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PİRİM GÖRGÜN E. KNOWLEDGE LEVELS AND ATTITUDES OF INTERNISTS ABOUT THE RELATIONSHIP BETWEEN PERIODONTAL DISEASE AND DIABETES. CUMHURIYET DENTAL JOURNAL 2022. [DOI: 10.7126/cumudj.1061217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Nordin NN, Vaithilingam RD, Saub R, Nasir NH, Mohd Asari AS, Bashah B, Mahmud M, Mohammad NM. Awareness, knowledge, attitudes and practices on the management of diabetes mellitus patients with periodontitis amongst Malaysian primary care practitioners. MALAYSIAN FAMILY PHYSICIAN : THE OFFICIAL JOURNAL OF THE ACADEMY OF FAMILY PHYSICIANS OF MALAYSIA 2021; 16:44-55. [PMID: 34938392 PMCID: PMC8680934 DOI: 10.51866/oa1131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
INTRODUCTION The bi-directional relationship between periodontitis (PD) and diabetes mellitus (DM) has been confirmed. Medical practitioners (MPs) serve an important role in relaying this information to patients. This study aimed to investigate the awareness, knowledge, attitudes and practices (KAP) in the management of DM patients with PD in primary care clinics under the Ministry of Health (MOH) of Malaysia. MATERIALS AND METHODS A self-administered questionnaire on KAP in the management of DM patients with PD was posted to 725 medical officers (MOs) and family medicine specialists (FMSs) in MOH clinics in Kedah, Terengganu, Johor and Negeri Sembilan. Collected data were tabulated and analysed using descriptive and regression analyses (simple and multiple). Statistical significance was defined as p < 0.05. RESULTS A total of 549 MPs responded. The majority of MPs were MOs (92.6%) and female (75.8%). FMSs had a greater awareness of PD when compared to MOs (p = 0.002). All MPs had good knowledge, except for the incorrect notion that excessive sugar causes PD (94.3%). Overall, FMSs had better knowledge when compared to MOs (p=0.026). The majority of MPs agreed that 'they should update their knowledge on the association between systemic disease and PD' (89.6%) and claimed that 'it was not their responsibility to examine DM patients for PD' (83.1%). Most MPs did not enquire or examine for PD in their DM patients. More FMSs (67.5%) referred patients to dentists compared to MOs (31.6%). CONCLUSION Most MPs have sufficient knowledge on PD, but a negative attitude in the management of PD in DM patients. The reasons for not referring included workload and patients refusing referral.
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Affiliation(s)
- Norul Nurdiyana Nordin
- DDS (UKM), Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Rathna Devi Vaithilingam
- BDS (Malaya), MClinDent (Malaya), Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia,
| | - Roslan Saub
- BDS (Malaya), MDSc (Melb), PhD (Toronto), Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Nazrila Hairizan Nasir
- MD (UKM), M Med (Fam Med) (Malaya), Msc Child Mental Health (University of Leceister, UK), Bahagian Pembangunan Kesihatan Keluarga, Cawangan Kesihatan, Primer, Putrajaya, Malaysia
| | - Ahmad Sharifuddin Mohd Asari
- BDS (Egypt), M.Sc (Peridontology) (London), FDSRCPS (Glasgow), Faculty of Dentistry, UiTM Kampus Sungai Buloh, Sungai Buloh, Selangor, Malaysia
| | - Baizury Bashah
- MBBS (Malaya), M Med (Fam Med) (Malaya), Klinik Kesihatan Kuala Lumpur Wilayah, Persekutuan Kuala Lumpur, Malaysia
| | - Maimunah Mahmud
- MBBS (Malaya), M Med (Fam Med) (Malaya), Klinik Kesihatan Sungai Buloh, Sungai Buloh, Selangor, Malaysia
| | - Nik Mazlina Mohammad
- MBBS (Malaya), M Med (Fam Med) (Malaya), Klinik Kesihatan Kelana Jaya, Petaling Jaya, Selangor, Malaysia
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A study to assess the awareness of periodontitis and its relationship with systemic health among undergraduate medical students. Br Dent J 2021; 231:641-645. [PMID: 34824433 DOI: 10.1038/s41415-021-3665-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 05/10/2021] [Indexed: 11/08/2022]
Abstract
Introduction The association between periodontitis and certain systemic diseases is well established; however, there is a distinct lack of research available on its awareness among medical students in the United Kingdom.Aims To determine the awareness of fourth-year undergraduate medical students concerning periodontitis including its risk factors, relationship with systemic health and students' attitudes towards oral diseases and further education.Methods We delivered an online survey via a weekly email news bulletin to 299 fourth-year medical students and received 101 completed responses.Results Medical students were largely aware of the most common features of periodontitis and recognised that systemic diseases may affect the periodontium. There was less awareness of the associations between certain systemic diseases and periodontitis and there appeared to be confusion with tooth decay. Perceived knowledge was generally reported to be poor and most students believed that further teaching would improve their medical practice.Conclusions Increased teaching on periodontitis within the medical curriculum would benefit students. This may be achieved using an integrated teaching approach. Future doctors should graduate with an adequate education on the interdisciplinary links and should be capable of signposting or referring patients early to the appropriate services where indicated to improve patient care.
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Savageau JA, Sullivan K, Hargraves JL, Silk H. Oral health curriculum evaluation tool (OHCET) for primary care training programs. J Dent Educ 2021; 85:1710-1717. [PMID: 34312837 DOI: 10.1002/jdd.12750] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 07/01/2021] [Accepted: 07/15/2021] [Indexed: 11/07/2022]
Abstract
BACKGROUND Primary care training schools and programs lack a validated tool to assess their oral health curriculum, and researchers lack a tool to compare oral health curricula across programs/schools and different disciplines. OBJECTIVE This study describes the process and results of creating a 15-item oral health curriculum evaluation tool (OHCET). METHODS Three-phased development of the OHCET from 2018 to 2020 including (a) Delphi group/tool development; (b) tool pilot test; and (c) tool validation/cognitive interviews. RESULTS A total of 23 program deans/directors participated in the tool validation/cognitive interviews. Summarizing accuracy scores of all 15 items, the mean accuracy score was 87.1. There was a high correlation (0.917) between the program's total score and the program director's self-assessed competence of their learners at the time of graduation. CONCLUSIONS The OHCET was validated and can be used in primary care training programs and schools across the country for institutional evaluation and for research purposes. Program directors and deans can also have some confidence that their ability to subjectively assess their learner's oral health knowledge and skills at graduation is accurate.
