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Evaluation of the Awareness of Physicians and Dentists for the Relationship Between Periodontal Status and Systemic Diseases

Year 2022, Volume: 25 Issue: 3, 217 - 223, 01.10.2022

Eda Çetin Özdemir , Meral Uzunkaya

https://doi.org/10.7126/cumudj.1009537

Abstract

Aim: It is important that physicians and dentists have knowledge about the relationship between systemic and periodontal diseases and work collaboratively when necessary. The aim of this study was to evaluate the awareness of physicians and dentists of the relationship between periodontal status and systemic diseases.
Materials and Methods: A 14-item questionnaire was sent to 6974 participants via social media and e-mail. The questionnaire items were related to periodontal disease and information about diabetes, cardiovascular disease, pregnancy and medication. Responses were obtained from 167 physicians and 228 dentists, and these were compared between the groups.
Results: The vast majority of participants (97%) agreed that periodontal disease is a complication of diabetes mellitus. More than half of the physicians (69%) thought periodontitis was a risk factor for cardiovascular disease. Physicians had significantly less awareness than other groups about drugs that can cause gingival growth. The awareness of physicians about possible complications of pregnancy related to periodontal disease was significantly low. Almost all of the dentists thought that the second trimester of pregnancy was the best time for dental treatments, while this rate was 40% for specialist physicians and 30% for general practitioners.
Conclusion: Physicians should consider that there may be a bidirectional relationship between periodontal status and systemic diseases. For physicians and dentists to to be able to increase their awareness and update their knowledge it would be beneficial to have regular training programs and courses organized

