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Diabetes and Periodontitis—A Dental Hygienist’s Perspective

  • Systemic Diseases (M Bartold, Section Editor)
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Abstract

Several decades of research of the interrelationships between diabetes and periodontitis have evolved into a significant body of knowledge that should be incorporated into dental practice. However, there may be a delay in implementing this important information into everyday patient care. Oral healthcare providers (i.e., dentists and dental hygienists) should be progressively engaged in changing the trajectory of the epidemics of diabetes and periodontitis. This article synthesizes the cumulative evidence on the diabetes-periodontitis link, proposes ideas for risk stratification of dental patients with diabetes and periodontitis, and builds a case for the development of a risk-prediction model that provides for the earliest identification of dental patients who have dysglycemia.

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Notes

  1. Vinicor, F. Is diabetes a public health disorder? Diabetes Care 17(S1):22–27, 1994

  2. 100–125 mg/dl or 5.6–6.9 mmol/l

  3. 140–199 mg/dl or 7.8–11.0 mmol/l

  4. 5.7–6.4 %

  5. A is for the A1C test (HbA1c), the goal for most people is below 7; B is for blood pressure, the goal for most people with diabetes is below 140/80; C is for cholesterol, the goal for most people with diabetes is LDL cholesterol under 100 mg/dl, triglycerides under 150 mg/dl; HDL cholesterol above 40 mg/dl for men, and above 50 mg/dl for women. American Diabetes Association and the American College of Cardiology; http://www.diabetesselfmanagement.com/managing-diabetes/complications-prevention/taking-diabetes-to-heart/abcs-of-diabetes/; accessed 30 November 30 2015.

  6. There are five definitions of MetS which include different criteria from the WHO report, the European Group for the Study of Insulin Resistance (EGIR), the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, the Adult Treatment Panel III (ATPIII), the Heart Association/National Heart, Lung, and Blood Institute Scientific Statement (AHA/NHLBI), and the International Diabetes Federation (IDF). Metabolic Syndrome Criteria as defined by the ATPIII include elevated central obesity as measured in waist circumference, low HDL cholesterol, elevated blood pressure, elevated triglycerides, and elevated fasting plasma glucose.

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  1. College of Dentistry, University of Manitoba, 780 Bannatyne Avenue, Winnipeg, Manitoba, R3E 3P5, Canada

    Casey Hein

  2. PO Box 1737, Evergreen, CO, 80437, USA

    Casey Hein

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Hein, C. Diabetes and Periodontitis—A Dental Hygienist’s Perspective. Curr Oral Health Rep 3, 28–35 (2016). https://doi.org/10.1007/s40496-016-0074-2

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