Sunday, November 8, 2020

Evaluation of a questionnaire‐based diabetes screening concept in German patients with stage 3 or 4 periodontitis – a practice‐based study

Abstract

Background

This practice‐based retrospective study evaluated a screening method for diabetes (DM) in patients with stage 3 or 4 periodontitis using the FINDRISC questionnaire.

Methods

Patients with stage 3 or 4 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.

Results

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 (21/21). Of the remaining FINDRISC+ patients, 82.6% (19/23) visited their general practitioner, and 63.2% (12/19, 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 4) and more frequently teeth with suppuration compared to the diabetologically inconspicuous individuals (p<0.01).

Conclusion

The FINDRISC questionnaire is appropriate for patients with stage 3 or 4 periodontitis and can be recommended in dental practice setting.

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from
https://onlinelibrary.wiley.com/doi/abs/10.1002/JPER.20-0297?af=R

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