KNOWLEDGE LEVELS AND ATTITUDES OF INTERNISTS ABOUT THE RELATIONSHIP BETWEEN PERIODONTAL DISEASE AND DIABETES
Abstract
AIMS: Periodontitis is a multifactorial, chronic inflammatory disease that can cause irreversible damage to the supporting tissues surrounding the teeth and consequently tooth loss if left untreated, and has been listed as the sixth major complication of diabetic patients. The aim of our study was to evaluate the knowledge levels and attitudes of internists about the relationship between periodontal disease and diabetes.
METHODS: In our study, our questionnaire with 22 questions was applied to internists via whatsapp®, e-mail and directly. Participants were asked about specific periodontal complications that they believed patients diagnosed with diabetes were more susceptible to, and their awareness of the bidirectional relationship between diabetes and periodontal diseases was evaluated. 112 internists answered (45% male, 55% female) our questionnaire.
RESULTS: 70% of the internists participating in our survey are between the ages of 25-35. 92.7% of internists know that the department that diagnoses and treats gingival diseases is the periodontology clinic. Despite this, only 72.7% refer their patients with gingival bleeding to the periodontology clinic. 58.4% of internists reported that they did not learn about the relationship between periodontal disease and systemic health during medical school education, and 89% stated that the effect of periodontal disease on systemic health should be explained in medical school education.
CONCLUSIONS: Periodontal disease and diabetes are thought to share a common pathogenesis that includes increased inflammatory response at local and systemic levels, and it is known that there is a bidirectional relationship. Therefore, successful treatment of both will affect each other positively. It has been observed that internists have knowledge about diabetes and periodontal disease in Turkey, but it is thought that it would be beneficial to consider the relationship between diabetes and periodontal disease in more detail within the education program of the medical faculty.
References
- 1. Papapanou, P.N.,C. Susin. Periodontitis epidemiology: is periodontitis under‐recognized, over‐diagnosed, or both? Periodontology 2000 2017; 75: 45-51.
- 2. Adda, G., M. Aimetti, F. Citterio, A. Consoli, P. Di Bartolo, L. Landi, L. Lione,L. Luzi. Consensus report of the joint workshop of the Italian society of diabetology, Italian society of periodontology and implantology, Italian association of clinical diabetologists (SID-SIdP-AMD). Nutrition, Metabolism and Cardiovascular Diseases 2021;
- 3. Tsai, C., C. Hayes,G.W. Taylor. Glycemic control of type 2 diabetes and severe periodontal disease in the US adult population. Community dentistry and oral epidemiology 2002; 30: 182-192.
- 4. Sözmen, K., B. Unal, S. Capewell, J. Critchley,M. O’Flaherty. Estimating diabetes prevalence in Turkey in 2025 with and without possible interventions to reduce obesity and smoking prevalence, using a modelling approach. International journal of public health 2015; 60: 13-21.
- 5. Löe, H. Periodontal disease: the sixth complication of diabetes mellitus. Diabetes care 1993; 16: 329-334.
- 6. Mealey, B.L.,T.W. Oates. Diabetes mellitus and periodontal diseases. Journal of periodontology 2006; 77: 1289-1303.
- 7. Southerland, J.H., G.W. Taylor, K. Moss, J.D. Beck,S. Offenbacher. Commonality in chronic inflammatory diseases: periodontitis, diabetes, and coronary artery disease. Periodontology 2000 2006; 40: 130-143.
- 8. Al Habashneh, R., Y. Khader, M.M. Hammad,M. Almuradi. Knowledge and awareness about diabetes and periodontal health among Jordanians. Journal of diabetes and its complications 2010; 24: 409-414.
- 9. Owens, J.B., R.S. Wilder, J.H. Southerland, J.B. Buse,R.M. Malone. North Carolina internists’ and endocrinologists’ knowledge, opinions, and behaviors regarding periodontal disease and diabetes: need and opportunity for interprofessional education. Journal of Dental Education 2011; 75: 329-338.
- 10. Cohen, K., N. Shinkazh, J. Frank, I. Israel,C. Fellner. Pharmacological treatment of diabetic peripheral neuropathy. Pharmacy and Therapeutics 2015; 40: 372.
- 11. Oyetola, E.O., T. Oyewole, M. Adedigba, S.T. Aregbesola, K. Umezudike,A. Adewale. Knowledge and awareness of medical doctors, medical students and nurses about dentistry in Nigeria. Pan African Medical Journal 2016; 23:
- 12. Kumar, P.S. From focal sepsis to periodontal medicine: a century of exploring the role of the oral microbiome in systemic disease. The Journal of physiology 2017; 595: 465-476.
- 13. Al‐Khabbaz, A.K., K.F. Al‐Shammari,N.A. Al‐Saleh. Knowledge about the association between periodontal diseases and diabetes mellitus: contrasting dentists and physicians. Journal of periodontology 2011; 82: 360-366.
