Management of the Patient Who Smokes and the Diabetic Patient in the Dental Office

• Autores: Carol Kunzel, Ira B. Lamster, Evanthia Lalla
• Localización: Journal of periodontology, ISSN 0022-3492, Vol. 77, Nº. 3, 2006, págs. 331-340
• Idioma: inglés
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• Resumen

  • Management of the Patient Who Smokes and the Diabetic Patient in the Dental Office Carol Kunzel,* Evanthia Lalla,† and Ira B. Lamster‡ *College of Dental Medicine, Division of Community Health, Columbia University, New York, NY.

    †College of Dental Medicine, Division of Periodontics, Columbia University.

    ‡College of Dental Medicine, Columbia University.

    Correspondence: Dr. Carol Kunzel, College of Dental Medicine, Division of Community Health, Columbia University, 630 W. 168th St., New York, NY 10032. Fax: 212/342-8558; e-mail: ck60@columbia.edu.

    Background: Approaches to patient care consistent with a greater emphasis on the importance of risk factors associated with periodontal disease should include measures to reduce risk. In this article, we investigate the extent to which periodontists' and general practice dentists' (GPs) behaviors and attitudes reflect current understanding of the most important environmental risk factor for periodontitis (smoking) and the most important systemic disease risk factor for periodontitis (diabetes mellitus).

    Methods: A mail survey of active periodontists and GPs in the Northeastern United States was conducted during the fall of 2002. Random samples of periodontists and GPs listed in the designated Northeastern states were drawn from the 2002 American Academy of Periodontology Directory and the 2001 American Dental Directory, respectively. Responses were received from 103 periodontists (for a response rate of 73%) and from 105 GPs (for a response rate of 80%).

    Results: Although periodontists generally perform risk identification and management behaviors for patients who smoke or who have diabetes more frequently than GPs, both groups tend to engage in activities that inquire, discuss, and inform more than they tend to undertake measures to control or manage these risk factors. Rates of proactive patient management activities are quite low in both clinician groups.

    Conclusions: There is a need to increase periodontists' and GPs' involvement in the active management of the patient who smokes and in the diabetic patient. Such actions can be expected to result in improved periodontal and general health outcomes.

    KEYWORDS: Dentists, diabetes mellitus, periodontitis, risk factors, smoking cessation, survey Cited by William H. Herman, George W. Taylor, Jed J. Jacobson, Ray Burke and Morton B. Brown. (2015) Screening for prediabetes and type 2 diabetes in dental offices. Journal of Public Health Dentistry, n/a-n/a.

    Online publication date: 1-Mar-2015.

    CrossRef Evanthia Lalla, Dana Wolf and Ira B. Lamster. 2014. Identification of dental patients with undiagnosed diabetes. Diabetes Mellitus and Oral Health, 191-202.

    CrossRef Brian L. Mealey. 2014. Management of the patient with diabetes mellitus in the dental office. Diabetes Mellitus and Oral Health, 97-120.

    CrossRef José Luis Herrera Pombo, Albert Goday Arno and David Herrera González. (2013) Efectos de la diabetes sobre las enfermedades periodontales. Avances en Diabetología 29, 145-150.

    Online publication date: 1-Sep-2013.

    CrossRef MT Rosedale and SM Strauss. (2012) Diabetes screening at the periodontal visit: patient and provider experiences with two screening approaches. International Journal of Dental Hygiene 10:10.1111/idh.2012.10.issue-4, 250-258.

    Online publication date: 1-Nov-2012.

    CrossRef David A. Albert, Angela Ward, Pamela Allweiss, Dana T. Graves, William C. Knowler, Carol Kunzel, Rudolph L. Leibel, Karen F. Novak, Thomas W. Oates, Panos N. Papapanou, Ann Marie Schmidt, George W. Taylor, Ira B. Lamster and Evanthia Lalla. (2012) Diabetes and oral disease: implications for health professionals. Annals of the New York Academy of Sciences, no-no.

    Online publication date: 1-Mar-2012.

    CrossRef Evanthia Lalla and Ira B. Lamster. (2012) Assessment and Management of Patients with Diabetes Mellitus in the Dental Office. Dental Clinics of North America 56:4, 819.

    CrossRef Areej K. Al-Khabbaz, Khalaf F. Al-Shammari and Noha A. Al-Saleh. (2011) Knowledge About the Association Between Periodontal Diseases and Diabetes Mellitus: Contrasting Dentists and Physicians. Journal of Periodontology 82:3, 360-366.

    Online publication date: 1-Mar-2011.

    Abstract | Full Text | PDF (474 KB) | PDF Plus (503 KB) Areej K. Al-Khabbaz and Khalaf F. Al-Shammari. (2011) Diabetes Mellitus and Periodontal Health: Dentists’ Knowledge. Medical Principles and Practice 20:6, 538.

    CrossRef Ira B. Lamster and Dana L. Wolf. (2008) Primary Health Care Assessment and Intervention in the Dental Office. Journal of Periodontology 79:10, 1825-1832.

    Online publication date: 1-Oct-2008.

    Citation | Full Text | PDF (742 KB) | PDF Plus (563 KB) B. L. Mealey. (2008) The Interactions Between Physicians and Dentists in Managing the Care of Patients With Diabetes Mellitus. Journal of the American Dental Association 139, 4S-7S.

    Online publication date: 1-Oct-2008.

    CrossRef I. B. Lamster, E. Lalla, W. S. Borgnakke and G. W. Taylor. (2008) The Relationship Between Oral Health and Diabetes Mellitus. Journal of the American Dental Association 139, 19S-24S.

    Online publication date: 1-Oct-2008.

    CrossRef Giovanni E. Salvi, Barbara Carollo-Bittel and Niklaus P. Lang. (2008) Effects of diabetes mellitus on periodontal and peri-implant conditions: update on associations and risks. Journal of Clinical Periodontology 35:10.1111/cpe.2008.35.issue-s8, 398-409.

    Online publication date: 1-Sep-2008.

    CrossRef Keshia Forbes, W. Murray Thomson, Carol Kunzel, Evanthia Lalla and Ira B. Lamster. (2008) Management of Patients With Diabetes by General Dentists in New Zealand. Journal of Periodontology 79:8, 1401-1408.

    Online publication date: 1-Aug-2008.

    Abstract | Full Text | PDF (469 KB) | PDF Plus (475 KB) Brian L. Mealey. (2007) Commentary: Managing Patients With Diabetes: First, Do No Harm. Journal of Periodontology 78:11, 2072-2076.

    Online publication date: 1-Nov-2007.

    Citation | Full Text | PDF (138 KB) | PDF Plus (143 KB) Evanthia Lalla. (2007) Periodontal infections and diabetes mellitus: when will the puzzle be complete?. Journal of Clinical Periodontology 34:10.1111/cpe.2007.34.issue-11, 913-916.

    Online publication date: 1-Nov-2007.

    CrossRef Georgia K. Johnson and Janet M. Guthmiller. (2007) The impact of cigarette smoking on periodontal disease and treatment. Periodontology 2000 44:10.1111/prd.2007.44.issue-1, 178-194.

    Online publication date: 1-Jun-2007.

    CrossRef C. Kunzel, E. Lalla and I. Lamster. (2007) Dentists' Management of the Diabetic Patient: Contrasting Generalists and Specialists. American Journal of Public Health 97, 725-730.

    Online publication date: 28-Feb-2007.

    CrossRef I. B. Lamster. (2006) Antimicrobial mouthrinses and the management of periodontal diseases: Introduction to the supplement. Journal of the American Dental Association 137, 5S-9S.

    Online publication date: 1-Nov-2006.