Abstract:
:Aim The objective of this study was to determine dental patients' uptake of two preliminary screening tools for risk of diabetes (the Finnish Diabetes Risk Score -FINDRISC- and HbA1c finger-prick testing) in general dental practice, and to determine the number of patients at risk of type 2 diabetes (T2D) based on the results of these screening tests.Methods Patients aged 45 and over, who did not already have a diagnosis of diabetes, visiting primary dental practitioners for routine appointments in London (N = 244) and Staffordshire (N = 276), were offered the chance to be screened for diabetes risk using the FINDRISC a self-report screening tool to assess risk of development of diabetes in the next ten years. If a patient's score showed them to be at risk, they were offered an instant HbA1c finger-prick test to further screen for possible type 2 diabetes, where they were given their result instantaneously. Patients found to be at risk on either screening test, were referred to their GP for formal diagnostic testing.Results A total of 1,035 patients eligible for inclusion were asked to take part. Five hundred and twenty patients consented to screening. Of these, 258 patients (49.6%) were found to be at risk of developing diabetes based on FINDRISC scores and were referred to the GP for further testing and offered a further screening finger-prick blood test at the dental practice. A total of 242 (93.8% of those offered the test) accepted the on the spot finger-prick test. On this A1c test, had a result of 5.7% or higher, indicating increased risk for diabetes. Of the 258 who were referred to their GP for formal diabetes testing, 155 (60%) contacted their doctor. There was a significant association between the number of 'at risk' screening results a person received and whether or not a patient contacted their GP (P <0.0001). The odds of patients contacting the GP was 3.22 times higher if they were referred with two positive diabetes risk results (positive FINDRISC, positive HbA1c) rather than just one (positive FINDRISC, negative HbA1c).Conclusions The study demonstrates a two-step method of diabetes screening that appears to be acceptable by dental patients, a sizeable proportion of whom were identified as at risk of developing diabetes, and the majority following the recommendation for further testing with their GP. While the majority followed the recommendation for further testing with their GP, patients were three times more likely to contact their GP if they received a positive risk result on both screening tools.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Bould K,Scott SE,Dunne S,Asimakopoulou Kdoi
10.1038/sj.bdj.2017.174subject
Has Abstractpub_date
2017-02-24 00:00:00pages
293-296issue
4eissn
0007-0610issn
1476-5373pii
sj.bdj.2017.174journal_volume
222pub_type
杂志文章abstract::Aqueous sodium hypochlorite (bleach) solution is widely used in dental practice during root canal treatment. Although it is generally regarded as being very safe, potentially severe complications can occur when it comes into contact with soft tissue. This paper discusses the use of sodium hypochlorite in dental treatm...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/bdj.2007.374
更新日期:2007-05-12 00:00:00
abstract::Congenital alveolar synechiae is rarely seen as an isolated disease. It is generally observed together with various syndromes such as Van der Woude and cleft palate lateral alveolar synechiae syndrome, and is concomitant with other anomalies in the maxillofacial or other regions of the body. Prior to this case report ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811971
更新日期:2005-01-22 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the educational needs and employment status of registered dental hygienists in Scotland. SUBJECTS:Three hundred and eighty one registered dental hygienists with postal addresses in Scotland. DESIGN:Structured questionnaire. RESULTS:A 76% response rate was achieved following two mai...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811981
更新日期:2005-01-22 00:00:00
abstract::One day Andy Beazley was a busy dentist, the next he found himself setting off for a week in a Romanian children's hospital, loaded to the brim with blankets, bedding and toys. When he goes back in March, he hopes to take a couple of Portakabins and some drainage equipment. What did he discover while he was there and ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807432
更新日期:1991-02-09 00:00:00
