CARDIOLOGISTS’ AND CARDIOVASCULAR SURGEONS’ AWARENESS, OPINIONS AND PRACTICE BEHAVIORS RELATING TO THE ASSOCIATION BETWEEN PERIODONTAL DISEASE AND CARDIOVASCULAR DISEASE
Abstract
Aim: There is a growing evidence that periodontal disease is associated with an increased risk of cardiovascular diseases. To assess the awareness levels, views, and clinical practices of cardiologists and cardiovascular surgeons in Turkey on the association of periodontal diseases with the diseases of the cardiovascular system.
Material and Methods: A survey that included twenty-three questions was prepared and mailed to 99 cardiologists and cardiovascular surgeons practicing as resident, lecturer or specialist in Turkey. The response rate is 66%. Data was analyzed using SPSS® 18.0 software (SPSS, Chicago, IL, USA).
Results: Of the respondents; 80% were males, 98% were at the age of ≤ 50 years, 59% have been working in a university, and 37% were specialists. Fifty-three percent of lecturer and 38% of specialist received a periodontal treatment more than two years time ago. Fourteen percent of resident, 30% of specialist and 53% of lecturer referred patients to visit the dentist. Eighty-eight percent of the residents and lecturers agreed or strongly agreed with the opinion that periodontal disease treatment could lower the risk of an individual to develop a type of cardiovascular disease.
Conclusion: Cardiologists and cardiovascular surgeons had a lack of knowledge of the periodontal disease and its impact on systemic health. Programs on oral health in academic curricula of cardiologists and cardiovascular surgeons should be improved to leverage the level of awareness and knowledge on periodontal diseases.
Keywords: Cardiologists, cardiovasvular surgeons, cardiovascular diseases, periodontal diseases, oral health.
Kardiyologların ve Kardiyovasküler
Cerrahların Periodontal Hastalık ve Kardiyovasküler Hastalık Arasındaki
İlişkisi ile İlgili Farkındalık, Görüş ve Uygulama Davranışları
Amaç: Periodontal hastalığın artmış
kardiyovasküler hastalık riski ile ilişkili olduğuna dair kanıtlar artmaktadır.
Bu çalışmanın amacı kardiyologların ve kardiyovasküler cerrahların periodontal
hastalık ve kardiyovasküler hastalık arasındaki ilişki ile ilgili farkındalık,
görüş ve uygulama alışkanlıklarını değerlendirmektir.
Gereç ve yöntem: Yirmi üç sorudan oluşan
anket hazırlanmış ve Türkiye’de uzman, öğretim üyesi veya asistan olarak
çalışan 99 kardiyolog ve kardiyovasküler cerraha mail yoluyla gönderilmiştir.
Anketin cevaplanma oranı %66’dır. Veriler SPSS® 18.0 yazılımı (SPSS,
Chicago, IL, USA) kullanılarak analiz edilmiştir.
Bulgular: Katılımcıların % 80'i erkek
ve % 98'i 50 yaşında veya daha gençtir. Katılımcıların %59’u üniversitede
çalışıyor ve %37'si uzman olarak görev yapmaktadır. Öğretim elemanının %53’ü ve
uzmanların % 38'i iki yıldan uzun zaman önce periodontal tedavi görmüştür. Asistanların
%14’ü, uzmanların % 30'u ve öğretim elemanının % 53'ü hastalarını diş hekimine
gitmesi için sevk etmektedir. Asistanların ve öğretim elemanlarının %88’i
periodontal hastalığın tedavisinin hastanın kardiyovasküler hastalık riskini
azaltabileceği konusuna katılmakta veya çok güçlü katılmaktadır.
Sonuç: Kardiyologlar ve kardiyovasküler cerrahlar periodontal
hastalık ve periodontal hastalığın sistemik sağlık üzerindeki etkisi hakkında yetersiz
bilgiye sahiptir. Kardiyolog ve kalp damar cerrahların akademik müfredatlarında
ağız diş sağlığı üzerine programlar, periodontal hastalıklar hakkındaki
farkındalık ve bilgi seviyesini arttırmak için geliştirilmelidir.
Anahtar kelimeler: Kardiyologlar,
kardiovasküler cerrahlar, cardiovascular diseases, periodontal hastalıklar,
ağız sağlığı
References
- 1. Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, de Ferranti SD, Floyd J, Fornage M, Gillespie C, Isasi CR, Jiménez MC, Jordan LC, Judd SE, Lackland D, Lichtman JH, Lisabeth L, Liu S, Longenecker CT, Mackey RH, Matsushita K, Mozaffarian D, Mussolino ME, Nasir K, Neumar RW, Palaniappan L, Pandey DK, Thiagarajan RR, Reeves MJ, Ritchey M, Rodriguez CJ, Roth GA, Rosamond WD, Sasson C, Towfighi A, Tsao CW, Turner MB, Virani SS, Voeks JH, Willey JZ, Wilkins JT, Wu JH, Alger HM, Wong SS, Muntner P. Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. Circulation 2017;135(10): e146-e603.
