Periodontal findings in individuals with newly identified pre-diabetes or diabetes mellitus.
(Journal of Clinical Periodontology; doi: 10.1111/jcpe.12307)
Ira B. Lamster, Bin Cheng, Sandra Burkett, Evanthia Lalla
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.
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.
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.
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.
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 ResearchHosted by #diabeteschat, join Dr Varkha Rattu and the team behind the Periodontitis-Diabetes Hub for an insightful discussion exploring the importance of managing periodontitis and diabetes.
Read moreDr Antoniszczak will present a lecture about the oral health challenges among people living with diabetes. This lecture explores the key challenges faced by individuals living with diabetes, focusing on…
Read moreHosted by #diabeteschat, join Dr Varkha Rattu and the team behind the Periodontitis-Diabetes Hub for an insightful discussion exploring the importance of managing periodontitis and diabetes.
Read moreDr Antoniszczak will present a lecture about the oral health challenges among people living with diabetes. This lecture explores the key challenges faced by individuals living with diabetes, focusing on the relationship between diabetes and oral health.
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