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Affiliation(s)
- Judith A Savageau
- Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts, USA
| | - Kate Sullivan
- Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts, USA
| | - J Lee Hargraves
- Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts, USA.,Center for Survey Research, University of Massachusetts Boston, Boston, Massachusetts, USA
| | - Hugh Silk
- Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts, USA
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Bawankar PV, Kolte AP, Kolte RA. Assessment of knowledge, awareness, and attitude among patients with cardiovascular disease about its association with chronic periodontitis. J Indian Soc Periodontol 2021; 25:156-161. [PMID: 33888949 PMCID: PMC8041075 DOI: 10.4103/jisp.jisp_101_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Revised: 09/24/2020] [Accepted: 10/04/2020] [Indexed: 11/04/2022] Open
Abstract
Background A strong bilateral relationship between cardiovascular disease (CVD) and chronic periodontitis has been established for decades. However, a knowledge gap regarding this association still persists among patients. The main objective of the present study was to assess the knowledge, awareness, and attitude among patients with CVD about its association with chronic periodontitis (CP). Materials and Methods This observational cross-sectional survey consisted of 500 patients with CVD. Along with information on demographic characteristics, data were collected on knowledge, awareness, and attitude of the interrelationships between periodontal disease and CVD, using a 5-point Likert scale, with 4 and 5 representing "agree" and "strongly agree," respectively. Results A significant number of the study population had no knowledge regarding the bilateral association CVD and CP. Other questions revealed limited awareness and ignorant attitude of the patients. Conclusion Within the limitations of the study, it can be concluded that there is a lack of awareness and an ignorant attitude about the bidirectional relationship between CVD and periodontitis among the CVD patients. Special efforts should be taken by dental as well as medical professionals to increase the awareness in this regard and thereby deliver quality health-care services at earlier stages.
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Affiliation(s)
- Pranjali Vijaykumar Bawankar
- Department of Periodontics and Implantology, VSPM Dental College and Research Centre, Nagpur, Maharashtra, India
| | - Abhay Pandurang Kolte
- Department of Periodontics and Implantology, VSPM Dental College and Research Centre, Nagpur, Maharashtra, India
| | - Rajashri Abhay Kolte
- Department of Periodontics and Implantology, VSPM Dental College and Research Centre, Nagpur, Maharashtra, India
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Practical Guidelines for Physicians in Promoting Oral Health in Frail Older Adults. J Am Med Dir Assoc 2019; 19:1039-1046. [PMID: 30471798 DOI: 10.1016/j.jamda.2018.10.007] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2018] [Revised: 10/01/2018] [Accepted: 10/05/2018] [Indexed: 11/24/2022]
Abstract
Good oral health in old age is particularly important for maintaining adequate oral function, preventing pain and discomfort, controlling localized or systemic inflammation, sustaining social interaction, and preserving quality of life. Given that oral health is an integral part of general health and well-being, and that major chronic systemic and oral diseases share common risk factors, oral health prevention and promotion should be embedded within routine medical assessment and care provision. The role of medical physicians, particularly primary care physicians, geriatricians, and elderly care physicians, in community and long-term care facilities in assessing and promoting oral health in frail older adults is critical and has been emphasized in recent European recommendations. All physicians should appreciate the importance of oral health and incorporate an initial oral health screening into routine medical assessment and care. A short interview with patients and carers on current oral health practices may help to assess the risk for rapid oral health deterioration. The interview should be followed by an oral health assessment, using validated tools, for nondental health care providers. Based on these findings, the physician should decide on necessary follow-up procedures, which may include oral health counseling and/or dental referral. Oral health counseling should include advice on daily oral, mucosal, and denture hygiene; denture maintenance; dietary advice; smoking cessation; limitation of harmful alcohol consumption; management of xerostomia; and frequent dental review. To enable physicians to perform the tasks recommended in this publication, appropriate teaching at both undergraduate and postgraduate levels must be delivered in addition to provision of appropriate continuing education courses.
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Borgnakke WS. IDF Diabetes Atlas: Diabetes and oral health - A two-way relationship of clinical importance. Diabetes Res Clin Pract 2019; 157:107839. [PMID: 31520714 DOI: 10.1016/j.diabres.2019.107839] [Citation(s) in RCA: 57] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2019] [Accepted: 09/06/2019] [Indexed: 12/22/2022]
Abstract
The current scientific evidence for the bi-directional associations between oral health and diabetes is summarized. The universal biologic mechanisms and demographic and behavioral risk drivers underlying these associations in both directions are also described. Dysglycemia, even slightly elevated blood sugar levels, adversely affects oral health, manifesting itself in several oral diseases and conditions. In the opposite direction, any oral infection with its subsequent local and systemic inflammatory responses adversely affects blood glucose levels. Moreover, painful, mobile, or missing teeth may lead to intake of soft food items representing a sub-optimal diet and hence poor nutrition, and thereby contribute to incident type 2 diabetes or to poorer glucose control in existing diabetes. Treatment of inflammation related oral conditions, such as non-surgical periodontal treatment and extraction of infected teeth, can lead to a clinically significant decrease in blood glucose levels. Attention to infectious oral diseases and referral to dental care professionals for treatment can therefore be an important novel tool for medical care professionals in preventing and managing diabetes mellitus. Dental professionals can detect unrecognized potential dysglycemia and refer for medical examination. Such interprofessional, patient centered care may contribute to improved health, wellbeing, and quality of life in people with diabetes.
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Affiliation(s)
- Wenche S Borgnakke
- Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, 1011 North University Avenue Rm# 3060, Ann Arbor, MI 48109-1078, USA.