Keywords

Periodontal situation; systemic disease awareness oral health

Project Number

yok

References

  • 1. Falcao A, Bullón P. A review of the influence of periodontal treatment in systemic diseases. Periodontol 2000. 2019;79(1):117–28.
  • 2. Alexander RE. Relationship between periodontal disease and systemic diseases. Tex Dent J. 2006;123(2):21–36.
  • 3. Cullinan MP, Ford PJ, Seymour GJ. Periodontal disease and systemic health: Current status. Aust Dent J. 2009;54:S62–9.
  • 4. Hegde R, Awan KH. Effects of periodontal disease on systemic health. Disease-a-Month [Internet]. 2019;65(6):185–92. Available from: https://doi.org/10.1016/j.disamonth.2018.09.011
  • 5. Şenol Au, Aykaç Y, Bağış N, Akkaya M. Uzman Tıp Hekimlerinin Periodontal Durum Ve Sistemik Hastalık Arasındaki İlişki İle İlgili Farkındalık Ve Yaklaşımlarının Değerlendirilmesi. Atatürk Üniversitesi Diş Hekim Fakültesi Derg. 26(2).
  • 6. Task Force on Periodontal Treatment of Pregnant Women AA of PAA of P statement regarding periodontal management of the pregnant patient. JP 2004; 75: 495. referans 3.pdf.
  • 7. Scannapieco FA, Bush RB, Paju S. Associations between periodontal disease and risk for atherosclerosis, cardiovascular disease, and stroke. A systematic review. Ann Periodontol. 2003;8(1):38–53.
  • 8. Nazir MA, Izhar F, Akhtar K, Almas K. Dentists’ awareness about the link between oral and systemic health. J Family Community Med. 2019;26(3):206.
  • 9. Nagarakanti S, Epari V, Athuluru D. Knowledge, attitude, and practice of medical doctors towards periodontal disease. J Indian Soc Periodontol. 2013;17(1):137.
  • 10. Şener E, Gürhan C, Coşgun E, Mert A, Baskı BG. Sistemik Hastalık Varlığının Dental Tedavi Gereksinimi İle Yaşam Kalitesine Etkisinin Değerlendirilmesi. EÜ Dişhek Fak Derg 2017; 38(1): 54-61.
  • 11. Bhavya B, Shaji V, Ashwini S. Original Research Knowledge , Practice and Attitude of Medical Doctors on the Association Between Medical Health and. J Dent Orofac … [Internet]. 2015;11(1):7–11. Available from: http://www.indianjournals.com/ijor.aspx?target=ijor:jdor&volume=11&issue=1&article
  • 12. Dubar M, Delatre V, Moutier C, Sy K, Agossa K. Awareness and practices of general practitioners towards the oral-systemic disease relationship: A regionwide survey in France. J Eval Clin Pract. 2020;26(6):1722–30.
  • 13. Gholami L, Rigi MA, Motaghedifard A, Hashemzehi H. A Survey on General Physician’s Knowledge and Behavior Towards the Relationship Between Periodontal Diseases and Systemic Health. Dent Clin Exp J. 2016;2(1).
  • 14. 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;13(1).
  • 15. Taşdemir Z, Alkan BA. Knowledge of medical doctors in Turkey about the relationship between periodontal disease and systemic health. Braz Oral Res. 2015;29(1):1–8.
  • 16. Mian FI, Hamza SA, Wahid A, Bokhari SAH. Medical and dental practitioners’ awareness about oral-systemic disease connections. J Pak Dent Assoc. 2017;26(4):151–7.
  • 17. Desai D, Kumar D, Nishat D, Aspalli D. Comparative evaluation of awareness of link between oral and systemic health among undergraduate dental and medical students. Eur J Mol Clin Med. 2021;8(1):602–9.
  • 18. AlJohani K, AlZahrani AS. Awareness among medical and dental students regarding the relationship between periodontal and systemic conditions. Int J Pharm Res Allied Sci [Internet]. 2017;6(4):61–72. Available from: https://www.embase.com/search/results?subaction=viewrecord&id=L619534494&from=export
  • 19. Al-Khabbaz AK, Al-Shammari KF, Al-Saleh NA. Knowledge About the Association Between Periodontal Diseases and Diabetes Mellitus: Contrasting Dentists and Physicians. J Periodontol. 2011;82(3):360–6.
  • 20. Nazir MA, Izhar F, Akhtar K, Almas K. Dentists’ awareness about the link between oral and systemic health. J Fam Community Med. 2019;26(3):206–12.
  • 21. Mealey BL, Oates TW. Diabetes mellitus and periodontal diseases. J Periodontol. 2006;77(8):1289–303.
  • 22. Bobetsis YA, Barros SP, Offenbacher S. Exploring the relationship between periodontal disease and pregnancy complications. J Am Dent Assoc. 2006;137:S7–13.
  • 23. Chávarry NGM, Vettore MV, Sansone C, Sheiham A. The relationship between diabetes mellitus and destructive periodontal disease: a meta-analysis. Oral Health Prev Dent. 2009;7(2).
  • 24. Al-Khabbaz AK, Al-Shammari KF. Diabetes mellitus and periodontal health: dentists’ knowledge. Med Princ Pract. 2011;20(6):538–44.
  • 25. Tse SY. Diabetes mellitus and periodontal disease: awareness and practice among doctors working in public general out-patient clinics in Kowloon west cluster of Hong Kong. BMC Fam Pract. 2018;19(1):1–9.
  • 26. 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. Am Dent Hyg Assoc. 2014;88(5):275–84.
  • 27. Paquette DW, Bell KP, Phillips C, Offenbacher S, Wilder RS. Dentists’ knowledge and opinions of oral‐systemic disease relationships: relevance to patient care and education. J Dent Educ. 2015;79(6):626–35.
  • 28. Nooh N. The effect of aspirin on bleeding after extraction of teeth. Saudi Dent J. 2009;21(2):57–61.
  • 29. Perry DJ, Noakes TJC, Helliwell PS. Guidelines for the management of patients on oral anticoagulants requiring dental surgery. Br Dent J. 2007;203(7):389–93.
  • 30. Al-Mubarak S, Al-Ali N, Abou Rass M, Al-Sohail A, Robert A, Al-Zoman K, et al. Evaluation of dental extractions, suturing and INR on postoperative bleeding of patients maintained on oral anticoagulant therapy. Br Dent J. 2007;203(7):E15–E15.
  • 31. Tarannum F, Prasad S, Vivekananda L, Jayanthi D, Faizuddin M. Awareness of the association between periodontal disease and pre-term births among general dentists, general medical practitioners and gynecologists. Indian J Public Health. 2013;57(2):92.
  • 32. Rahman G, Asa’ad F, Baseer MA. Periodontal health awareness among gynecologists in Riyadh, Saudi Arabia. J Int Soc Prev Community Dent. 2015;5(3):211.
  • 33. Cohen L, Schaeffer M, Davideau J, Tenenbaum H, Huck O. Obstetric knowledge, attitude, and behavior concerning periodontal diseases and treatment needs in pregnancy: Influencing factors in France. J Periodontol. 2015;86(3):398–405.
  • 34. Kurien S, Kattimani VS, Sriram RR, Sriram SK, Bhupathi A, Bodduru RR, et al. Management of pregnant patient in dentistry. J Int oral Heal JIOH. 2013;5(1):88.

