Estrich C G, Araujo M W B, Lipman R D. JDR Clin Trans Res 2019:; 4: 76–85. 10.1177/2380084418798818.

This study aimed to evaluate the potential benefit of prediabetes risk assessment in the dental setting. Data from 10,472 adults in the National Health and Nutrition Examination Survey from 2013-16 were analysed for associations among prediabetes/diabetes risk factors, healthcare use and HbA1c level. A total of 8% of US adults had seen a dentist but not a medical provider in the past 12 months. The composition of this subpopulation was significantly different from that who saw a medical provider, in ways that might affect diabetes risk. From this subpopulation, 31% would be identified as high risk for prediabetes and 16% had HbA1c levels indicative of undiagnosed prediabetes or diabetes. Screening in a dental setting would have the highest odds of identifying someone unaware of their diabetes risk among those who were non-White, obese or ≥ 45 years old. Extrapolation indicates that screening for prediabetes at dental visits has the potential to alert approximately 22.36 million adults of their risk for prediabetes or diabetes.