Periodontal Disease and Diabetes

Wera Hobhouse Excerpts

Wednesday 16th March 2022 Commons Chamber

[Wera Hobhouse (Bath) (LD)]

I rise to present a petition that has been prepared by my constituent, Dr Christopher Turner. The petition highlights a relationship between diabetes and periodontal disease of which too few doctors are aware. It has been signed by more than 100 people across Bath.

The petition states that the petitioners

“request that the House of Commons urge the Government…to add questions about dental care to the five diabetic risks already checked annually by doctors and to require doctors to record the names of patients’ dentists in their notes and give them annual HbA1c results and for dentists to send an annual summary of the Basic Periodontal Examination with an explanation of the scores to patients’ doctors.”

Following is the full text of the petition:

[The petition of residents of the United Kingdom,

Notes that there is overwhelming scientific evidence from multiple countries that diabetes mellitus and periodontal disease are linked, the one affecting the other in a two-way process and that diabetics are at a 3-4 times greater risk of developing periodontal disease than non-diabetics and that diabetics who smoke are at even greater risk; further that periodontal disease has been described at the sixth complication of diabetes yet few doctors are aware of the relationship, although it is well-known to dentists since it was first described in 1928; further that when periodontal disease is brought under control, metabolic control is improved and this can lead to a reduced need for diabetic medication; further that doctors are not asking patients about their dental health when they carry out reviews because this question is missing from the National Institute of Clinical Excellence check list that they follow; further that NCIE has previously refused to add a question about dental care to the above list such that doctors are not advising diabetics who do not have regular dental care that this is in their interests; declares that diabetic patients may be disadvantaged because of this omission; further that as a routine doctors and dentists are not working together for this growing group of patients and not sharing results when it is known that a blood HbA1c level of greater than 6.5 is associated with greater periodontal breakdown; and further that dentists are not routinely sharing their Basic Periodontal Examination results with doctors such that trends in the management of both diseases are not being observed.

The petitioners therefore request that the House of Commons urge the Government, and in particular the Department for Health and Social Care to add questions about dental care to the five diabetic risks already checked annually by doctors and to require doctors to record the names of patients’ dentists in their notes and give them annual HbA1c results and for dentists to send an annual summary of the Basic Periodontal Examination with an explanation of the scores to patients’ doctors.

And the petitioners remain, etc.]

[P002717]