- 2. Yucel-Lindberg T, Bage T. Inflammatory mediators in the pathogenesis of periodontitis. Expert Rev Mol Med 2013;15:e7.
- 3. Bartruff JB, Yukna RA, Layman DL. Outer membrane vesicles from Porphyromonas gingivalis affect the growth and function of cultured human gingival fibroblasts and umbilical vein endothelial cells. J Periodontol 2005;76:972-9.
- 4. Teeuw WJ, Slot DE, Susanto H, Gerdes VE, Abbas F, D’Aiuto F, Kastelein JJ, Loos BG. Treatment of periodontitis improves the atherosclerotic profile: a systematic review and meta-analysis. J Clin Periodontol 2014;41(1):70-9.
- 5. Wang X, Han X, Guo X, Luo X, Wang D. The effect of periodontal treatment on hemoglobin a1c levels of diabetic patients: a systematic review and meta-analysis. PLoS One 2014; 9(9): e108412.
- 6. Friedewald VE, Kornman KS, Beck JD, Genco R, Goldfine A, Libby P, Offenbacher S, Ridker PM, Van Dyke TE, Roberts WC; American Journal of Cardiology; Journal of Periodontology. The American Journal of Cardiology and Journal of Periodontology editors' consensus: periodontitis and atherosclerotic cardiovascular disease. J Periodontol 2009;80(7):1021-32.
- 7. Mosley M, Offenbacher S, Phillips C, Granger C, Wilder RS. North Carolina Cardiologists' Knowledge, Opinions and Practice Behaviors Regarding the Relationship between Periodontal Disease and Cardiovascular Disease. J Dent Hyg 2015;89 Suppl 2:38-48.
- 8. Paquette DW, Madianos P, Offenbacher S, Beck JD, Williams RC. The concept of "risk" and the emerging discipline of periodontal medicine. J Contemp Dent Pract 1999;15(1):1-8.
- 9. Díaz-Zúñiga J, Muñoz Y, Melgar-Rodríguez S, More J, Bruna B, Lobos P, Monasterio G, Vernal R, Paula-Lima A. Serotype b of Aggregatibacter actinomycetemcomitans triggers pro-inflammatory responses and amyloid beta secretion in hippocampal cells: a novel link between periodontitis and Alzheimer´s disease? J Oral Microbiol. 2019;11(1):1586423.
- 10. Wilder RS, Thomas KM, Jared H. Periodontal-systemic disease education in United States dental hygiene programs. J Dent Educ 2008;72(6):669-79.
- 11. Wilder RS, Iacopino AM, Feldman CA, Guthmiller J, Linfante J, Lavigne S, Paquette D. Periodontal-systemic disease education in U.S. and Canadian dental schools. J Dent Educ 2009;73(1):38-52.
- 12. Yellowitz JA, Goodman HS. Assessing physicians' and dentists' oral cancer knowledge, opinions and practices. J Am Dent Assoc 1995;126(1):53-60.
- 13. McCunniff MD, Barker GJ, Barker BE, Williams K. Health professionals' baseline knowledge of oral/pharyngeal cancers. J Cancer Educ 2000;15(2):79-81.
- 14. Lewis CW, Boulter S, Keels MA, Krol DM, Mouradian WE, O’Connor KG, Quinorez RB. Oral health and pediatricians: results of a national survey. Acad Pediatr 2009;9(6):457-61.
- 15. Quijano A, Shah AJ, Schwarcz AI, Lalla E, Ostfeld RJ. Knowledge and orientations of internal medicine trainees toward periodontal disease. J Periodontol 2010;81(3):359-63.
- 16. Lewis CW, Grossman DC, Domoto PK, Deyo RA. The role of the pediatrician in the oral health of children: A national survey. Pediatrics 2000;106(6): E84.
- 17. Owens JB, Wilder RS, Southerland JH, Buse JB, Malone RM. North Carolina internists' and endocrinologists' knowledge, opinions, and behaviors regarding periodontal disease and diabetes: need and opportunity for interprofessional education. J Dent Educ 2011;75(3):329-38.
- 18. Mouradian WE, Reeves A, Kim S, Evans R, Schaad D, Marshall SG, Slayton R. An oral health curriculum for medical students at the University of Washington. Acad Med 2005;80(5):434-42.
- 19. Wilder R, Robinson C, Jared HL, Lieff S, Boggess K. Obstetricians' knowledge and practice behaviors concerning periodontal health and preterm delivery and low birth weight. J Dent Hyg 2007;81(4):81.
