{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:56:23Z","timestamp":1793505383207,"version":"4.5.0"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,3,23]],"date-time":"2015-03-23T00:00:00Z","timestamp":1427068800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Dental Hygiene"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess effectiveness, convenience and cost of point\u2010of\u2010care diabetes screenings performed by a dental hygienist for patients with periodontitis, using a diabetes risk questionnaire, periodontal findings and a glycosylated haemoglobin (HbA1c) analyser.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A purposive sample of 50 participants with periodontitis, never diagnosed with diabetes, reporting \u2265one diabetes risk factor, were administered an HbA1c test. Spearman's correlation measured relationships between HbA1c and diabetes risk test scores, numbers of missing teeth, percentage of deep pockets \u22655\u00a0mm and percentage of bleeding sites (\n                      <jats:styled-content style=\"fixed-case\">BOP<\/jats:styled-content>\n                      ). Cost and time were assessed. Analyses used 0.05 alpha levels.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010two per cent (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a016) of participants presented HbA1c values indicating prediabetes; one HbA1c value indicated type 2 diabetes, totalling 34% (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a017). No relationships existed between HbA1c values and diabetes risk scores (rs\u00a0=\u00a00.153;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.144), numbers of missing teeth (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.190;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.093), percentage of deep pockets (rs\u00a0=\u00a0\u22120.048;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.370) or percentage of\n                      <jats:styled-content style=\"fixed-case\">BOP<\/jats:styled-content>\n                      sites (rs\u00a0=\u00a00.066,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.324). Direct cost for each HbA1c was $9\n                      <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>\n                      , excluding follow\u2010up medical diagnosis. Mean screening time including patient education was 14\u00a0min (\n                      <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\n                      \u00a0=\u00a06.2). Fifty\u2010three per cent (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a09 of 17) of participants with elevated HbA1c values contacted their primary healthcare provider within 2\u00a0weeks as recommended.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Point\u2010of\u2010care HbA1c screenings by dental hygienists were effective and convenient for identifying undiagnosed prediabetes and provide opportunity for interprofessional patient care; cost or lack of dental insurance may inhibit implementation. Identification of patients at risk for diabetes requires further evaluation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/idh.12140","type":"journal-article","created":{"date-parts":[[2015,3,24]],"date-time":"2015-03-24T16:47:54Z","timestamp":1427215674000},"page":"98-107","source":"Crossref","is-referenced-by-count":27,"title":["A pilot study of an HbA1c chairside screening protocol for diabetes in patients with chronic periodontitis: the dental hygienist's role"],"prefix":"10.1111","volume":"14","author":[{"given":"M","family":"Bossart","sequence":"first","affiliation":[{"name":"Boise State University Department of Community and Environmental Health Boise ID USA"},{"name":"Department of Dental Hygiene College of Southern Idaho Twin Falls ID USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KH","family":"Calley","sequence":"additional","affiliation":[{"name":"Department of Dental Hygiene Idaho State University Pocatello ID USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JR","family":"Gurenlian","sequence":"additional","affiliation":[{"name":"Department of Dental Hygiene Idaho State University Pocatello ID USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Mason","sequence":"additional","affiliation":[{"name":"College of Pharmacy Idaho State University Meridian ID USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RE","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Department of Dental Sciences Idaho State University Meridian ID USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Peterson","sequence":"additional","affiliation":[{"name":"Idaho Center for Health Research Idaho State University Pocatello ID USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,3,23]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Switzerland. 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