Year 2022, Volume: 25 Issue: 3, 217 - 223, 01.10.2022

Eda Çetin Özdemir , Meral Uzunkaya

https://doi.org/10.7126/cumudj.1009537

Abstract

Supporting Institution

yok

Project Number

yok

References

  • 1. Falcao A, Bullón P. A review of the influence of periodontal treatment in systemic diseases. Periodontol 2000. 2019;79(1):117–28.
  • 2. Alexander RE. Relationship between periodontal disease and systemic diseases. Tex Dent J. 2006;123(2):21–36.
  • 3. Cullinan MP, Ford PJ, Seymour GJ. Periodontal disease and systemic health: Current status. Aust Dent J. 2009;54:S62–9.
  • 4. Hegde R, Awan KH. Effects of periodontal disease on systemic health. Disease-a-Month [Internet]. 2019;65(6):185–92. Available from: https://doi.org/10.1016/j.disamonth.2018.09.011
  • 5. Şenol Au, Aykaç Y, Bağış N, Akkaya M. Uzman Tıp Hekimlerinin Periodontal Durum Ve Sistemik Hastalık Arasındaki İlişki İle İlgili Farkındalık Ve Yaklaşımlarının Değerlendirilmesi. Atatürk Üniversitesi Diş Hekim Fakültesi Derg. 26(2).
  • 6. Task Force on Periodontal Treatment of Pregnant Women AA of PAA of P statement regarding periodontal management of the pregnant patient. JP 2004; 75: 495. referans 3.pdf.
  • 7. Scannapieco FA, Bush RB, Paju S. Associations between periodontal disease and risk for atherosclerosis, cardiovascular disease, and stroke. A systematic review. Ann Periodontol. 2003;8(1):38–53.
  • 8. Nazir MA, Izhar F, Akhtar K, Almas K. Dentists’ awareness about the link between oral and systemic health. J Family Community Med. 2019;26(3):206.
  • 9. Nagarakanti S, Epari V, Athuluru D. Knowledge, attitude, and practice of medical doctors towards periodontal disease. J Indian Soc Periodontol. 2013;17(1):137.
  • 10. Şener E, Gürhan C, Coşgun E, Mert A, Baskı BG. Sistemik Hastalık Varlığının Dental Tedavi Gereksinimi İle Yaşam Kalitesine Etkisinin Değerlendirilmesi. EÜ Dişhek Fak Derg 2017; 38(1): 54-61.
  • 11. Bhavya B, Shaji V, Ashwini S. Original Research Knowledge , Practice and Attitude of Medical Doctors on the Association Between Medical Health and. J Dent Orofac … [Internet]. 2015;11(1):7–11. Available from: http://www.indianjournals.com/ijor.aspx?target=ijor:jdor&volume=11&issue=1&article
  • 12. Dubar M, Delatre V, Moutier C, Sy K, Agossa K. Awareness and practices of general practitioners towards the oral-systemic disease relationship: A regionwide survey in France. J Eval Clin Pract. 2020;26(6):1722–30.
  • 13. Gholami L, Rigi MA, Motaghedifard A, Hashemzehi H. A Survey on General Physician’s Knowledge and Behavior Towards the Relationship Between Periodontal Diseases and Systemic Health. Dent Clin Exp J. 2016;2(1).
  • 14. 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;13(1).
  • 15. Taşdemir Z, Alkan BA. Knowledge of medical doctors in Turkey about the relationship between periodontal disease and systemic health. Braz Oral Res. 2015;29(1):1–8.
  • 16. Mian FI, Hamza SA, Wahid A, Bokhari SAH. Medical and dental practitioners’ awareness about oral-systemic disease connections. J Pak Dent Assoc. 2017;26(4):151–7.
  • 17. Desai D, Kumar D, Nishat D, Aspalli D. Comparative evaluation of awareness of link between oral and systemic health among undergraduate dental and medical students. Eur J Mol Clin Med. 2021;8(1):602–9.
  • 18. AlJohani K, AlZahrani AS. Awareness among medical and dental students regarding the relationship between periodontal and systemic conditions. Int J Pharm Res Allied Sci [Internet]. 2017;6(4):61–72. Available from: https://www.embase.com/search/results?subaction=viewrecord&id=L619534494&from=export