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Goodell KH, Ticku S, Fazio SB, Riedy CA. Entrustable Professional Activities in Oral Health for Primary Care Providers Based on a Scoping Review. J Dent Educ 2019; 83:1370-1381. [PMID: 31501254 DOI: 10.21815/jde.019.152] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Accepted: 07/22/2019] [Indexed: 11/20/2022]
Abstract
Despite advances in oral health care, inequalities in oral health outcomes persist due to problems in access. With proper training, primary care providers can mitigate this inequality by providing oral health education, screening, and referral to advanced dental treatment. Diverging sets of oral health competencies and guidelines have been released or endorsed by multiple primary care disciplines. The aim of this study was to transform multiple sets of competencies into Entrustable Professional Activities (EPAs) for oral health integration into primary care training. A scoping review of the literature between January 2000 and December 2016 was conducted according to PRISMA methodology to identify all existing sets of competencies. The following primary care disciplines were included in the search: allopathic/osteopathic medical schools and residency programs in family medicine, internal medicine, and pediatrics; physician assistant programs; and nurse practitioner programs. Competencies were compared using the Health Resources and Services Administration Integration of Oral Health and Primary Care Practice competencies as the foundational set and translated into EPAs. The resulting EPAs were tested with a reactor panel. The scoping review produced 1,466 references, of which 114 were selected for full text review. Fourteen competencies were identified as being central to the integration of oral health into primary care. These were converted to seven EPAs for oral health integration into primary care and were mapped onto Accreditation Council for Graduate Medical Education residency competency domains as well to the Association of American Medical Colleges EPAs for graduating medical students. The resulting EPAs delineate the essential, observable work required of primary care providers to ensure that oral health is treated as a critical determinant of overall health.
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Affiliation(s)
- Kristen H Goodell
- Kristen H. Goodell, MD, is Associate Dean of Admissions and Assistant Professor of Family Medicine, Boston University School of Medicine; Shenam Ticku, BDS, MPH, is Instructor, Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine; Sara B. Fazio, MD, is Associate Professor of Medicine, Harvard Medical School, and Associate Director of Medical Education, Harvard Medical School Center for Primary Care; and Christine A. Riedy, PhD, MPH, is Chair, Department of Oral Health Policy and Epidemiology, and Delta Dental of Massachusetts Associate Professor in Oral Public Health and Epidemiology, Harvard School of Dental Medicine.
| | - Shenam Ticku
- Kristen H. Goodell, MD, is Associate Dean of Admissions and Assistant Professor of Family Medicine, Boston University School of Medicine; Shenam Ticku, BDS, MPH, is Instructor, Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine; Sara B. Fazio, MD, is Associate Professor of Medicine, Harvard Medical School, and Associate Director of Medical Education, Harvard Medical School Center for Primary Care; and Christine A. Riedy, PhD, MPH, is Chair, Department of Oral Health Policy and Epidemiology, and Delta Dental of Massachusetts Associate Professor in Oral Public Health and Epidemiology, Harvard School of Dental Medicine
| | - Sara B Fazio
- Kristen H. Goodell, MD, is Associate Dean of Admissions and Assistant Professor of Family Medicine, Boston University School of Medicine; Shenam Ticku, BDS, MPH, is Instructor, Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine; Sara B. Fazio, MD, is Associate Professor of Medicine, Harvard Medical School, and Associate Director of Medical Education, Harvard Medical School Center for Primary Care; and Christine A. Riedy, PhD, MPH, is Chair, Department of Oral Health Policy and Epidemiology, and Delta Dental of Massachusetts Associate Professor in Oral Public Health and Epidemiology, Harvard School of Dental Medicine
| | - Christine A Riedy
- Kristen H. Goodell, MD, is Associate Dean of Admissions and Assistant Professor of Family Medicine, Boston University School of Medicine; Shenam Ticku, BDS, MPH, is Instructor, Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine; Sara B. Fazio, MD, is Associate Professor of Medicine, Harvard Medical School, and Associate Director of Medical Education, Harvard Medical School Center for Primary Care; and Christine A. Riedy, PhD, MPH, is Chair, Department of Oral Health Policy and Epidemiology, and Delta Dental of Massachusetts Associate Professor in Oral Public Health and Epidemiology, Harvard School of Dental Medicine
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Khanbodaghi A, Natto ZS, Forero M, Loo CY. Effectiveness of interprofessional oral health program for pediatric nurse practitioner students at Northeastern University, United States. BMC Oral Health 2019; 19:170. [PMID: 31370848 PMCID: PMC6670221 DOI: 10.1186/s12903-019-0861-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2019] [Accepted: 07/22/2019] [Indexed: 12/31/2022] Open
Abstract
Background Interprofessional education (IPE) is an important part of the landscape of modern education. However, there is a significant deficiency of studies that evaluate IPE in dentistry. The aim of this article is to evaluate the effects of an oral health educational program on the dental knowledge, awareness, attitude, confidence, and behavior of pediatric nurse practitioner (PNP) students and to emphasize the importance of IPE for PNP. Methods First-year pediatric nurse practitioners from Northeastern University participated in an IPE oral health education seminal and practical session as a pilot study. Several tests were used to evaluate the effectiveness of the educational program. The post-test assessed the knowledge, awareness, attitude, confidence, and behavior of the students immediately after attending the lecture; again immediately after hands on experience; and finally at a follow-up approximately a month after attending the training module. The training module consists of prevention and anticipatory guidance; caries process and management; trauma and dental emergencies. Differences in score items were evaluated between 4 time points. Friedman’s, Wilcoxon signed-rank and McNemar’s tests were used to analyze the results. Results Knowledge score was determined based on the number of correct responses to seven questions, while awareness score was based on the median of eight questions. Fifteen confidence, attitude, and behavior questions were used. The total sample size was 16 students with a mean age 33.31 ± 7.52. The majority were females (87.5%). Significant improvement was seen in all subjects’ overall knowledge of oral health topics. The confidence, attitude, and behavior scores were differed by time of test (P < 0.01). It was the highest after post-test and the lowest in pre-test. Conclusion Our study suggests that introducing an Interprofessional education program for pediatric nurse practitioner students can provide them with adequate knowledge, awareness, confidence, and attitude regarding oral health issues. It also can help them in changing behavior, prevention and ongoing dental surveillance.