abstract::A brief review of the literature of digit sucking is followed by the report of a study of 68 treated Class II division 1 malocclusions, designed to attempt to clarify the significance of digit sucking in their aetiology. Case histories of two of the patients from the study are briefly discussed to illustrate the range...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4807724
更新日期:1991-12-07 00:00:00
abstract::Introduction The practice of dentistry has become increasingly commercialised and commodified. Conflicts between the commercial and professional obligations that dental practitioners face have been discussed in the academic literature. This review collates the available information and discusses how the area of commer...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/s41415-020-1195-5
更新日期:2020-01-01 00:00:00
abstract:AIMS:To investigate the working patterns and patient base of registered clinical dental technicians (CDTs); their relationships with dentists and other professionals in the dental team; their willingness to work within the NHS and their expectations for the future as a new professional group. METHODS:Face-to-face qual...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.55
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:This study investigated if the patient can have a role in reporting early peri-implant complications. DESIGN:An exploratory, single-centred study comparing patient's perceptions of implant success to the clinical success at an examination. SETTING, MATERIALS AND METHODS :Seventy-five patients were randomly ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2015.503
更新日期:2015-06-12 00:00:00
abstract::Following several highly publicised inquiries into the deaths of children from abuse and neglect, there has been much recent interest in the role and responsibility of all health professionals to protect children at risk of maltreatment. The findings of a postal questionnaire, sent in March 2005 to 789 dentists and de...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.307
更新日期:2009-04-25 00:00:00
abstract:OBJECTIVES:To evaluate patient compliance with toothbrushing instructions using a data logger and a brushing diary. METHODS:Dental patients were provided with powered toothbrushes modified to carry electronic data loggers. Demonstration of the most effective way to use the toothbrush was provided with instructions to ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4811954
更新日期:2005-01-08 00:00:00
abstract::Of note, the symptom load was still high five years after removal of the amalgam restorations. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.450
更新日期:2017-05-26 00:00:00
abstract::The effectiveness of pain relieving treatments given for acute dental pain has been evaluated after 24 hours in 172 patients who presented to a dental hospital emergency department. Patients were contacted by telephone the day after attendance and graded their pain on a scale from 1 (no pain) to 5 (pain much worse). T...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808469
更新日期:1994-06-11 00:00:00
abstract::The flexible use of a visual/verbal analogue scale--the thermometer--is described as a means of monitoring patients' levels of cognitive fear, trust, pain and self-esteem during treatment visits. Variations for use with very young children and those with physical and learning disabilities are also described. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:
更新日期:2002-10-26 00:00:00
abstract::It is now more than one year since the Specialist List in Orthodontics closed on 30 June 2000. I therefore felt it appropriate that I should give my views on the list, having probably had more experience in this process than any other dentist in the UK. ...
journal_title:British dental journal
pub_type: 社论
doi:10.1038/sj.bdj.4801168a
更新日期:2001-09-22 00:00:00
abstract::Background Heart transplants have become a successful treatment for some cardiovascular diseases. To prevent rejection of the transplanted heart, patients have to take immunosuppressive medication.Aims The aims of this study were to identify and review oral health complications after heart transplantation.Methods The ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/s41415-020-1244-0
更新日期:2020-02-01 00:00:00
abstract::Fifty patients took part in a single blind study to test the plaque-removing efficacy of a new double-headed brush (Duodent 2000), compared with a conventional brush (Oral B 32). Twenty-seven patients were attending for an initial course of hygiene treatment, and 23 were recall patients with persistently inadequate pl...
