NYU College of Nursing, 726 Broadway, 10th floor, New York, NY 10003, USA.
J Public Health Dent. 2010 Spring;70(2):156-62. doi: 10.1111/j.1752-7325.2009.00157.x.
The bidirectional relationship between periodontitis and diabetes suggests that the dental visit may offer a largely untapped opportunity to screen for undiagnosed diabetes. To better examine this potential opportunity, data from the National Health and Nutrition Examination Survey (NHANES) 2003-2004 were used to determine if a larger proportion of patients with periodontal disease as compared with those without periodontitis would be recommended for screening according to American Diabetes Association (ADA) guidelines. The data were also used to determine whether at-risk individuals with periodontitis visited a dental professional recently, so that they could avail themselves of this opportunity for screening, if offered.
Data to perform these analyses were collected from 2,923 subjects aged 20 and older who reported that they were never told that they had diabetes, had a periodontal examination, and had sufficient data to compute body mass index. Descriptive statistics, t-tests, and chi-square analyses that compared those with and without periodontitis were extrapolated to the US population.
A total of 62.9 percent of those without periodontitis and 93.4 percent of those with periodontal disease met ADA guidelines for diabetes screening. Of those at-risk with periodontal disease, 33.9 percent had seen a dentist in the past 6 months, 50 percent in the past year, and 60.4 percent in the past 2 years.
As almost all individuals with periodontitis would have been recommended for diabetes screening, and many at-risk persons with periodontal disease recently visited a dentist, our data suggest that the dental visit provides an important potential venue for this screening.
牙周炎和糖尿病之间的双向关系表明，牙科就诊可能提供了一个尚未充分利用的机会来筛查未确诊的糖尿病。为了更好地研究这种潜在的机会，利用来自国家健康和营养调查（NHANES）2003-2004 年的数据，确定与没有牙周炎的患者相比，有多少牙周病患者会根据美国糖尿病协会（ADA）的指南被建议进行筛查。这些数据还用于确定患有牙周炎的高危个体最近是否去看了牙医，以便如果提供筛查机会，他们可以利用这个机会。
从 2923 名年龄在 20 岁及以上的报告从未被告知患有糖尿病、接受过牙周检查且有足够数据计算体重指数的受试者中收集了用于进行这些分析的数据。对有和没有牙周炎的受试者进行了描述性统计、t 检验和卡方分析，并将其外推到美国人群中。
没有牙周炎的患者中有 62.9%，而有牙周病的患者中有 93.4%符合 ADA 糖尿病筛查指南。在患有牙周病的高危人群中，33.9%的人在过去 6 个月内看过牙医，50%的人在过去 1 年内看过，60.4%的人在过去 2 年内看过。
由于几乎所有患有牙周炎的患者都被建议进行糖尿病筛查，而且许多患有牙周病的高危人群最近都看过牙医，我们的数据表明，牙科就诊为这种筛查提供了一个重要的潜在场所。