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Affiliation(s)
- Azita Khanbodaghi
- Department of Pediatric Dentistry, Tufts University School of Dental Medicine, 1 Kneeland Street, Boston, MA, 02111, USA.
| | - Zuhair S Natto
- Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Martha Forero
- Department of Pediatric Dentistry, Tufts University School of Dental Medicine, 1 Kneeland Street, Boston, MA, 02111, USA
| | - Cheen Y Loo
- Department of Pediatric Dentistry, Tufts University School of Dental Medicine, 1 Kneeland Street, Boston, MA, 02111, USA
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Al Sharrad A, Said KN, Farook FF, Shafik S, Al-Shammari K. Awareness of the Relationship between Systemic and Periodontal Diseases among Physicians and Dentists in Saudi Arabia and Kuwait: Cross-sectional Study. Open Dent J 2019. [DOI: 10.2174/1874210601913010288] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Background:Previous studies have shown possible association between periodontal diseases and Diabetes Mellitus (DM), Cardiovascular Disease (CVD) and Adverse Pregnancy Outcomes (APO). Increasing the knowledge of physicians and dentists regarding the association between periodontal disease and systemic diseases should improve their ability to provide a high standard of treatment for the disease and prevent its consequences. In our study, we sought to identify knowledge gaps in the awareness of the relationship between systemic and periodontal diseases among dentists and physicians from the Kingdom of Saudi Arabia and the State of Kuwait.Methods:A cross-sectional study was performed with a convenient sample of selected physicians and dentists in Saudi Arabia and Kuwait using a self-developed structured questionnaire. Physicians’ and dentists’ awareness were assessed regarding current evidence of the relationship between systemic diseases and conditions (DM, CVD, APO) and periodontal diseases.Results:A total of 134 (21.5%) of the identified physicians and 485 (78%) of the identified dentists participated in this study. More than half of the participants (52.1% physicians and 67.5% dentists) agreed that there is a relationship between periodontal diseases and DM, CVD and APO. Dentists had a statistically higher level of awareness compared with the physicians. The findings related to the awareness of the dentist sub groups highlighted that periodontists were significantly more likely to have a good level of knowledge.Conclusion:Within the limitations of this study, we concluded that the awareness of physicians and dentists regarding the relationship between periodontal diseases and systemic diseases (DM, CVD, APO) is generally low, Therefore, improved collaboration between medical and dental health providers is recommended.
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Muthra S, Hamilton R, Leopold K, Dodson E, Mooney D, Wallington SF, Dash C, Adams-Campbell LL. A qualitative study of oral health knowledge among African Americans. PLoS One 2019; 14:e0219426. [PMID: 31291338 PMCID: PMC6619789 DOI: 10.1371/journal.pone.0219426] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Accepted: 06/24/2019] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES The purpose of this qualitative oral health needs assessment was to probe and better understand the oral health knowledge, beliefs, and barriers of District residents, particularly in DC wards where oral health disparities are most prevalent. METHODS Forty-eight (n = 48) participants were recruited for four focus groups. The focus group instrument consisted of a structured interview guide addressing the following topics: oral health history, perceived barriers to oral health, knowledge and perceptions about oral systemic health, and preferred message channels for receiving information on oral/dental health. Content analysis was performed using NVivo, a computerized, qualitative informatics tool. RESULTS The majority of participants in this study practiced both brushing and flossing in their daily dental routine and did not believe that tooth loss is a normal part of ageing. There was lack of knowledge on the connection between oral and systemic health, specifically impact of smoking, alcohol use, and sweets and sexual activity. Focus groups identified two main barriers to healthcare access-communication and affordability. Participants who had a dentist were satisfied and felt that their needs were met. CONCLUSION Our findings indicate a need for educational intervention and improved communication from oral health providers to increase awareness of the impact of systemic health and risky behaviors can have on oral health.
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Affiliation(s)
- Sherieda Muthra
- Georgetown University Lombardi Comprehensive Cancer Center, Washington D.C., United States of America
| | - Rhonda Hamilton
- Georgetown University Lombardi Comprehensive Cancer Center, Washington D.C., United States of America
| | - Katherine Leopold
- Georgetown University Lombardi Comprehensive Cancer Center, Washington D.C., United States of America
| | - Everett Dodson
- Georgetown University Lombardi Comprehensive Cancer Center, Washington D.C., United States of America
| | - Dale Mooney
- Georgetown University Lombardi Comprehensive Cancer Center, Washington D.C., United States of America
| | - Sherrie Flynt Wallington
- Georgetown University Lombardi Comprehensive Cancer Center, Washington D.C., United States of America
| | - Chiranjeev Dash
- Georgetown University Lombardi Comprehensive Cancer Center, Washington D.C., United States of America
| | - Lucile L. Adams-Campbell
- Georgetown University Lombardi Comprehensive Cancer Center, Washington D.C., United States of America
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Faden AA, Alsalhani AB, Idrees MM, Alshehri MA, Nassani MZ, Kujan OB. Knowledge, attitudes, and practice behavior of dental hygienists regarding the impact of systemic diseases on oral health. Saudi Med J 2019; 39:1139-1147. [PMID: 30397714 PMCID: PMC6274662 DOI: 10.15537/smj.2018.11.23267] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
OBJECTIVES To assess the knowledge levels of dental hygienists in Saudi Arabia regarding the association between systemic and oral disease in addition to evaluating their attitude about integrating this knowledge into clinical practice. Methods: This was a cross-sectional survey using a questionnaire of 102 items among 192 randomly selected dental hygienists practicing in Riyadh, Saudi Arabia by individual interview. The research tool was pilot tested among 12 dental hygienists (8 females and 4 males) to obtain feedback about clarity and objectivity. Results: The response rate was 83%, and the majority of respondents were female (77.5%). The respondents' knowledge about the risk factors of cardiovascular diseases was better than other conditions. The level of education was considered to be a significant predictor in many items related to risk factors. More than the half, rated the evidence linking periodontal disease and diabetes mellitus as strong; however, the knowledge level of oral-systemic evidence was less than expected. A high percentage of the respondents were confident and comfortable managing patients with systemic conditions. Most agreed that dental hygienists must be prepared efficiently to manage medically compromised patients. Conclusion: Dental hygienists in Riyadh, Saudi Arabia have low level of knowledge about the oral-systemic disease relationship. This study suggests that greater emphasis should be placed on this association in current and continuing education programs.
