Dental findings in people with previously unrecognised high glucose

Summarised from:

Periodontal findings in individuals with newly identified pre-diabetes or diabetes mellitus.
(Journal of Clinical Periodontology; doi: 10.1111/jcpe.12307)

Authors:

Ira B. Lamster, Bin Cheng, Sandra Burkett, Evanthia Lalla

Summarised by:

Dr Dominika Antoniszczak

Research Topic:

Why does this matter?

Raised blood glucose can be present before a person receives a diagnosis. Researchers examined whether gum findings differed among dental patients with different screening blood-test results.

What was studied?

The study assessed 1,097 adults with diabetes risk factors but no previous diagnosis of diabetes or prediabetes. Participants had full-mouth gum examinations and a point-of-care HbA1c test, which reflects average blood glucose over recent months.

What did the researchers find?

People with results in the diabetes range had more gum bleeding, deeper pockets and more missing teeth than those with lower glucose results. Prediabetes-range participants often had intermediate findings. However, comparing groups at one time does not demonstrate that an individual progresses through those dental stages as glucose rises.

What does this mean for me?

The findings support exploring diabetes risk during dental care, but gum findings alone cannot diagnose a glucose disorder. A screening HbA1c result also needs appropriate medical interpretation and, where indicated, confirmation. The study involved a selected at-risk population and does not estimate the chance of undiagnosed diabetes for every dental patient. If screening raises a concern, the useful next step is a clear medical follow-up pathway rather than assuming that the dental examination has supplied a final diagnosis.

What should I keep in mind?

This study provides a snapshot rather than showing what happened first. People in the comparison groups may differ in ways the researchers could not fully measure, such as other health conditions, medicines or access to care. Statistical adjustment helps, but cannot remove every difference. A relationship seen across a group is also not a forecast for one person. The findings are best viewed as a reason for further research, not proof that changing one measurement will prevent or treat another condition.

Read the full article Back to Research

Research  |  11.10.14

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