- 14. Areej K, A.K.,A.S. Khalaf F. Diabetes mellitus and periodontal health: dentists' knowledge. 2011;
- 15. Şenol, A.U., Y. Aykaç, N. Bağış,M. Akkaya. Uzman Tıp Hekimlerinin Periodontal Durum Ve Sistemik Hastalık Arasındaki İlişki İle İlgili Farkındalık Ve Yaklaşımlarının Değerlendirilmesi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 26:
- 16. Beaton, D.E., C. Bombardier, F. Guillemin,M.B. Ferraz. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000; 25: 3186-3191.
- 17. Chapple, I.L., R. Genco,w.g.o.t.j.E.A. workshop*. Diabetes and periodontal diseases: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. Journal of Periodontology 2013; 84: S106-S112.
- 18. Tonetti, M.S., S. Jepsen, L. Jin,J. Otomo‐Corgel. Impact of the global burden of periodontal diseases on health, nutrition and wellbeing of mankind: A call for global action. Journal of clinical periodontology 2017; 44: 456-462.
- 19. Sede, M.A.,A.O. Ehizele. Oral diseases and diabetes: Nigerian medical and dental caregivers' perspective. Annals of African medicine 2015; 14: 193.
- 20. Taşdemir, Z.,B.A. Alkan. Knowledge of medical doctors in Turkey about the relationship between periodontal disease and systemic health. Brazilian oral research 2015; 29: 1-8.
- 21. Quijano, A., A.J. Shah, A.I. Schwarcz, E. Lalla,R.J. Ostfeld. Knowledge and orientations of internal medicine trainees toward periodontal disease. Journal of periodontology 2010; 81: 359-363.
- 22. Lin, H., H. Zhang, Y. Yan, D. Liu, R. Zhang, Y. Liu, P. Chen, J. Zhang,D. Xuan. Knowledge, awareness, and behaviors of endocrinologists and dentists for the relationship between diabetes and periodontitis. Diabetes research and clinical practice 2014; 106: 428-434.
- 23. Ali, D.A. Assessment of oral health attitudes and behavior among students of Kuwait University Health Sciences Center. Journal of International Society of Preventive & Community Dentistry 2016; 6: 436.
- 24. Obulareddy, V.T., S. Nagarakanti,V.K. Chava. Knowledge, attitudes, and practice behaviors of medical specialists for the relationship between diabetes and periodontal disease: A questionnaire survey. Journal of family medicine and primary care 2018; 7: 175.
- 25. Koşan, Z., N. Akgül, B. Bedir, E.O. Çalıkoğlu, S. Yılmaz,S.Ş. Derelioğlu. Is oral-dental health training in faculties of medicine and dentistry sufficient? A comparison of students’ knowledge levels. Turkish Journal of Public Health 2017; 15: 201-211.
- 26. Engebretson, S., R. Chertog, A. Nichols, J. Hey‐Hadavi, R. Celenti,J. Grbic. Plasma levels of tumour necrosis factor‐α in patients with chronic periodontitis and type 2 diabetes. Journal of clinical periodontology 2007; 34: 18-24.
- 27. Chen, L., B. Wei, J. Li, F. Liu, D. Xuan, B. Xie,J. Zhang. Association of periodontal parameters with metabolic level and systemic inflammatory markers in patients with type 2 diabetes. Journal of periodontology 2010; 81: 364-371.
Abstract
References
- 1. Papapanou, P.N.,C. Susin. Periodontitis epidemiology: is periodontitis under‐recognized, over‐diagnosed, or both? Periodontology 2000 2017; 75: 45-51.
- 2. Adda, G., M. Aimetti, F. Citterio, A. Consoli, P. Di Bartolo, L. Landi, L. Lione,L. Luzi. Consensus report of the joint workshop of the Italian society of diabetology, Italian society of periodontology and implantology, Italian association of clinical diabetologists (SID-SIdP-AMD). Nutrition, Metabolism and Cardiovascular Diseases 2021;
- 3. Tsai, C., C. Hayes,G.W. Taylor. Glycemic control of type 2 diabetes and severe periodontal disease in the US adult population. Community dentistry and oral epidemiology 2002; 30: 182-192.
- 4. Sözmen, K., B. Unal, S. Capewell, J. Critchley,M. O’Flaherty. Estimating diabetes prevalence in Turkey in 2025 with and without possible interventions to reduce obesity and smoking prevalence, using a modelling approach. International journal of public health 2015; 60: 13-21.
- 5. Löe, H. Periodontal disease: the sixth complication of diabetes mellitus. Diabetes care 1993; 16: 329-334.
- 6. Mealey, B.L.,T.W. Oates. Diabetes mellitus and periodontal diseases. Journal of periodontology 2006; 77: 1289-1303.
- 7. Southerland, J.H., G.W. Taylor, K. Moss, J.D. Beck,S. Offenbacher. Commonality in chronic inflammatory diseases: periodontitis, diabetes, and coronary artery disease. Periodontology 2000 2006; 40: 130-143.
- 8. Al Habashneh, R., Y. Khader, M.M. Hammad,M. Almuradi. Knowledge and awareness about diabetes and periodontal health among Jordanians. Journal of diabetes and its complications 2010; 24: 409-414.