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Affiliation(s)
- Asma'a A Faden
- Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail.
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Abid M, Javed F. Knowledge of Medical Practitioners about Periodontal Diseases and Its Impact on Overall Health: A Cross-sectional Study. Cureus 2018; 10:e2694. [PMID: 30062068 PMCID: PMC6063390 DOI: 10.7759/cureus.2694] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Accepted: 05/28/2018] [Indexed: 11/09/2022] Open
Abstract
INTRODUCTION Periodontal disease is defined as an inflammation of the gums that may result in loss of the tissues holding the teeth in its place. The signs and symptoms include red and/or swollen gums, bleeding gums, halitosis or in severe cases, loosening of teeth. Periodontal diseases act as a risk factor for several health conditions including diabetes and cardiovascular diseases and it can even result in adverse pregnancy outcomes. Therefore, in this study, we aim to assess the knowledge of medical practitioners regarding periodontal diseases and its impact on overall health. METHODS We conducted a cross-sectional, questionnaire-based study that included 100 medical practitioners working in the Combined Military Hospital Lahore, Pakistan. RESULTS In our study, 83.0% participants knew the definition of periodontal disease; 7.0% of the participants responded that they take their patient's periodontal history; 26.0% screened their patients for gums related problems while 87.0% reported that they are comfortable in performing an oral examination. 80.0% of the participants agreed that periodontal disease can be a risk factor for diabetes; 73.0% said they believe that it can lead to adverse pregnancy outcomes; 62.0% thought that it can result in cardiovascular diseases. CONCLUSION Most of the participants in our study had a considerable amount of knowledge about periodontal diseases. However, it is important to stress the value of taking a detailed periodontal history and screening patients for periodontal problems.
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Affiliation(s)
- Maham Abid
- Periodontology, CMH Lahore Medical College and Institute of Dentistry, Shami Road, Lahore Cantt., Lahore, PAK
| | - Farhan Javed
- Periodontology, CMH Lahore Medical College and Institute of Dentistry, Shami Road, Lahore Cantt., Lahore, PAK
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Fatima SH, Naseem S, Awan SA, Ghazanfar H, Ali Z, Khan NA. Oral Health Practices Among Pakistani Physicians. Cureus 2018; 10:e2093. [PMID: 29568714 PMCID: PMC5862468 DOI: 10.7759/cureus.2093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Introduction In most healthcare models, the first interaction of a patient is with a general physician. The inspection of the oral cavity is a mandatory component of the general physical examination performed by a physician. This helps detect any oral pathology and make suitable referrals. Therefore, adequate oral health awareness is essential for physicians. Our study aimed at evaluating the oral health practices among physicians working in a private teaching setup in Islamabad, Pakistan. Methods A cross-sectional study involving 144 physicians teaching undergraduate medical students at Shifa College of Medicine and its affiliated hospital, Shifa International Hospital, was conducted. Participants were interviewed through a self-designed questionnaire. Later, each participant demonstrated their teeth brushing technique on a standard model of the oral cavity, which was assessed against a checklist conforming to the modified bass technique. A video clip showing the aforementioned brushing technique was shown at the end of the interview. The collected data was analyzed on IBM's statistical package for the social sciences (SPSS) version 21. Results Toothpaste was the top choice (97.2%) of teeth cleaning tool with 69% participants brushing their teeth two times a day and 56.9% using toothbrushes with bristles of medium texture. The use of mouthwash (32.6%) and dental floss (11.1%) was considerably low. Dental caries and teeth discoloration were seen in 46.5% and 43.8% physicians, respectively. An alarmingly low number of physicians (31.9%) claimed to have read guidelines regarding oral health. This translated into most participants (78.5%) visiting a dentist only when needed. Only 4.9% participants performed all components of the modified bass technique to clean teeth on the oral cavity model, with up to 22.9% unable to perform a single step accurately. Conclusion The oral health knowledge and practices of physicians were found to be suboptimal and necessitate the integration of oral health awareness in the medical curriculum. A multiprofessional approach with physicians in crucial roles is required to address the burden of dental diseases globally.
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Affiliation(s)
- Syeda H Fatima
- Department of Health Profession Education, Shifa College of Medicine, Islamabad, Pakistan
| | - Sajida Naseem
- Department of Community and Family Medicine, Shifa International Hospital, Islamabad, Pakistan
| | - Sara A Awan
- Department of Pathology, Shifa College of Medicine, Islamabad, Pakistan
| | - Haider Ghazanfar
- Internal Medicine, Shifa College of Medicine, Islamabad, Pakistan
| | - Zainab Ali
- Medicine, Shifa International Hospital, Islamabad, Pakistan
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de Castro LA, de Castro JGL, de Alcantara JS, Garcia Junior DA, Romeu CSN, Coutinho IHILS. Why Physicians Should Look at the Mouths of Their Patients. J Clin Med Res 2016; 8:841-843. [PMID: 27829947 PMCID: PMC5087621 DOI: 10.14740/jocmr2735w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/13/2016] [Indexed: 01/22/2023] Open
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Umeizudike KA, Iwuala SO, Ozoh OB, Ayanbadejo PO, Fasanmade OA. Association between periodontal diseases and systemic illnesses: A survey among internal medicine residents in Nigeria. Saudi Dent J 2016; 28:24-30. [PMID: 26792966 PMCID: PMC4688436 DOI: 10.1016/j.sdentj.2015.03.005] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2014] [Revised: 01/11/2015] [Accepted: 03/08/2015] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVE To assess internal medicine residents' knowledge of associations between periodontal disease and systemic illnesses, and attitudes toward patients' periodontal health. METHODS A cross-sectional survey using a self-administered questionnaire was conducted among internal medicine residents attending the Faculty of Internal Medicine 2014 Update Course organized by the National Postgraduate Medical College of Nigeria. Participants came from all over the country. Data on respondents' demographic characteristics, periodontal disease knowledge, knowledge of associations between periodontal disease and systemic illnesses, and attitudes toward patients' periodontal health were collected. Data were analyzed using Epi INFO software. The Pearson chi square test was used to measure significant association between categorical variables such as the knowledge of periodontal disease and gender, age group and designation of the participants (p ⩽ 0.05). RESULTS Of 150 questionnaires distributed, 123 were returned (82% response rate); 109 questionnaires were completed properly and included in the analysis. The most common source of residents' information on oral health was television (59.4%). Only 11.2% of respondents were aware that gingival bleeding was the earliest sign of periodontal disease. Respondents correctly identified periodontal disease as a risk factor for coronary heart disease (45.9%), stroke (43.5%), hospital-acquired pneumonia (53.2%), diabetes mellitus (13.8%), and preterm birth (11%). Increased age (p = 0.032) and male gender (p = 0.022) were associated significantly with knowledge of periodontal disease as a risk factor for stroke. Higher designation (p = 0.002) and longer duration in residency training (p = 0.004) were associated significantly with knowledge of periodontal disease as risk factor for peripheral arterial disease. The majority (90.9%) of respondents had positive attitudes toward the referral of their patients for regular periodontal care. CONCLUSIONS Knowledge of periodontal disease as a risk factor for systemic illnesses among medical residents in Nigeria is inadequate. These relationships should be emphasized in continuing medical education courses.
