Highlights
- •Periodontitis is considered to be a complication of diabetes mellitus.
- •Diabetologist are currently not informed on their patients' oral health status.
- •An oral health questionnaire (OHQ) can be used for the exchange of information.
- •The OHQ is a valuable tool for screening of undiagnosed periodontitis.
- •In clinical practice, however, the transfer of information is far from optimal.
Abstract
Background
Diabetes care includes annual evaluation of micro- and macrovascular complications,
however, oral pathologies are not included. We studied retrieving oral health information,
in particular periodontal disease, from the dentist and studied the association between
the reported periodontal condition and variables of both diabetes and dental care.
Methods
During their annual comprehensive diabetes evaluation, patients were asked to deliver
an oral health questionnaire (OHQ) to their dentist. Based on the returned OHQs, the
process of retrieving oral health information from the dentist was analyzed. In addition,
reported oral health measures with special emphasis to periodontitis, using a Periodontal
Screening Index (PSI), were related to diabetes-related variables.
Results
We included 889 patients of whom 102 patients (11%) did not visit a dentist at all
and 252 (28%) were edentulous. The response rate was <50% for oral information on patients with diabetes. For the second aim, OHQs of 207
patients could be further analyzed. A moderate to high PSI-score was found in 106
patients, of whom 65% were untreated for periodontitis. Furthermore high PSI-scores
were associated with poor oral hygiene, soft tissue pathologies and periodontal treatment,
but not significantly with glycemic control and presence of diabetes complications.
Conclusion
The transfer of information from the dentist to the diabetologist is far from optimal.
An OHQ can be a valuable tool for the identification of patients with diabetes with
poor oral health especially untreated periodontal disease, which is helpful for proper
diabetes management.
Abbreviations:
ADA (American Dental Association), OHQ(s) (oral health questionnaire(s)), PSI (periodontal screening index)Keywords
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Article info
Publication history
Published online: July 06, 2015
Accepted:
June 12,
2015
Received in revised form:
May 17,
2015
Received:
January 2,
2015
Identification
Copyright
© 2015 European Federation of Internal Medicine. Published by Elsevier Inc. All rights reserved.
