Validity of Screening for Pre-Diabetes and Type2 DM in Patients Presenting with Oral Symptoms

  • Dr. T MuthuVel Senior Assistant Surgeon, Government Head Quarters Hospital, Tirupur, Tamil Nadu, India
  • Dr. S. Karthikeyan Assistant Professor, Department of Orthopedics, Sivagangai Medical College, Sivaganga, Tamil Nadu, India
Keywords: Dental illness, Pre-Diabetes, T2DM, Oral symptoms

Abstract

Introduction: Type 2 DM is a major health problem in the present world with its high micro and macrovascular complications leading to increased mortality and morbidity. Our diagnosed T2DM represents the tip of the iceberg, where the hidden part places a vital challenge to the health care system.

Objectives: Various risk factors are identified to screen the population for diabetes which is still an incomplete list hence we aimed to identify the dental illness as a potent risk factor to screen T2DM and Prediabetes.

Methodology: This is an observational study in which 92 patients attending to dental clinic except for traumatic problems were screened for T2DM with random blood sugar and HbA1c.

Results: In our study we observed 22.8% pre-diabetic and 8.8% with newly diagnosed T2DM among the study population. Chronic periodontitis was accounting for more than 60% of the subjects presenting dental illness.

Conclusion: In our study we conclude that dental illness to be accounted as a potent risk factor for T2DM/Pre-Diabetes

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References

Balasheb Bansode, Dr Suresh Jungari et al, Economic burden of diabetic patients in India: A review Diabetes MetabSynd Jul-Aug 2019;13(4):2469-2472. doi: 10.1016/j.dsx.2019.06.020

Cicmil S, Mladenović I, Krunić J, Ivanović D, Stojanović N. Oral Alterations in Diabetes Mellitus. Balk J Dent Med 2018; 22: 7-14. doi: 10.2478/bjdm-2018-0002

Al-Maskari AY, Al-Maskari MY, Al-Sudairy S. Oral Manifestations and Complications of Diabetes Mellitus: A review. Sultan Qaboos Univ Med J 2011; 11: 179-186

Indurkar MS, Maurya AS, Indurkar S. Oral Manifestations of Diabetes. Clin Diabetes 2016; 34: 54-57. DOI: 10.2337/diaclin.34.1.54.

Cicmil A, Govedarica O, Lečić J, Mališ S, Cicmil S, Čakić S. Oral Symptoms and Mucosal Lesions in Patients with Diabetes Mellitus Type 2. Balk J Dent Med 2017; 21: 50-54. DOI: 10.1515/bjdm-2017-0007.

Mauri-Obradors E, Estrugo-Devesa A, Jané-Salas E, Viñas M, López-López J. Oral manifestations of Diabetes Mellitus. A systematic review. Med Oral Patol Oral Cir Bucal 2017; 22: e586-e594. DOI: 10.4317/medoral.21655

Trentin MS, Verardi G, De C Ferreira M, de Carli JP, da Silva SO, Lima IF, Paranhos LR. Most Frequent Oral Lesions in Patients with Type 2 Diabetes Mellitus. J Contemp Dent Pract 2017; 18: 107-111.

Ship JA. Diabetes and oral health: an overview. J Am Dent Assoc 2003; 134 Spec No: 4S-10S.

Khan T. Oral manifestations and complications of diabetes mellitus: A review. Int J Med Health Res 2018; 4: 50-52. DOI: 10.22271/ijmhr.

Jonathan A ship et al, Diabetes and oral health: an overview J Am dental asso 2003 Oct; 134 Spec No: 4S-10S. Doi: 10.14219/jada.archive.2003.0367.

Demmer RT, Jacobs DR, Desvarieux M. Periodontal disease and incident type 2 diabetes. Diabetes Care. 2008; 31:1373-1379.