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Affiliation(s)
- Kehinde A. Umeizudike
- Department of Preventive Dentistry, Faculty of Dental Sciences, College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria
| | - Sandra O. Iwuala
- Department of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria
| | - Obianuju B. Ozoh
- Department of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria
| | - Patricia O. Ayanbadejo
- Department of Preventive Dentistry, Faculty of Dental Sciences, College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria
| | - Olufemi A. Fasanmade
- Department of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria
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Kaur S, Khurana P, Kaur H. A survey on acquaintance, orientation and behavior of general medical practitioners toward periodontal diseases. J Indian Soc Periodontol 2015; 19:322-6. [PMID: 26229276 PMCID: PMC4520120 DOI: 10.4103/0972-124x.154545] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2014] [Accepted: 02/26/2015] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND An association between oral conditions such as periodontal diseases and systemic conditions is noted. As such, periodontal disease is associated with an increased risk of systemic illnesses such as cardiovascular disease, diabetes, adverse pregnancy outcome, atherosclerosis, stroke and hospital acquired pneumonia. The concept of diagnosing and treating a potential patient to minimize the deleterious effects of this chronic infectious and inflammatory condition on systemic conditions represents both an unprecedented challenge and opportunity to our profession. Keeping this in view, the present survey was designed to evaluate the acquaintance, orientation and behavior of general medical practitioners; concerning the effects of periodontal disease on systemic health. MATERIALS AND METHODS A typed questionnaire carrying four sets of questions was distributed among general medical practitioners of seven different government and private medical colleges and hospitals. Questionnaire was developed to assess the acquaintance, orientation and behavior of general medical practitioners toward periodontal disease. RESULTS Most of the respondents have knowledge regarding the signs and symptoms of periodontal disease and its association with cardiovascular disease. However, majority of them do not know about the potential effect of periodontal disease on other organ systems. CONCLUSION General medical practitioners have inadequate knowledge regarding periodontal diseases. Hence, oral health related training should be an integral part of the medical curriculum.
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Affiliation(s)
- Supreet Kaur
- Department of Periodontics, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India
| | - Pankaj Khurana
- Department of Dentistry, Government Medical College and Hospital, Chandigarh, India
| | - Harjit Kaur
- Department of Periodontics and Community Dentistry, Guru Nanak Dev Dental College and Research Institute, Sunam, Punjab, India
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Taşdemir Z, Alkan BA. Knowledge of medical doctors in Turkey about the relationship between periodontal disease and systemic health. Braz Oral Res 2015; 29:55. [PMID: 25885023 DOI: 10.1590/1807-3107bor-2015.vol29.0055] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Accepted: 01/02/2015] [Indexed: 11/21/2022] Open
Abstract
Understanding the relationship between periodontal disease (PD) and systemic health (SH) is necessary for the accurate diagnosis and treatment of both. The aim of this study was to evaluate the knowledge of medical doctors in Turkey with regard to the association between PD and SH. This study was carried out using self-reported questionnaires that were sent to medical doctors who work at various universities and public and private hospitals in different cities in Turkey. The questionnaires consisted of questions about the demographic information of the medical doctors, as well as the knowledge of those doctors about the relationship between PD and SH. In total, 1,766 responses were received and 90.8% of the participants agreed that there was a relationship between PD and SH. Diabetes mellitus was the most frequent systemic disease (66.8%) known to be related to PD. Of the participants, 56.5% of the medical doctors referred their patients to periodontists for different reasons. Gingival bleeding was the most frequent reason for patient referrals, with 44% of doctors giving such referrals. Doctors who worked in basic medical sciences were significantly less aware of the relationship between PD and SH than the doctors in other specialties. Although the vast majority of the medical doctors reported that they knew the relationship between PD and SH, the findings of this study showed that this awareness was not supported by precise knowledge, and often failed to translate into appropriate clinical practice.
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Affiliation(s)
- Zekeriya Taşdemir
- Department of Periodontology, Faculty of Dentistry, Erciyes University, Kayseri, Turkey
| | - Banu Arzu Alkan
- Department of Periodontology, Faculty of Dentistry, Erciyes University, Kayseri, Turkey
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Cohen L, Schaeffer M, Davideau JL, Tenenbaum H, Huck O. Obstetric knowledge, attitude, and behavior concerning periodontal diseases and treatment needs in pregnancy: influencing factors in France. J Periodontol 2014; 86:398-405. [PMID: 25427617 DOI: 10.1902/jop.2014.140371] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Many studies have shown that periodontal diseases are risk factors for adverse pregnancy outcomes. The aim of this study is to assess the knowledge and clinical attitude of French obstetricians and/or gynecologists regarding periodontal diseases. METHODS A cross-sectional study was performed on randomly selected French obstetricians and/or gynecologists using a self-administered, structured questionnaire during an annual French professional congress. RESULTS The questionnaire was completed by 190 French obstetricians and/or gynecologists. Among respondents, 88% were aware of the inflammatory and infectious nature of periodontal diseases. Furthermore, 74.7% of respondents were conscious of its negative impact on pregnancy outcomes. Few obstetricians and/or gynecologists (26.3%) interviewed patients about oral health. Information on oral health was systematically provided to patients by 10.5% of the practitioners. However, 55.6% addressed this issue if they considered the patient at risk for pregnancy. Only 33.2% of practitioners systematically referred the patient to a dentist. Periodontal disease knowledge and consideration levels increased in more experienced practitioners with a private practice and a personal history of periodontal disease. CONCLUSIONS Periodontal knowledge of the French obstetricians and/or gynecologists surveyed seemed satisfyingly apparent and influenced by levels of professional experience and personal history. However, clinical behavior did not adequately correlate with this knowledge.
