporting

Mentioning

128

Contrasting

Order By: Relevance

“…Genco and colleagues (2014) aimed to determine whether point-of-care measurement of HbA1c from a finger-prick blood sample, in combination with use of the ADA Diabetes Risk Test; demographic and health data; and periodontal evaluation, would be useful in establishing a feasible method of screening for undiagnosed diabetes and prediabetes in dental practices. They found that their results also supported the notion that screening for prediabetes and diabetes is feasible in a dental office, with acceptance by the dentist, patients' physicians and patients (Genco et al, 2014). Again, this study did not follow-up patients found to be at risk of diabetes, so it was not known whether the screening test had an effect on subsequent behaviour.…”

Section: Patients' Views On Screening For Diabetes In Dental Settingsmentioning

confidence: 63%

“…Four US studies (Bossart et al, 2016;Genco et al, 2014;Greenberg, Kantor, Jiang, & Glick, 2012b;Herman et al, 2015) reliably supported the notion that screening for prediabetes and diabetes using a combination of invasive and / or self-report methods was feasible, acceptable to patients and the dental team and effective in US dental offices.…”

Section: Screening For Diabetes In the Dental Settingmentioning

confidence: 92%

See 1 more Smart Citation

Screening for diabetes in dental settings

2014

Dental Abstracts

View full text Add to dashboard Cite

show abstract

Section: Patients' Views On Screening For Diabetes In Dental Settingsmentioning

confidence: 63%

Section: Screening For Diabetes In the Dental Settingmentioning

confidence: 92%

Screening for diabetes in dental settings

2014

Dental Abstracts

View full text Add to dashboard Cite

show abstract

“…Studies in the USA report a prediabetic HbA1c range as 5.7% to 6.4% and suggest people with HbA1c > 6.4% on more than one reading has diabetes [27,28]. Genco et al [28] investigated the utility of screening for diabetes in dental settings and concluded forty percent had an HbA1c level of greater than 5.7% and were referred on for further diagnosis with 12% confirmed and 23% with prediabetes.…”

Section: Discussionmentioning

confidence: 99%

“…Genco et al [28] investigated the utility of screening for diabetes in dental settings and concluded forty percent had an HbA1c level of greater than 5.7% and were referred on for further diagnosis with 12% confirmed and 23% with prediabetes. This study was performed in both private dental offices and in a community health centre [28]. In contrast our pilot study was confined to the public community health dental setting with high risk patients.…”

Section: Discussionmentioning

confidence: 99%

Embracing Change In Dental Practice To Deliver Better Health Outcomes- A Type 2 Diabetes Screening and Oral Health Pilot Program

Mj¹,

Ja²,

S³

et al. 2017

Dentistry

View full text Add to dashboard Cite

Disadvantaged communities carry the highest burden of disease with respect to oral and general health. Diabetes is a growing chronic-condition in Australia with those living in regional or lower socio-economic areas at a higher risk of developing diabetes and experiencing the associated complications. Oral and periodontal disease has been linked to diabetes. Within the community dental clinic we aimed to determine the feasibility of screening for diabetes and reduce the burden of both diseases. All patients presenting to the community dental clinic of the Colac Area Health Service were given the opportunity to participate in a Diabetes screening assessment. Adults who consented completed the Australian Type 2 Diabetes Risk Assessment (AUSDRISK) with those at high risk offered an HbA1c blood test. Six hundred and seventy patients were invited to participate. Seventy-five reported confirmed diabetes and 125 were currently being monitored by their general practitioner. Ninety-six of the remaining 470 eligible patients declined to participate (participation rate 80%). The AUSDRISK was completed by 371 patients (n=3 incomplete) and identified 56 (15%) as low risk, 123 (33%) at intermediate risk and 192 (52%) at high risk. Following HbA1c blood testing, 14 patients were in the high risk range (>6.0%). The high risk category according to the AUSDRISK included 31% emergency patients, an average of 25 (IQR 19-29) Decayed Missing or Filled Teeth, 49% with early signs of periodontal disease, 73% aged 55 years or older, 48% male, 36% had a direct relative with diabetes, 18% had hypertension, 29% currently smoked and 75% had waist measurements >90 cm for men and 80cm for women. The study demonstrated that 68% of patients willing to participate in the study presenting to the community dental clinic had either confirmed diabetes, were being tested by their general practitioner or were in a high risk category (AUSDRISK).

show abstract

“…Type II Diabetes mellitus 6 and hypertension are among the most afflicted global health problems which remains insidious until complication arises, such as vascular damage, angina or myocardial infarction. 7 In a research by Glick et al, it is suggested that future research must focus on screening risk factors of cardiovascular diseases, chronic obstructive pulmonary diseases, diabetes, or kidney disease. 4 From strategic point of view dentist could be an important resource for integrated health care delivery to the patients who present in dental clinics with systemic disease.…”

Section: Introductionmentioning

confidence: 99%