Periodontal disease, undiagnosed diabetes, and body mass index: Implications for diabetes screening by dentists.
Periodontal disease, undiagnosed diabetes, and body mass index: Implications for diabetes screening by dentists.
复制标题
DOI：
10.1016/j.adaj.2020.09.002
复制
发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Beck JD
中科院分区：
文献类型：
--
作者：
Philips KH;Zhang S;Moss K;Ciarrocca K;Beck JD
牙周病和糖尿病是广泛的并存疾病，对口腔和整体健康都是有害的。牙医对未诊断的糖尿病(UDM)进行主席式筛查对患者和提供者都有好处。作者在一项基于人群的研究中确定了UDM的发病率，以及UDM和牙周病是否独立相关。来自社区动脉粥样硬化风险研究访问4的7,343名参与者的数据被用来通过牙周状况、无牙和体重指数来确定UDM的发生率。作者使用χ2检验或方差分析，以及两阶段Logistic回归模型来确定与不稳定型糖尿病的关系。糖尿病的定义是没有自我报告的糖尿病和血糖水平(空腹血糖≥126mgdl或非空腹血糖200mgdL)。牙周疾病的定义使用适合分期的牙周轮廓分类系统以及疾病控制和预防中心和美国牙周学学会指数。UDM总患病率为5.6%。肥胖和无牙列患者(12.6%)和肥胖且有严重牙周病的患者(12.2%)的患病率最高。发现UDM与严重牙周病(牙周状况分级系统IV期)显著相关(优势比1.78；95%可信区间1.10至2.88)。在牙周轮廓分类系统模型(优势比，1.87；95%可信区间，1.27至2.75)和疾病控制与预防中心和美国牙周病学学会指数(优势比，1.70；95%可信区间，1.08至2.67)中，无牙本质与UDM显著相关。在所有体重指数类别的参与者中都发现了高血糖。UDM与肥胖、缺牙和牙周炎显著相关。这些特征可以帮助牙医识别出患糖尿病风险较高的患者。没有这些特征的患者仍然患有UDM，所以牙医为所有患者进行主席糖尿病筛查将产生额外的好处。牙科诊所是美国医疗保健系统中的一个主要联络点。在这种情况下进行糖尿病筛查可以提供与患者护理直接相关的重要健康信息。
Periodontal disease and diabetes are widespread comorbid conditions that are detrimental to oral and overall health. Dentists’ performing chairside screenings for undiagnosed diabetes mellitus (UDM) can be beneficial to both patients and providers. The authors determined UDM rates in a population-based study and whether UDM and periodontal disease were independently associated. Data from 7,343 participants in the Atherosclerosis Risk in Communities study visit 4 were used to determine rates of UDM by periodontal status, edentulism, and body mass index. The authors used a χ2 test or analysis of variance, along with a 2-stage logistic regression model, to determine relationships with UDM. UDM was defined as no self-reported diabetes and blood glucose levels (fasting glucose ≥ 126 milligrams/deciliter or nonfasting glucose > 200 mg/dL). Periodontal disease was defined using the Periodontal Profile Classes system adapted to stages and the Centers for Disease Control and Prevention and American Academy of Periodontology index. UDM rates overall were 5.6%. The highest rates occurred in patients who were obese and edentulous (12.6%) and obese and had severe periodontal disease (12.2%). Significant associations were found for UDM and severe periodontal disease (Periodontal Profile Classes system stage IV) (odds ratio, 1.78; 95% confidence interval, 1.10 to 2.88). Edentulism was significantly associated with UDM in the Periodontal Profile Classes system model (odds ratio, 1.87; 95% confidence interval, 1.27 to 2.75) and Centers for Disease Control and Prevention and American Academy of Periodontology index (odds ratio, 1.70; 95% confidence interval, 1.08 to 2.67). Hyperglycemia was found in participants of all body mass index categories. UDM is significantly associated with obesity, edentulism, and periodontitis. These characteristics could help dentists identify patients at higher risk of developing DM. Patients without these characteristics still have UDM, so dentists performing chairside diabetes screening for all patients would yield additional benefit. Dental offices are a major point of contact within the US health care system. Diabetes screening in this setting can provide important health information with direct relevance to patient care.
登录
查看更多内容
糖尿病的医疗标准 - 2010年。
影响因子：
16.2
作者：
American Diabetes Association
通讯作者：
American Diabetes Association
影响因子：
5.8
作者：
Aung, Koko;Lorenzo, Carlos;Haffner, Steven M.
通讯作者：
Haffner, Steven M.
影响因子：
4.3
作者：
Genco, RJ;Grossi, SG;Murayama, Y
通讯作者：
Murayama, Y
影响因子：
4.3
作者：
Beck JD;Moss KL;Morelli T;Offenbacher S
通讯作者：
Offenbacher S
影响因子：
4.3
作者：
Eke PI;Dye BA;Wei L;Slade GD;Thornton-Evans GO;Borgnakke WS;Taylor GW;Page RC;Beck JD;Genco RJ
通讯作者：
Genco RJ