Papapanou PN. Periodontal diseases: epidemiology. Annals of Periodontology. 1996; 1(1):1–36. [PubMed: 9118256

Renata S. Leite, Nicole M. Marlow and Jyotika K. Fernandes et alAm J Med Sci. 2013 April; 345(4): 271–273. doi: 10.1097/MAJ.0b013e31828bdedf

P. M. Preshaw& A. L. Alba & D. Herrera & S. Jepsen et al. Periodontitis and diabetes: a two-way relationship. Diabetologia (2012) 55:21–31 DOI 10.1007/s00125-011-2342.

Glurich I, Bartkowiak B, Berg RL, Acharya A. Screening for dysglycaemia in dental primary care practice settings: systematic review of the evidence. Int Dent J2018; 68:369-77. doi.org/10.1111/idj.12405.

HolmNCR, BelstrømD, ØstergaardJA, SchouS, HolmstrupP, Grauballe MCB. Identification of individuals with undiagnosed diabetes and pre-diabetes in a Danish cohort attending dental treatment. J Periodontol2016; 87:395–402. doi.org/10.1902/jop.2016.150266

AlGhamdi AS, Merdad K, Sonbul H, Bukhari SM, Elias WY. Dental clinics as potent sources for screening undiagnosed diabetes and prediabetes. Am J Med Sci 2013; 345:331–4. doi.org/10.1097/MAJ.0b013e318287c96c.

Genco RJ, Schifferle RE, Dunford RG, Falkner KL, Hsu WC, BalukjianJ. Screening for diabetes mellitus in dental practices: a field trial. J Am Dent Assoc 2014; 145:57–64. doi.org/10.14219/jada.2013.7.

Herman WH, Taylor GW, Jacobson JJ, Burke R, Brown MB. Screening for prediabetes and type 2 diabetes in dental offices. J Public Health Dent 2015; 75:175–82. doi.org/ 10.1111/jphd.12082.

KalladkaM,GreenbergBL,PadmashreeSM,VenkateshaiahNT, Yalsangi S, Raghunandan BN, et al. Screening for coronary heart disease and diabetes risk in a dental setting. Int J Public Health 2014; 59:485–92. doi.org/10.1007/ s00038-013-0530-x.

Estrich CG, Araujo MWB, Lipman RD. Prediabetes and diabetes screening in dental care settings: NHANES 2013 to 2016. JDR Clin Trans Res 2019; 4:76–85.https://doi.org/ 10.1177/2380084418798818.

Wright D, MuirheadV, Weston-Price S, Fortune F. Type 2 diabetes risk screening in dental practice settings: a pilot study. Br Dent J 2014;216: E15. doi.org/10.1038/sj. bdj.2014.250.

Lalla E, Cheng B, Kunzel C, Burkett S, Lamster IB. Dental findings and identification of undiagnosed hyperglycemia. J Dent Res 2013; 92:888–92. doi.org/10.1177/ 0022034513502791.

Franck SD, Stolberg RL, Bilich LA, Payne LE. Point-of-care HbA1c screening predicts diabetic status of dental patients. J Dent Hyg2014; 88:42–52.

Opeodu OI, Adeyemi BF. Undiagnosed diabetes mellitus: a survey of dental outpatients in a tertiary hospital. AfrJ Med Med Sci 2013; 42:39–45.

HaraseT, Nishida W, HamakawaT, Hino S, Shigematsu K, Kobayashi S, et al. Clinical implication of blood glucose monitoring in general dental offices: the Ehime Dental Diabetes study. BMJ Open Diab Res Care 2015;3. doi. org/10.1136/bmjdrc-2015-000151.

CITATION
DOI: 10.17511/ijmrr.2021.i02.02
Published: 2021-04-23
How to Cite
1.
Dr. T MuthuVel, Dr. S. Karthikeyan. Validity of Screening for Pre-Diabetes and Type2 DM in Patients Presenting with Oral Symptoms. Int J Med Res Rev [Internet]. 2021Apr.23 [cited 2021May6];9(2):64-9. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1268
Section
Original Article