- 9. Owens, J.B., R.S. Wilder, J.H. Southerland, J.B. Buse,R.M. Malone. North Carolina internists’ and endocrinologists’ knowledge, opinions, and behaviors regarding periodontal disease and diabetes: need and opportunity for interprofessional education. Journal of Dental Education 2011; 75: 329-338.
- 10. Cohen, K., N. Shinkazh, J. Frank, I. Israel,C. Fellner. Pharmacological treatment of diabetic peripheral neuropathy. Pharmacy and Therapeutics 2015; 40: 372.
- 11. Oyetola, E.O., T. Oyewole, M. Adedigba, S.T. Aregbesola, K. Umezudike,A. Adewale. Knowledge and awareness of medical doctors, medical students and nurses about dentistry in Nigeria. Pan African Medical Journal 2016; 23:
- 12. Kumar, P.S. From focal sepsis to periodontal medicine: a century of exploring the role of the oral microbiome in systemic disease. The Journal of physiology 2017; 595: 465-476.
- 13. Al‐Khabbaz, A.K., K.F. Al‐Shammari,N.A. Al‐Saleh. Knowledge about the association between periodontal diseases and diabetes mellitus: contrasting dentists and physicians. Journal of periodontology 2011; 82: 360-366.
- 14. Areej K, A.K.,A.S. Khalaf F. Diabetes mellitus and periodontal health: dentists' knowledge. 2011;
- 15. Şenol, A.U., Y. Aykaç, N. Bağış,M. Akkaya. Uzman Tıp Hekimlerinin Periodontal Durum Ve Sistemik Hastalık Arasındaki İlişki İle İlgili Farkındalık Ve Yaklaşımlarının Değerlendirilmesi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 26:
- 16. Beaton, D.E., C. Bombardier, F. Guillemin,M.B. Ferraz. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000; 25: 3186-3191.
- 17. Chapple, I.L., R. Genco,w.g.o.t.j.E.A. workshop*. Diabetes and periodontal diseases: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. Journal of Periodontology 2013; 84: S106-S112.
- 18. Tonetti, M.S., S. Jepsen, L. Jin,J. Otomo‐Corgel. Impact of the global burden of periodontal diseases on health, nutrition and wellbeing of mankind: A call for global action. Journal of clinical periodontology 2017; 44: 456-462.
- 19. Sede, M.A.,A.O. Ehizele. Oral diseases and diabetes: Nigerian medical and dental caregivers' perspective. Annals of African medicine 2015; 14: 193.
- 20. Taşdemir, Z.,B.A. Alkan. Knowledge of medical doctors in Turkey about the relationship between periodontal disease and systemic health. Brazilian oral research 2015; 29: 1-8.
- 21. Quijano, A., A.J. Shah, A.I. Schwarcz, E. Lalla,R.J. Ostfeld. Knowledge and orientations of internal medicine trainees toward periodontal disease. Journal of periodontology 2010; 81: 359-363.
- 22. Lin, H., H. Zhang, Y. Yan, D. Liu, R. Zhang, Y. Liu, P. Chen, J. Zhang,D. Xuan. Knowledge, awareness, and behaviors of endocrinologists and dentists for the relationship between diabetes and periodontitis. Diabetes research and clinical practice 2014; 106: 428-434.
- 23. Ali, D.A. Assessment of oral health attitudes and behavior among students of Kuwait University Health Sciences Center. Journal of International Society of Preventive & Community Dentistry 2016; 6: 436.
- 24. Obulareddy, V.T., S. Nagarakanti,V.K. Chava. Knowledge, attitudes, and practice behaviors of medical specialists for the relationship between diabetes and periodontal disease: A questionnaire survey. Journal of family medicine and primary care 2018; 7: 175.
- 25. Koşan, Z., N. Akgül, B. Bedir, E.O. Çalıkoğlu, S. Yılmaz,S.Ş. Derelioğlu. Is oral-dental health training in faculties of medicine and dentistry sufficient? A comparison of students’ knowledge levels. Turkish Journal of Public Health 2017; 15: 201-211.
- 26. Engebretson, S., R. Chertog, A. Nichols, J. Hey‐Hadavi, R. Celenti,J. Grbic. Plasma levels of tumour necrosis factor‐α in patients with chronic periodontitis and type 2 diabetes. Journal of clinical periodontology 2007; 34: 18-24.
- 27. Chen, L., B. Wei, J. Li, F. Liu, D. Xuan, B. Xie,J. Zhang. Association of periodontal parameters with metabolic level and systemic inflammatory markers in patients with type 2 diabetes. Journal of periodontology 2010; 81: 364-371.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | March 25, 2022 |
| Submission Date | January 21, 2022 |
| Published in Issue | Year 2022Volume: 25 Issue: Supplement |
Cited By
Two Way Relationship between Diabetes and Periodontitis: A Cross-Sectional Survey of Knowledge, Awareness, and Attitude
International Journal Of Pharmaceutical Research And Allied Sciences
https://doi.org/10.51847/tobUt0H7EO
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