Table 1 Selected guidance and recommendations for the management of patients with periodontitis and diabetes
Author, year | Name of document | Target professionals | Summary of recommendations |
|---|---|---|---|
IDF, 200947 | Guideline on Oral Health for People with Diabetes | Medical | To enquire annually regarding oral self-care and symptoms of periodontitis; inform patients about the links between periodontitis and diabetes; and advise them to see a dentist regularly. |
EFP, 201230 | Manifesto: Periodontitis and General Health | Medical and dental | Inform patients regarding the links; advise regular periodontal monitoring; recommends dental and medical collaboration, particularly when diabetes is suspected. |
EFP/AAP, 201331 | Consensus Report and Guidelines: Diabetes and Periodontal Disease | Medical and dental | Medical professionals: inform patients with diabetes about the links; advise to go to see a dentist regularly; newly diagnosed patients should have a periodontal assessment. Dental professionals: inform patients regarding the links; advise regular periodontal monitoring; all newly diagnosed patients with diabetes should receive periodontal assessment; recommends liaising with medical doctor when there is suspected diabetes, and potentially performing a chair-side HbA1c test. |
BSP, 201648 | The Good Practitioner's Guide to Periodontology (3rd version) | Dental | Inform patients regarding the links and enquire about HbA1c levels; consider liaising with medical doctor regarding HbA1c levels; and liaise with the doctor when there is suspected diabetes. |
BSP, 201736 | Diabetes and Gum Disease Campaign (part of the 2017 BSP Gum Health Awareness Day) | Medical | Inform patients with diabetes about the links; advise them to see their dental professional for assessment. |
UK DoH, 201749 | Delivering Better Oral Health: an Evidence-Based Toolkit for Prevention (3rd edition) | Dental | Inform patients regarding the links and enquire regarding HbA1c levels; consider liaising with the medical doctor regarding HbA1c levels using a provided template letter. |
EFP/IDF, 201832 | Consensus Report & Guidelines on Periodontal Diseases and Diabetes | Medical and dental | Medical professionals: enquire regarding symptoms of periodontitis; inform patients about the links; refer newly diagnosed patients for periodontal assessment; advise to see a dentist regularly; and collaborate with the dentist. Dental professionals: inform patients regarding links; perform regular periodontal monitoring; enquire regarding HbA1c levels; liaise with the medical doctor and consider assessing risk for diabetes in patients with suspected diabetes (for example, using a validated screening questionnaire). |
Key: AAP, American Academy of Periodontology; BSP, British Society of Periodontology; DoH, Department of Health; EFP, European Federation of Periodontology; HbA1c, glycated haemoglobin; IDF, International Diabetes Federation. | |||
