L N Borrell1, C Kunzel, I Lamster, E Lalla. 1. Department of Epidemiology, Columbia University College of Dental Medicine and Mailman School of Public Health, Columbia University, New York, NY 10032, USA. lnb2@columbia.edu
Abstract
BACKGROUND AND OBJECTIVE: Recent data have suggested that in the past 15 years there has been a dramatic increase in the incidence of diabetes mellitus in the USA. However, evidence suggests that approximately one-third of diabetes cases remain undiagnosed. Because 60% of Americans see a dentist at least once per year for routine, nonemergent, care, it is reasonable to propose that the dental office can be a healthcare location actively involved in screening for unidentified diabetes. MATERIAL AND METHODS: This study used NHANES III to develop a predictive equation that can form the basis of a tool to help dentists determine the probability of undiagnosed diabetes by using self-reported data and periodontal clinical parameters routinely assessed in the dental office. RESULTS: Our analyses reveal that individuals with a self-reported family history of diabetes, hypertension, high cholesterol levels and clinical evidence of periodontal disease bear a probability of 27-53% of having undiagnosed diabetes, with Mexican-American men exhibiting the highest probability and white women the lowest. CONCLUSION: These findings suggest that the dental office could provide an important opportunity to identify individuals unaware of their diabetic status.
BACKGROUND AND OBJECTIVE: Recent data have suggested that in the past 15 years there has been a dramatic increase in the incidence of diabetes mellitus in the USA. However, evidence suggests that approximately one-third of diabetes cases remain undiagnosed. Because 60% of Americans see a dentist at least once per year for routine, nonemergent, care, it is reasonable to propose that the dental office can be a healthcare location actively involved in screening for unidentified diabetes. MATERIAL AND METHODS: This study used NHANES III to develop a predictive equation that can form the basis of a tool to help dentists determine the probability of undiagnosed diabetes by using self-reported data and periodontal clinical parameters routinely assessed in the dental office. RESULTS: Our analyses reveal that individuals with a self-reported family history of diabetes, hypertension, high cholesterol levels and clinical evidence of periodontal disease bear a probability of 27-53% of having undiagnosed diabetes, with Mexican-American men exhibiting the highest probability and white women the lowest. CONCLUSION: These findings suggest that the dental office could provide an important opportunity to identify individuals unaware of their diabetic status.
Authors: David A Albert; Angela Ward; Pamela Allweiss; Dana T Graves; William C Knowler; Carol Kunzel; Rudolph L Leibel; Karen F Novak; Thomas W Oates; Panos N Papapanou; Ann Marie Schmidt; George W Taylor; Ira B Lamster; Evanthia Lalla Journal: Ann N Y Acad Sci Date: 2012-03-12 Impact factor: 5.691
Authors: Isabel C Gay; Duong T Tran; Adriana C Cavender; Robin Weltman; Jennifer Chang; Estelle Luckenbach; Gena D Tribble Journal: J Clin Periodontol Date: 2014-06-01 Impact factor: 8.728
Authors: Shiela M Strauss; Janet Tuthill; Geetika Singh; David Rindskopf; Jack A Maggiore; Robert Schoor; Anya Brodsky; Adi Einhorn; Amanda Hochstein; Stefanie Russell; Mary Rosedale Journal: J Periodontol Date: 2011-11-16 Impact factor: 6.993