Premium
Evaluation of a questionnaire‐based diabetes screening concept in German patients with Stage III or IV periodontitis: A practice‐based study
Author(s) -
Schmalz Gerhard,
Wolf Claudia,
Merle Cordula,
Kottmann Tanja,
Haak Rainer,
Ziebolz Dirk
Publication year - 2021
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1002/jper.20-0297
Subject(s) - periodontitis , medicine , diabetes mellitus , cohort , clinical practice , stage (stratigraphy) , retrospective cohort study , dentistry , physical therapy , endocrinology , biology , paleontology
Abstract Background This practice‐based retrospective study evaluated a screening method for diabetes mellitus (DM) in patients with Stage III or IV periodontitis using the FINDRISC questionnaire. Methods Patients with Stage III or IV 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 of 21). Of the remaining FINDRISC+ patients, 82.6% (19 of 23) visited their general practitioner, and 63.2% (12 of 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 IV) and more frequently teeth with suppuration compared with the diabetologically inconspicuous individuals ( P <0.01). Conclusion The FINDRISC questionnaire is appropriate for patients with Stage III or IV periodontitis and can be recommended in dental practice setting.