title: The relationship of periodontal disease to diseases and disorders at distant sites: communication to health care professionals and patients.
abstract: BACKGROUND
  The body of research defining relationships among periodontal disease and certain systemic diseases and disorders has been expanding, and questions have been raised regarding what information should be conveyed to health care professionals and patients.
  
  
  METHODS
  Representatives from dentistry, medicine, the academic community and the insurance industry convened a two-day workshop July 23 and 24, 2007.
  
  
  RESULTS
  The workshop participants achieved general consensus on a number of issues, including the need for greater cooperation between the health care professions. This cooperation should translate into improved clinical care as physicians refer patients for dental care, and dentists are proactive in regard to the general health of their patients.
  
  
  CONCLUSIONS
  Communication to health care professionals requires a multifaceted approach that includes publication of research findings in medical and dental journals, cooperation among professional organizations and initiatives at the local level such as presentations at medical grand rounds. Dental schools should play a role in their health science centers. Communication with patients may improve through the use of targeted informational brochures in the offices of medical specialists, appropriate media campaigns and efforts led by local dental organizations.
  
  
  CONCLUSIONS
  It is too early to provide specific recommendations regarding the treatment of periodontal disease to improve specific health outcomes, but dentists can become advocates for a general health promotion and disease prevention message. The lifestyles approach includes an improved diet, smoking cessation, appropriate hygiene practices and stress reduction. These strategies can improve oral and general health outcomes.
authors.affiliation: College of Dental Medicine, Columbia University, New York, NY 10032, USA. ibll@columbia.edu
authors.forename: Ira B
authors.initials: IB
authors.lastname: Lamster
authors.forename: Dominick P
authors.initials: DP
authors.lastname: DePaola
authors.forename: Rui V
authors.initials: RV
authors.lastname: Oppermann
authors.forename: Panos N
authors.initials: PN
authors.lastname: Papapanou
authors.forename: Rebecca S
authors.initials: RS
authors.lastname: Wilder
mesh_terms: D003142:Communication; D003299:Cooperative Behavior; D003729:Dental Care; D003815:Dentists; D004194:Disease; D006282:Health Personnel; D006293:Health Promotion; D006304:Health Status; D006801:Humans; D033181:Information Dissemination; D007400:Interprofessional Relations; D010361:Patients; D010510:Periodontal Diseases / Q000150:complications*; D010820:Physicians; D011369:Professional-Patient Relations; D011643:Publishing; D012017:Referral and Consultation