Research Article
BibTex RIS Cite

Year 2024, Volume: 27 Issue: 2, 69 - 78, 30.06.2024

Serap Karakış Akcan , Dilek Mamaklıoğlu , Süleyman Emre Meşeli

https://doi.org/10.7126/cumudj.1373300

Abstract

References

  • 1. Tamimi F, Altigani S, Sanz M. Periodontitis and coronavirus disease 2019. Periodontol 2000. 2022;89(1):207-214.
  • 2. Cheng H, Wang Y, Wang GQ. Organ-protective effect of angiotensin-converting enzyme 2 and its effect on the prognosis of COVID-19. J Med Virol. 2020;92(7):726-730.
  • 3. Fu J, Zhou B, Zhang L, et al. Expressions and significances of the angiotensin-converting enzyme 2 gene, the receptor of SARS-CoV-2 for COVID-19. Mol Biol Rep. 2020;47(6):4383-4392.
  • 4. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507-513.
  • 5. Herrera D, Serrano J, Roldán S, Sanz M. Is the oral cavity relevant in SARS-CoV-2 pandemic? Clin Oral Investig. 2020;24(8):2925-2930.
  • 6. Iranmanesh B, Khalili M, Amiri R, Zartab H, Aflatoonian M. Oral manifestations of COVID-19 disease: A review article. Dermatol Ther. 2021;34(1):e14578.
  • 7. Qi M, Sun W, Wang K, et al. Periodontitis and COVID-19: Immunological Characteristics, Related Pathways, and Association. Int J Mol Sci. 2023;24(3):3012.
  • 8. Gomes SC, da Fonseca JG, Miller LM, et al. SARS-CoV-2 RNA in dental biofilms: Supragingival and subgingival findings from inpatients in a COVID-19 intensive care unit. J Periodontol. 2022;93(10):1476-1485.
  • 9. Berton F, Rupel K, Florian F, Biasotto M, Pallavicini A, Di Lenarda R. Dental calculus-a reservoir for detection of past SARS-CoV-2 infection. Clin Oral Investig. 2021;25(8):5113-5114.
  • 10. Fernandes Matuck B, Dolhnikoff M, Maia GVA, et al. Periodontal tissues are targets for Sars-Cov-2: a post-mortem study. J Oral Microbiol. 2020;13(1):1848135.
  • 11. Hajishengallis G. Interconnection of periodontal disease and comorbidities: Evidence, mechanisms, and implications. Periodontol 2000. 2022;89(1):9-18.
  • 12. Takahashi Y, Watanabe N, Kamio N, Kobayashi R, Iinuma T, Imai K. Aspiration of periodontopathic bacteria due to poor oral hygiene potentially contributes to the aggravation of COVID-19. J Oral Sci. 2020;63(1):1-3.
  • 13. Pitones-Rubio V, Chávez-Cortez EG, Hurtado-Camarena A, González-Rascón A, Serafín-Higuera N. Is periodontal disease a risk factor for severe COVID-19 illness? Med Hypotheses. 2020;144:109969.
  • 14. Marouf N, Cai W, Said KN, et al. Association between periodontitis and severity of COVID-19 infection: A case-control study. J Clin Periodontol. 2021;48(4):483-491.
  • 15. Sirin DA, Ozcelik F. The relationship between COVID-19 and the dental damage stage determined by radiological examination. Oral Radiol. 2021;37(4):600-609. d
  • 16. Katz J, Yue S, Xue W. Dental diseases are associated with increased odds ratio for coronavirus disease 19. Oral Dis. 2022;28 Suppl 1(Suppl 1):991-993.
  • 17. Patel J, Woolley J. Necrotizing periodontal disease: Oral manifestation of COVID-19. Oral Dis. 2021;27 Suppl 3(Suppl 3):768-769.
  • 18. Di Spirito F, Iandolo A, Amato A, et al. Prevalence, Features and Degree of Association of Oral Lesions in COVID-19: A Systematic Review of Systematic Reviews. Int J Environ Res Public Health. 2022;19(12):7486.
  • 19. Lawshe CH. A quantitative approach to content validity. Personnel psychology. 1975;28(4):563-575.
  • 20. Cagetti MG, Cairoli JL, Senna A, Campus G. COVID-19 Outbreak in North Italy: An Overview on Dentistry. A Questionnaire Survey. Int J Environ Res Public Health. 2020;17(11):3835.
