Morning Medical Moment—Dental Diagnosis Save Email Print
Posted: 4:52 AM Jul 22, 2008
Last Updated: 8:17 AM Jul 22, 2008

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Betty Scott is in the dentist's chair, at the UIC clinic.
But before teeth cleaning, a finger prick to check blood sugar levels, and a check of her blood pressure.
And at his dentist, Richard Mueller got a test that could indicate heart problems.
"Several of our patients had cancer diagnosed, diabetes, pre-diabetes, high heart attack risk and stroke," says Dr. Ronald Schefdore, D.M.D.
Dr. Schefdore often tests patients for cholesterol, diabetes, and C reactive protein, or CRP. It detects inflammation which is a potential symptom of heart disease.
In fact, he markets these tests to other dentists. It's a business venture: and he says a mission.
"We estimate that over two million people could be helped if dentists were to incorporate these tests in their office," says Dr. Schefdore.
Dentists who buy this say they're not practicing medicine, they're offering an early warning system that serves as a safety net for patients and their doctors.
Take diabetes. Many Americans who feel well will still go to the dentist, while putting off a doctor's visit. Which is why gum infection, a symptom of diabetes may first be detected during a regular dental checkup.
"I think the most important thing is that we use the data to refer people at risk to their primary health care provider," says Periodontist, Dr. Phil Marucha.
In the case of pregnant women for example, there's a strong connection between periodontal disease and pre-term labor.
"We're trying to train dentists for the future, and so we see this to be the beginning of many tests that may be done chairside," says Dr. Marucha.
But diagnostics experts say while there are standards such as blood pressure and glucose checks, other tests are still in their infancy. Like the inflammation test. Does it show heart attack risk?
"We certainly can't say at this point in time that measuring something as general as c reactive protein is going to tell us that it will be diagnostic for any other chronic disease in the body," says Dr. David Cochran.
For Richard, who's always been trim, and went to the dentist feeling great, the news from his blood tests shocked him.
"That's when I found out I was a Type II diabetic," says Mueller
But he says if not for his dentist, he would never have gone to the doctor.
"Maybe he did save my life, you know?" says Mueller.

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