- 20. Şenol AU, Aykaç Y, Bağış N, Akkaya M. Uzman Tıp Hekimlerinin Periodontal Durum ve Sistemik Hastalık Arasındaki İlişki ile İlgili Farkındalık ve Yaklaşımlarının Değerlendirilmesi. Atatürk Üniv. Diş Hek. Fak. Derg. 2016;26(2):218-224.
- 21. Fellona MO, DeVore LR. Oral health services in primary care nursing centers: opportunities for dental hygiene and nursing collaboration. J Dent Hyg 1999;73(2):69-77.
- 22. Yuen HK, Onicescu G, Hill EG, Jenkins C. A survey of oral health education provided by certified diabetes educators. Diabetes Res Clin Pract 2010; 88(1):48-55.
- 23. Wooten KT, Lee J, Jared H, Boggess K, Wilder RS. Nurse practitioner's and certified nurse midwives' knowledge, opinions and practice behaviors regarding periodontal disease and adverse pregnancy outcomes. J Dent Hyg 2011;85(2):122-31.
- 24. Lopes MH, Southerland JH, Buse JB, Malone RM, Wilder RS. Diabetes educators' knowledge, opinions and behaviors regarding periodontal disease and diabetes. J Dent Hyg 2012;86(2):82-90.
- 25. Kunzel C, Lalla E, Lamster I. Dentists' management of the diabetic patient: contrasting generalists and specialists. Am J Public Health 2007;97(4):725-30.
- 26. Forbes K, Thomson WM, Kunzel C, Lalla E, Lambster IB. Management of patients with diabetes by general dentists in New Zealand. J Periodontol 2008;79:1401-8.
- 27. Bell KP, Phillips C, Paquette DW, Offenbacher S, Wilder RS. Incorporating oral-systemic evidence into patient care: practice behaviors and barriers of North Carolina dental hygienists. J Dent Hyg 2011;85(2):99-1
Abstract
References
- 1. Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, de Ferranti SD, Floyd J, Fornage M, Gillespie C, Isasi CR, Jiménez MC, Jordan LC, Judd SE, Lackland D, Lichtman JH, Lisabeth L, Liu S, Longenecker CT, Mackey RH, Matsushita K, Mozaffarian D, Mussolino ME, Nasir K, Neumar RW, Palaniappan L, Pandey DK, Thiagarajan RR, Reeves MJ, Ritchey M, Rodriguez CJ, Roth GA, Rosamond WD, Sasson C, Towfighi A, Tsao CW, Turner MB, Virani SS, Voeks JH, Willey JZ, Wilkins JT, Wu JH, Alger HM, Wong SS, Muntner P. Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. Circulation 2017;135(10): e146-e603.
- 2. Yucel-Lindberg T, Bage T. Inflammatory mediators in the pathogenesis of periodontitis. Expert Rev Mol Med 2013;15:e7.
- 3. Bartruff JB, Yukna RA, Layman DL. Outer membrane vesicles from Porphyromonas gingivalis affect the growth and function of cultured human gingival fibroblasts and umbilical vein endothelial cells. J Periodontol 2005;76:972-9.
- 4. Teeuw WJ, Slot DE, Susanto H, Gerdes VE, Abbas F, D’Aiuto F, Kastelein JJ, Loos BG. Treatment of periodontitis improves the atherosclerotic profile: a systematic review and meta-analysis. J Clin Periodontol 2014;41(1):70-9.
- 5. Wang X, Han X, Guo X, Luo X, Wang D. The effect of periodontal treatment on hemoglobin a1c levels of diabetic patients: a systematic review and meta-analysis. PLoS One 2014; 9(9): e108412.
- 6. Friedewald VE, Kornman KS, Beck JD, Genco R, Goldfine A, Libby P, Offenbacher S, Ridker PM, Van Dyke TE, Roberts WC; American Journal of Cardiology; Journal of Periodontology. The American Journal of Cardiology and Journal of Periodontology editors' consensus: periodontitis and atherosclerotic cardiovascular disease. J Periodontol 2009;80(7):1021-32.
- 7. Mosley M, Offenbacher S, Phillips C, Granger C, Wilder RS. North Carolina Cardiologists' Knowledge, Opinions and Practice Behaviors Regarding the Relationship between Periodontal Disease and Cardiovascular Disease. J Dent Hyg 2015;89 Suppl 2:38-48.
- 8. Paquette DW, Madianos P, Offenbacher S, Beck JD, Williams RC. The concept of "risk" and the emerging discipline of periodontal medicine. J Contemp Dent Pract 1999;15(1):1-8.
