| Outcome Measure |
Number of Studies (%) |
Main Argument/Thrust of Findings
(Modified Reciprocal Translation) |
Main Argument/Thrust of Recommendations
(Modified Reciprocal Translation) |
Comments |
| Demographic and others |
5 (16.1) |
Remission remains unexplained in cases. Huge percentage poorly controlled. |
Varied. |
“Unexplained “ cases makes case for periodontal evaluation |
| Microangiopathy (Retinopathy & Neuropathy) |
8 (25.8) |
Microangiopathy is progressive, common among Nigerian diabetics and often a reflection of poor glycemic control, |
Early diagnosis, Early Eye examination, preventive management through proper glycemic control, performs autonomic function tests and Urgent need to establish standardized care guidelines. |
Standardized care guidelines should include periodontal examination. |
| Mortality and Morbidity |
5 (16.1) |
Morbidity and mortality of DM still high in Nigeria |
Early diagnosis, early intensive glycemic control and community health education, DM specialist clinic. |
“Intensive glycemic control” will fail in patients suffering from periodntitis. Therefore, adequate periodontal evaluation and management is necessary. DM specialist clinics should be multidisciplinary. |
| Lipidaemia |
4 (12.9) |
Proprandial lipidaemia is multifactorial. Improved by optimal glycemic control. |
Improve glycemic control |
Adequate periodontal evaluation and management will help improve glycemic control. |
| Glycemic control determinants and effects |
5 (16.1) |
Role of diet, controversial. Optimal glycemic control achieved only in a small proportion of patients |
Need for improvement and effectiveness of glycemic control measures. Oral hypoglycemics largely failed. Need for dietary management skills and continuous evaluation of effectiveness, |
Urgent need to increase the awareness of Nigerian diabetologists about how periodontitis affects glycemic control through a “train the trainers” scheme. |
| Biochemical profiles and indicators |
4 (12.9) |
Biochemical tests under-utilized and at times unavailable. |
Need for modern laboratory facilities |
Advanced rapid tests for periodntitis should be incorporated. |
Definition of abbreviations: