To Submit letters to the editor, send to:
RDH, P.O. Box 340, Tulsa, OK 74101; [email protected]; or (918) 831-9804 (fax).
Dear RDH:
The article by Ann-Marie DePalma in the July 2009 issue of RDH magazine (“Front Line RDH”) addresses the important role of dental hygienists in early diagnosis and screening of systemic diseases. We are hygienists in a periodontal practice in New York that places great emphasis on the connection between oral and systemic health.
A recent article in the Journal of Periodontology, “The potential use of crevicular blood for measuring glucose to screen for diabetes: An examination based on characteristics of the blood collection site,” describes a technique in which gingival crevicular blood could be used to screen for diabetes. The author believes this painless and quick screening tool could potentially be integrated into a dental examination.
Recent estimates indicate that 7.5 million people with diabetes are undiagnosed. Because periodontal disease may predispose individuals to diabetes, the dental office may provide a unique opportunity to screen an “at risk” population.
In order to ascertain if this was a service that our patient population was interested in, a brief survey was designed. It was given to 115 consecutive recall patients seen by the hygiene staff in a suburban periodontal private practice.
The results were:
- The overwhelming majority (93%) felt that it is appropriate for dentists and hygienists to be involved in systemic medical health.
- The majority (76%) would want this service provided by their dentist.
- 53% of the patients who would consent to the screening were willing to pay up to $15.
This brief survey, in a private practice setting, seems to show that patients understand that the role of oral care providers has expanded beyond the oral cavity. Further, patients feel comfortable having the oral care team screen for common medical conditions.
Deborah Campsey, RDH
Veronica Carlson, RDH
Benjamin Kerpen
Great Neck, New York 11021
Stephanie Baker from New Paltz, N.Y., correctly guessed the flavor of a mystery lip balm that was distributed as part of a contest during the RDH Under One Roof contest last July. Baker was one of 14 attendees who guessed pomegranate as the flavor. Stephanie was chosen in a random drawing from the correct entries as the winner of a Philips Sonicare Flex Care power toothbrush and sanitizer.
