Table 1.
Selected guidance and recommendations for the management of patients with periodontitis and diabetes adapted from Preshaw 2019 [25].
| Author, year | Name of document | Target professionals | Summary of recommendations |
|---|---|---|---|
| IDF, 2009 [26]. | 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, 2012 [27]. | Manifesto: Periodontitis and General Health | Medical and dental | All healthcare professionals: Inform patients regarding the links; advise regular periodontal monitoring; recommends dental and medical collaboration, particularly when there is suspected diabetes. |
| EFP/AAP, 2013 [28]. | 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, 2016 [29]. | Good Practitioners Guide to Periodontology (2nd edition) | 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, 2017 [30]. | 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, 2017 [31]. | 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, 2018 [17,18]. | 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 of diabetes in patients with suspected (but, as yet, undiagnosed) diabetes (e.g. using a validated screening questionnaire). |
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. Reproduced with permission from Preshaw et al., British Dental Journal 2019 [25].