- 9. Díaz-Zúñiga J, Muñoz Y, Melgar-Rodríguez S, More J, Bruna B, Lobos P, Monasterio G, Vernal R, Paula-Lima A. Serotype b of Aggregatibacter actinomycetemcomitans triggers pro-inflammatory responses and amyloid beta secretion in hippocampal cells: a novel link between periodontitis and Alzheimer´s disease? J Oral Microbiol. 2019;11(1):1586423.
- 10. Wilder RS, Thomas KM, Jared H. Periodontal-systemic disease education in United States dental hygiene programs. J Dent Educ 2008;72(6):669-79.
- 11. Wilder RS, Iacopino AM, Feldman CA, Guthmiller J, Linfante J, Lavigne S, Paquette D. Periodontal-systemic disease education in U.S. and Canadian dental schools. J Dent Educ 2009;73(1):38-52.
- 12. Yellowitz JA, Goodman HS. Assessing physicians' and dentists' oral cancer knowledge, opinions and practices. J Am Dent Assoc 1995;126(1):53-60.
- 13. McCunniff MD, Barker GJ, Barker BE, Williams K. Health professionals' baseline knowledge of oral/pharyngeal cancers. J Cancer Educ 2000;15(2):79-81.
- 14. Lewis CW, Boulter S, Keels MA, Krol DM, Mouradian WE, O’Connor KG, Quinorez RB. Oral health and pediatricians: results of a national survey. Acad Pediatr 2009;9(6):457-61.
- 15. Quijano A, Shah AJ, Schwarcz AI, Lalla E, Ostfeld RJ. Knowledge and orientations of internal medicine trainees toward periodontal disease. J Periodontol 2010;81(3):359-63.
- 16. Lewis CW, Grossman DC, Domoto PK, Deyo RA. The role of the pediatrician in the oral health of children: A national survey. Pediatrics 2000;106(6): E84.
- 17. Owens JB, Wilder RS, Southerland JH, Buse JB, Malone RM. North Carolina internists' and endocrinologists' knowledge, opinions, and behaviors regarding periodontal disease and diabetes: need and opportunity for interprofessional education. J Dent Educ 2011;75(3):329-38.
- 18. Mouradian WE, Reeves A, Kim S, Evans R, Schaad D, Marshall SG, Slayton R. An oral health curriculum for medical students at the University of Washington. Acad Med 2005;80(5):434-42.
- 19. Wilder R, Robinson C, Jared HL, Lieff S, Boggess K. Obstetricians' knowledge and practice behaviors concerning periodontal health and preterm delivery and low birth weight. J Dent Hyg 2007;81(4):81.
- 20. Şenol AU, Aykaç Y, Bağış N, Akkaya M. Uzman Tıp Hekimlerinin Periodontal Durum ve Sistemik Hastalık Arasındaki İlişki ile İlgili Farkındalık ve Yaklaşımlarının Değerlendirilmesi. Atatürk Üniv. Diş Hek. Fak. Derg. 2016;26(2):218-224.
- 21. Fellona MO, DeVore LR. Oral health services in primary care nursing centers: opportunities for dental hygiene and nursing collaboration. J Dent Hyg 1999;73(2):69-77.
- 22. Yuen HK, Onicescu G, Hill EG, Jenkins C. A survey of oral health education provided by certified diabetes educators. Diabetes Res Clin Pract 2010; 88(1):48-55.
- 23. Wooten KT, Lee J, Jared H, Boggess K, Wilder RS. Nurse practitioner's and certified nurse midwives' knowledge, opinions and practice behaviors regarding periodontal disease and adverse pregnancy outcomes. J Dent Hyg 2011;85(2):122-31.
- 24. Lopes MH, Southerland JH, Buse JB, Malone RM, Wilder RS. Diabetes educators' knowledge, opinions and behaviors regarding periodontal disease and diabetes. J Dent Hyg 2012;86(2):82-90.
- 25. Kunzel C, Lalla E, Lamster I. Dentists' management of the diabetic patient: contrasting generalists and specialists. Am J Public Health 2007;97(4):725-30.
- 26. Forbes K, Thomson WM, Kunzel C, Lalla E, Lambster IB. Management of patients with diabetes by general dentists in New Zealand. J Periodontol 2008;79:1401-8.
- 27. Bell KP, Phillips C, Paquette DW, Offenbacher S, Wilder RS. Incorporating oral-systemic evidence into patient care: practice behaviors and barriers of North Carolina dental hygienists. J Dent Hyg 2011;85(2):99-1
Details
| Primary Language | English |
|---|---|
| Subjects | Dentistry |
| Journal Section | Araştırma Makalesi |
| Authors | |
| Publication Date | January 15, 2020 |
| Published in Issue | Year 2020 Volume: 30 Issue: 1 |
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