Diabetes in the dental office: using NHANES III to estimate the probability of undiagnosed disease.

Abstract:

BACKGROUND AND OBJECTIVE:Recent data have suggested that in the past 15 years there has been a dramatic increase in the incidence of diabetes mellitus in the USA. However, evidence suggests that approximately one-third of diabetes cases remain undiagnosed. Because 60% of Americans see a dentist at least once per year for routine, nonemergent, care, it is reasonable to propose that the dental office can be a healthcare location actively involved in screening for unidentified diabetes. MATERIAL AND METHODS:This study used NHANES III to develop a predictive equation that can form the basis of a tool to help dentists determine the probability of undiagnosed diabetes by using self-reported data and periodontal clinical parameters routinely assessed in the dental office. RESULTS:Our analyses reveal that individuals with a self-reported family history of diabetes, hypertension, high cholesterol levels and clinical evidence of periodontal disease bear a probability of 27-53% of having undiagnosed diabetes, with Mexican-American men exhibiting the highest probability and white women the lowest. CONCLUSION:These findings suggest that the dental office could provide an important opportunity to identify individuals unaware of their diabetic status.

journal_name

J Periodontal Res

authors

Borrell LN,Kunzel C,Lamster I,Lalla E

doi

10.1111/j.1600-0765.2007.00983.x

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

559-65

issue

6

eissn

0022-3484

issn

1600-0765

pii

JRE983

journal_volume

42

pub_type

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