  • 19. Al-Khabbaz AK, Al-Shammari KF, Al-Saleh NA. Knowledge About the Association Between Periodontal Diseases and Diabetes Mellitus: Contrasting Dentists and Physicians. J Periodontol. 2011;82(3):360–6.
  • 20. Nazir MA, Izhar F, Akhtar K, Almas K. Dentists’ awareness about the link between oral and systemic health. J Fam Community Med. 2019;26(3):206–12.
  • 21. Mealey BL, Oates TW. Diabetes mellitus and periodontal diseases. J Periodontol. 2006;77(8):1289–303.
  • 22. Bobetsis YA, Barros SP, Offenbacher S. Exploring the relationship between periodontal disease and pregnancy complications. J Am Dent Assoc. 2006;137:S7–13.
  • 23. Chávarry NGM, Vettore MV, Sansone C, Sheiham A. The relationship between diabetes mellitus and destructive periodontal disease: a meta-analysis. Oral Health Prev Dent. 2009;7(2).
  • 24. Al-Khabbaz AK, Al-Shammari KF. Diabetes mellitus and periodontal health: dentists’ knowledge. Med Princ Pract. 2011;20(6):538–44.
  • 25. Tse SY. Diabetes mellitus and periodontal disease: awareness and practice among doctors working in public general out-patient clinics in Kowloon west cluster of Hong Kong. BMC Fam Pract. 2018;19(1):1–9.
  • 26. 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. Am Dent Hyg Assoc. 2014;88(5):275–84.
  • 27. Paquette DW, Bell KP, Phillips C, Offenbacher S, Wilder RS. Dentists’ knowledge and opinions of oral‐systemic disease relationships: relevance to patient care and education. J Dent Educ. 2015;79(6):626–35.
  • 28. Nooh N. The effect of aspirin on bleeding after extraction of teeth. Saudi Dent J. 2009;21(2):57–61.
  • 29. Perry DJ, Noakes TJC, Helliwell PS. Guidelines for the management of patients on oral anticoagulants requiring dental surgery. Br Dent J. 2007;203(7):389–93.
  • 30. Al-Mubarak S, Al-Ali N, Abou Rass M, Al-Sohail A, Robert A, Al-Zoman K, et al. Evaluation of dental extractions, suturing and INR on postoperative bleeding of patients maintained on oral anticoagulant therapy. Br Dent J. 2007;203(7):E15–E15.
  • 31. Tarannum F, Prasad S, Vivekananda L, Jayanthi D, Faizuddin M. Awareness of the association between periodontal disease and pre-term births among general dentists, general medical practitioners and gynecologists. Indian J Public Health. 2013;57(2):92.
  • 32. Rahman G, Asa’ad F, Baseer MA. Periodontal health awareness among gynecologists in Riyadh, Saudi Arabia. J Int Soc Prev Community Dent. 2015;5(3):211.
  • 33. Cohen L, Schaeffer M, Davideau J, Tenenbaum H, Huck O. Obstetric knowledge, attitude, and behavior concerning periodontal diseases and treatment needs in pregnancy: Influencing factors in France. J Periodontol. 2015;86(3):398–405.
  • 34. Kurien S, Kattimani VS, Sriram RR, Sriram SK, Bhupathi A, Bodduru RR, et al. Management of pregnant patient in dentistry. J Int oral Heal JIOH. 2013;5(1):88.
There are 34 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research Articles
Authors

Eda Çetin Özdemir 0000-0001-5792-304X

Meral Uzunkaya 0000-0001-7605-6527

Project Number yok
Publication Date October 1, 2022
Submission Date October 14, 2021
Published in Issue Year 2022Volume: 25 Issue: 3

Cite

EndNote Çetin Özdemir E, Uzunkaya M (October 1, 2022) Evaluation of the Awareness of Physicians and Dentists for the Relationship Between Periodontal Status and Systemic Diseases. Cumhuriyet Dental Journal 25 3 217–223.
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