journal_title:British dental journal
pub_type: 临床试验,杂志文章
doi:10.1038/sj.bdj.4807571
更新日期:1991-06-08 00:00:00
abstract::The Community Dental Service has been encouraged to refer regular attending patients to General Dental Practice whilst maintaining a monitoring system to ensure that referred patients do not 'fall through the net'. The referral and monitoring system run by Halton Health Authority for one year is described. During this...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807400
更新日期:1991-01-05 00:00:00
abstract::Introduction Prescribing checklists are a means of managing risk related to systemic medications in oral medicine practice.Methods Checklists for workup and monitoring for azathioprine, mycophenolate mofetil (MMF) and dapsone were introduced to an oral medicine clinic. Compliance with the checklists was audited at six...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.887
更新日期:2017-12-01 00:00:00
abstract::This review article presents an overview of craniofacial malformations and the role of the orthodontist in their management. The first part of this article focuses on cleft lip and palate, followed by more complex deformities including craniosynostosis and craniofacial microsomia. The main features of these anomalies ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2015.48
更新日期:2015-02-16 00:00:00
abstract::The clinical durability of restorations made using water-based materials depends upon the type of material used. Current specification tests cannot predict durability, possibly because these are carried out on samples matured for 24 hours whereas longer maturation times may be more relevant. The lactic acid jet test w...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808049
更新日期:1992-12-05 00:00:00
abstract::Despite less surgery, quality-of-life measurements were not superior in patients who received PET-CT-guided surveillance, compared with that group who received routine neck dissection. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.327
更新日期:2016-05-13 00:00:00
abstract::Email is a computer based method of sending messages from one computer to another. From its humble beginnings 40 years, it has matured to become a crucial tool in utilising the power of the Internet. More people have access to email than to any other Internet application, and despite the problems with spam email and v...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.271
更新日期:2007-04-14 00:00:00
abstract:BACKGROUND:The aim of this study was to describe New England dental professionals' attitudes and behaviours regarding domestic violence (DV) and to identify barriers faced in intervening to help suspected victims. METHODS:A cross-sectional survey using a convenience sample of dentists (n = 169) and hygienists (n = 190...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.7
更新日期:2009-02-14 00:00:00
abstract::The prevalence of double teeth in the primary dentition, for the British schoolchild, is 1.6%. Although primary double teeth in the anterior region of the mouth are not uncommon, double teeth in the primary molar region are rare. This case report describes the intra-oral findings, and in particular a case of a primary...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807694
更新日期:1991-11-09 00:00:00
abstract::Three accidental cases of accidental ingestion of radiolucent upper partial dentures are presented. As impaction in the upper gastrointestinal tract has a serious morbidity and even mortality, we recommend that dental surgeons consider this possibility when designing a prosthesis to replace anterior teeth. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807919
更新日期:1992-06-20 00:00:00
abstract::Kawasaki disease (mucocutaneous lymph node syndrome) is a disease of unknown aetiology characterised by vasculitis which may affect the coronary arteries. Young children are most commonly affected although the disease has been described in adults. We report a case of recurrent Kawasaki disease which presented to an or...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800085
更新日期:1999-03-27 00:00:00
abstract::The aim of this paper is to inform the reader of the main principles considered in the management of mild hypodontia involving the absence of one or more maxillary lateral incisors. With increasing demand and limited resources of hospital dental services, general dental practitioners (GDPs) are required to actively pa...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0082-4
更新日期:2019-03-01 00:00:00
abstract::During the autumn of 1991 a meeting was convened in Brussels by Colgate entitled 'European view of fluoride supplementation'. Throughout Europe, product dosage and age related dose recommendations for fluoride supplements vary widely. With the advent of 1992, different instructions on the same packet would cause consi...
journal_title:British dental journal
pub_type:
doi:10.1038/sj.bdj.4807866
更新日期:1992-05-09 00:00:00
abstract::The first two articles in this series exploring the oral and dental health of male prisoners in the UK demonstrated how the general and oral health of prisoners is compromised compared to those of a similar age who are not prisoners. In caring for the oral health needs of this group the high demand for emergency denta...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.646
更新日期:2014-08-01 00:00:00
abstract:AIM:To describe the characteristics of patients attending a psychologist-led cognitive behavioural therapy (CBT) service for individuals with dental phobia and the outcomes of treatment. METHOD:Analysis of routinely collected assessment and outcome data from 130 patients attending a single secondary service providing ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2015.890
更新日期:2015-11-27 00:00:00