Schmalz Gerhard, Wolf Claudia, Merle Cordula, Kottmann Tanja, Haak Rainer, Ziebolz Dirk
Department of Cariology, Endodontology and Periodontology, University of Leipzig, Leipzig, Germany.
Private practice, Steinpleis, Germany.
J Periodontol. 2021 Aug;92(8):1163-1170. doi: 10.1002/JPER.20-0297. Epub 2020 Nov 25.
This practice-based retrospective study evaluated a screening method for diabetes mellitus (DM) in patients with Stage III or IV periodontitis using the FINDRISC questionnaire.
Patients with Stage III or IV periodontitis who received FINDRISC screening in a German private dental practice were recruited. Individuals with positive FINDRISC scores (≥12, FINDRISC+) were referred for diabetological examination. Several general and periodontal findings from the patients' documentation were recorded and analyzed.
A total of 179 patients (52.65 ± 11.49 years) were included. In DM screening, 24.6% (n = 44) patients were FINDRISC+, including all patients with currently known DM (21 of 21). Of the remaining FINDRISC+ patients, 82.6% (19 of 23) visited their general practitioner, and 63.2% (12 of 19, 7.6% of total cohort) had an HbA1c ≥5.7%. Accordingly, 75% of the FINDRISC+ patients were diabetologically conspicuous (HbA1c ≥ 5.7%), including those with already known DM. Patients with previously unknown DM showed higher mean age, more missing teeth, a higher periodontitis stage (more Stage IV) and more frequently teeth with suppuration compared with the diabetologically inconspicuous individuals (P <0.01).
The FINDRISC questionnaire is appropriate for patients with Stage III or IV periodontitis and can be recommended in dental practice setting.
这项基于实践的回顾性研究使用芬兰糖尿病风险评分（FINDRISC）问卷评估了III期或IV期牙周炎患者的糖尿病筛查方法。
招募在德国一家私人牙科诊所接受FINDRISC筛查的III期或IV期牙周炎患者。记录并分析患者病历中的一些一般和牙周检查结果。将FINDRISC评分阳性（≥12，FINDRISC+）的个体转诊进行糖尿病检查。
共纳入179例患者（年龄52.6±1±11.49岁）。在糖尿病筛查中，24.6%（n=44）的患者为FINDRISC+，包括所有已知患有糖尿病的患者（21例中的21例）。在其余FINDRISC+患者中，82.6%（23例中的19例）去看了全科医生，63.2%（19例中的12例，占总队列的7.6%）的糖化血红蛋白（HbA1c）≥5.7%。因此，75%的FINDRISC+患者在糖尿病方面值得关注（HbA1c≥5.7%），包括那些已知患有糖尿病的患者。与糖尿病方面不显著的个体相比，先前未知糖尿病的患者平均年龄更高、缺牙更多、牙周炎分期更高（更多IV期），且牙齿化脓更频繁（P<0.01）。
FINDRISC问卷适用于III期或IV期牙周炎患者，可在牙科诊所推荐使用。