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Affiliation(s)
- Laura Cohen
- Department of Periodontology, Dental Faculty, University of Strasbourg, Strasbourg, France
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20
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Alves RT, Ribeiro RA, Costa LR, Leles CR, Freire MDCM, Paiva SM. Oral care during pregnancy: attitudes of Brazilian public health professionals. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2012. [PMID: 23202756 PMCID: PMC3509465 DOI: 10.3390/ijerph9103454] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
There is little information about health professionals’ behavior regarding oral health care during pregnancy. We evaluated attitudes of obstetricians/gynecologists, nurses, and dentists working at a public community service towards pregnant women’s oral health. Health professionals responded to a self-applied questionnaire. Cluster analysis identified two clusters of respondents; Chi-square, Student’s t test, and logistic regression were used to compare the two clusters in terms of the independent variables. Respondents were categorized into cluster 1 ‘less favorable’ (n = 159) and cluster 2 ‘more favorable’ (n = 124) attitudes. Professionals that had attended a residency or specialization program (OR = 2.08, 95% CI = 1.15–3.77, p = 0.016) and worked exclusively at the public service (OR = 2.15, 95% CI = 1.10–4.20, p = 0.025) presented more favorable attitudes. Obstetricians/gynecologists (OR = 0.22, 95% CI = 0.09–0.54, p = 0.001) and nurses (OR = 0.50, 95% CI = 0.29–0.86, p = 0.013) showed less favorable attitudes than dentists. Health care providers’ attitudes regarding pregnant women’s oral health were related to their occupation, qualification, and dedication to the public service.
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Affiliation(s)
- Renata Toledo Alves
- Estacio de Sa College, Avenida Presidente Joao Goulart, 600, Cruzeiro do Sul, Juiz de Fora, MG 30130-900, Brazil;
| | - Rosangela Almeida Ribeiro
- Department of Social and Child Dentistry, Faculty of Dentistry, Federal University of Juiz de Fora, Rua José Lourenço Kelmer, Bairro São Pedro, Juiz de Fora, MG 36036-900, Brazil;
| | - Luciane Rezende Costa
- Department of Preventive and Restorative Dentistry, Faculty of Dentistry, Federal University of Goias, Primeira Avenida, Setor Universitario, Goiania, GO 74605-220, Brazil;
- Author to whom correspondence should be addressed; ; Tel.: +55-62-3209-6047; Fax: +55-62-3209-6325
| | - Claudio Rodrigues Leles
- Department of Preventive and Restorative Dentistry, Faculty of Dentistry, Federal University of Goias, Primeira Avenida, Setor Universitario, Goiania, GO 74605-220, Brazil;
| | - Maria do Carmo Matias Freire
- Department of Stomatological Sciences, Faculty of Dentistry, Federal University of Goias, Primeira Avenida, Setor Universitario, Goiania, GO 74605-220, Brazil;
| | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Federal University of Minas Gerais, Avenida Antonio Carlos, 6627, Pampulha, Belo Horizonte, MG 31270-901, Brazil;
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Lalla E, Lamster IB. Assessment and management of patients with diabetes mellitus in the dental office. Dent Clin North Am 2012; 56:819-29. [PMID: 23017553 DOI: 10.1016/j.cden.2012.07.008] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Diabetes mellitus is a serious chronic disease that affects many dental patients. Dental professionals have the potential and responsibility to assume an active role in the early identification, assessment, and management of their patients who present with or are at risk of developing diabetes. Close maintenance, meticulous monitoring of individual patient needs, and close collaboration with other health care professionals involved in the care will enable better control of the oral complications of diabetes and contribute to the better management of the patient's overall health status.
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Affiliation(s)
- Evanthia Lalla
- Section of Oral and Diagnostic Sciences, Division of Periodontics, Columbia University College of Dental Medicine, New York, NY 10032, USA.
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Bell KP, Phillips C, Paquette DW, Offenbacher S, Wilder RS. Dental Hygienists’ Knowledge and Opinions of Oral-Systemic Connections: Implications for Education. J Dent Educ 2012. [DOI: 10.1002/j.0022-0337.2012.76.6.tb05302.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- Kathryn P. Bell
- Pacific University School of Dental Health Science, Graduate Program in Dental Hygiene Education, University of North Carolina at Chapel Hill School of Dentistry
| | - Ceib Phillips
- Department of Orthodontics and Assistant Dean for Advanced Education/Graduate Programs; University of North Carolina School of Dentistry
| | | | - Steven Offenbacher
- Department of Periodontology; Center for Oral and Systemic Diseases; University of North Carolina School of Dentistry
| | - Rebecca S. Wilder
- Dental Hygiene Education Department of Dental Ecology; University of North Carolina School of Dentistry
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Albert DA, Ward A, Allweiss P, Graves DT, Knowler WC, Kunzel C, Leibel RL, Novak KF, Oates TW, Papapanou PN, Schmidt AM, Taylor GW, Lamster IB, Lalla E. Diabetes and oral disease: implications for health professionals. Ann N Y Acad Sci 2012; 1255:1-15. [PMID: 22409777 PMCID: PMC3429365 DOI: 10.1111/j.1749-6632.2011.06460.x] [Citation(s) in RCA: 60] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
"Diabetes and Oral Disease: Implications for Health Professionals" was a one-day conference convened by the Columbia University College of Dental Medicine, the Columbia University College of Physicians and Surgeons, and the New York Academy of Sciences on May 4, 2011 in New York City. The program included an examination of the bidirectional relationship between oral disease and diabetes and the interprofessional working relationships for the care of people who have diabetes. The overall goal of the conference was to promote discussion among the healthcare professions who treat people with diabetes, encourage improved communication and collaboration among them, and, ultimately, improve patient management of the oral and overall effects of diabetes. Attracting over 150 members of the medical and dental professions from eight different countries, the conference included speakers from academia and government and was divided into four sessions. This report summarizes the scientific presentations of the event.
