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Association between HbA1c chairside values and periodontitis.

Mark Ide1, Giuseppe Mainas1, Neha Kansagra1

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Summary
This summary is machine-generated.

A study found that nearly a third of dental patients had undiagnosed high HbA1c levels, indicating prediabetes or diabetes. This highlights the dental setting

Keywords:
Cross-sectional studiesDiabetesDiagnostic screening programsGlycated hemoglobinPeriodontitisPrediabetes

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Area of Science:

  • Oral health and systemic disease
  • Endocrinology
  • Public health

Background:

  • Global rise in diabetes and prediabetes necessitates early detection.
  • Periodontitis is a common oral condition with potential systemic links.
  • Screening for hyperglycemia in non-traditional settings can improve early diagnosis.

Purpose of the Study:

  • To investigate associations between chairside HbA1c measurements and periodontitis.
  • To assess the utility of chairside HbA1c testing for diabetes screening in dental clinics.
  • To identify patients with undiagnosed hyperglycemia in a secondary care dental setting.

Main Methods:

  • Cross-sectional study of 911 patients from an Oral, Dental and Craniofacial Biobank.
  • Collection of self-reported medical/dental history and chairside HbA1c measurements.
  • Association analysis between HbA1c levels and periodontal clinical data.

Main Results:

  • 82.7% of patients had periodontitis (Stage I-IV).
  • Excluding self-reported diabetics, 28.7% had prediabetes and 7.3% had diabetes range HbA1c.
  • HbA1c levels showed a borderline association with periodontitis (p=0.054) and significant association with age and BMI.

Conclusions:

  • Dental visits offer a crucial opportunity for early detection of undiagnosed hyperglycemia.
  • Chairside HbA1c testing in dental settings can identify individuals needing further diabetes evaluation.
  • A significant proportion of patients in secondary dental care present with undiagnosed prediabetes or diabetes.