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Affiliation(s)
- David A. Albert
- Columbia University College of Dental Medicine, New York, New York
| | - Angela Ward
- Columbia University College of Dental Medicine, New York, New York
| | - Pamela Allweiss
- Centers for Disease Control and Prevention, Atlanta, Georgia
- University of Kentucky College of Public Health, Lexington, Kentucky
| | - Dana T. Graves
- University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania
| | - William C. Knowler
- National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, Arizona
| | - Carol Kunzel
- Columbia University College of Dental Medicine, New York, New York
| | - Rudolph L. Leibel
- Columbia University College of Physicians and Surgeons, New York, New York
| | | | - Thomas W. Oates
- University of Texas Health Science Center at San Antonio, San Antonio, Texas
| | | | | | - George W. Taylor
- University of California at San Francisco School of Dentistry, San Francisco, California
| | - Ira B. Lamster
- Columbia University College of Dental Medicine, New York, New York
| | - Evanthia Lalla
- Columbia University College of Dental Medicine, New York, New York
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Hein C, Schönwetter DJ, Iacopino AM. Inclusion of Oral-Systemic Health in Predoctoral/Undergraduate Curricula of Pharmacy, Nursing, and Medical Schools Around the World: A Preliminary Study. J Dent Educ 2011. [DOI: 10.1002/j.0022-0337.2011.75.9.tb05162.x] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Casey Hein
- Director of Education of the International Centre for Oral-Systemic Health; Faculty of Dentistry; Assistant Professor, Director of Interprofessional Continuing Development; Faculty of Medicine; Office of Continued Professional Development; University of Manitoba
| | - Dieter J. Schönwetter
- Faculty Development; Dentistry Computing Services; Faculty of Dentistry; University of Manitoba
| | - Anthony M. Iacopino
- Director of the International Centre for Oral-Systemic Health; Faculty of Dentistry; University of Manitoba
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Gur A, Majra JP. Awareness regarding the systemic effects of periodontal disease among medical interns in India. J Glob Infect Dis 2011; 3:123-7. [PMID: 21731297 PMCID: PMC3125023 DOI: 10.4103/0974-777x.81687] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND Medical curriculum does not provide required space for oral health; hence, many medical interns are unfamiliar with the oral cavity and oral health research. AIMS To study the level of awareness regarding systemic effects of periodontal disease among medical interns. SETTINGS AND DESIGN A cross-sectional qualitative study recruiting medical interns from two medical institutions affiliated to two different universities in Southern India. MATERIALS AND METHODS Study was carried out in two medical institutions affiliated to two different universities in Southern India. A total of 143 interns participated in the study. Each participant was given a self-administered, pre-tested, multiple choice question-type questionnaire to solve on the spot. In order to summarise the awareness level, respondents were graded on a five-level scale as poor, fair, good, very good, and excellent. STATISTICAL ANALYSIS USED Percentages, proportions. RESULTS A total of 67 respondents (47%) had fair; 60(42%), poor; and 18(11%), good level of awareness regarding the systemic effects of periodontal disease. Only 23(16%), 17(12%), 12(8%), 6(4%) and 4(3%) respondents were aware that the periodontal disease may be the possible risk factor for coronary heart disease, cerebral infarction, diabetes mellitus, hospital-acquired pneumonia, and preterm labour (low birth-weight infants), respectively. Only 12 respondents (8%) would seek dentist's opinion for all patients with systemic diseases related to dental disease. CONCLUSIONS Medical interns had inadequate awareness regarding the systemic effects of periodontal disease. Therefore, an integrated teaching of medical and dental sciences is recommended.
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Affiliation(s)
- Arpita Gur
- Department of Periodontics, A. B. Shetty Memorial Institute of Dental Sciences, Mangalore, India
| | - JP Majra
- Department of Community Medicine, Yenepoya Medical College, Mangalore, India
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Ward AS, Cobb CM, Kelly PJ, Walker MP, Williams KB. Application of the theory of planned behavior to nurse practitioners' understanding of the periodontal disease-systemic link. J Periodontol 2010; 81:1805-13. [PMID: 20629550 DOI: 10.1902/jop.2010.100259] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Mounting evidence supports a connection between periodontal disease and coronary heart disease, ischemic stroke, and diabetes. This theoretically grounded study examines the knowledge, attitudes, and screening and referral behaviors of primary care nurse practitioners (NPs) in relation to the periodontal disease-systemic link. METHODS A questionnaire based on the theory of planned behavior was administered to 200 primary medical care providers, mostly NPs, to determine their practice behaviors, attitudes, opinions, and knowledge regarding the periodontal disease-systemic link. A total of 137 partially and fully complete questionnaires were used for data analyses. Data were analyzed for the reported frequency of screening for periodontal disease and the knowledge of the relationship between periodontal and systemic disease. Oblimin rotation was used to explore the underlying factor structure of 10 practice-behavior items. Bivariate analyses were conducted to determine which factor subscales and demographic characteristics were significantly associated with screening and referral behaviors. RESULTS Twenty-two percent of the respondents reported that they always or routinely screened patients for periodontal disease. When providers felt good about their training and continuing education (attitude), they were significantly more likely to screen patients for periodontal disease. If providers believed it was within their scope of practice (social norm) to screen for periodontal disease, and they had control over the establishment of office protocols (control), the likelihood of screening for periodontal disease increased. CONCLUSIONS Professional and social norms, the perceived control over one's practice site, and reimbursement were significantly related to NPs engaging in periodontal screening and the subsequent referral for care. These results support the importance of interprofessional and collaborative education between medicine/nursing and dentistry.
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Affiliation(s)
- Audra S Ward
- Department of Periodontics, School of Dentistry, University of Missouri-Kansas City, Kansas City, MO 64108, USA
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