  • 21. Singh Gambhir R, Singh Dhaliwal J, Aggarwal A, Anand S, Anand V, Kaur Bhangu A. Covid-19: a survey on knowledge, awareness and hygiene practices among dental health professionals in an Indian scenario. Rocz Panstw Zakl Hig. 2020;71(2):223-229.
  • 22. Khader Y, Al Nsour M, Al-Batayneh OB, et al. Dentists’ awareness, perception, and attitude regarding COVID-19 and infection control: cross-sectional study among Jordanian dentists. JMIR public health and surveillance. 2020;6(2):e18798.
  • 23. Karayürek F, Yilmaz Çırakoğlu N, Gülses A, Ayna M. Awareness and Knowledge of SARS-CoV-2 Infection among Dental Professionals According to the Turkish National Dental Guidelines. Int J Environ Res Public Health. 2021;18(2):442.
  • 24. Karasek D, Baer RJ, McLemore MR, et al. The association of COVID-19 infection in pregnancy with preterm birth: A retrospective cohort study in California. The Lancet Regional Health–Americas. 2021;2.
  • 25. Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-1062.
  • 26. Duruk G, Gümüşboğa ZŞ, Çolak C. Investigation of Turkish dentists’ clinical attitudes and behaviors towards the COVID-19 pandemic: a survey study. Braz Oral Res. 2020;34:e054.
  • 27. Greenberg BL, Glick M, Frantsve-Hawley J, Kantor ML. Dentists’ attitudes toward chairside screening for medical conditions. J Am Dent Assoc. 2010;141(1):52-62.
  • 28. 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):206-212.
  • 29. 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):626-635.
  • 30. Karaaslan F, Dikilitaş A, Yiğit U. Effects of COVID-19 pandemic on Turkish private practice dentists’ economic well-being. Balkan Journal of Dental Medicine. 2021;25(3):178-182.
  • 31. Tunçer J, Karkaç A. Diş Hekimlerinin COVID-19 Pandemisi ve Aşısına Karşı Tutumlarının Değerlendirilmesi. Van Diş Hekimliği Dergisi. 2021;2(2):11-20.
  • 32. Fidan V, Koyuncu H, Akin O. Oral lesions in Covid 19 positive patients. Am J Otolaryngol. 2021;42(3):102905.
  • 33. Tuter G, Yerebakan M, Celik B, Kara G. Oral manifestations in SARS-CoV-2 infection. Med Oral Patol Oral Cir Bucal. 2022;27(4):e330-e339.
  • 34. Gupta S, Mohindra R, Singla M, et al. The clinical association between Periodontitis and COVID-19. Clin Oral Investig. 2022;26(2):1361-1374.
  • 35. Vergara-Buenaventura A, Castro-Ruiz C. Use of mouthwashes against COVID-19 in dentistry. Br J Oral Maxillofac Surg. 2020;58(8):924-927.
  • 36. Patel D, Louca C, Vargas CM. Oral manifestations of long COVID and the views of healthcare professionals. Research square, 2023.

Awareness of potential oral and systemic risk factors for COVID-19 among dentists

Year 2024, Volume: 27 Issue: 2, 69 - 78, 30.06.2024

Serap Karakış Akcan , Dilek Mamaklıoğlu , Süleyman Emre Meşeli

https://doi.org/10.7126/cumudj.1373300

Abstract

Aim: Although the pathophysiological pathways have not been fully elucidated, it is assumpted that the systemic comorbidity variables described for periodontal disease may also apply to COVID-19. It was aimed to assess dentists' knowledge in the triangle of systemic comorbidities, oral-periodontal health, and COVID-19 and to contribute to patient care.
Methods: A questionnaire containing 17 statements obtained from hypotheses in the current literature was sent to dentists via email. The first part of the survey contains demographic questions, including age, gender, speciality, years in work experience, and institutional affiliation, while the second part contains statements assessing dentists' knowledge about oral and systemic candidate risk factors related to COVID-19. Responses were set up as "agree", "disagree", and "undecided". Intraclass Correlation Coefficient (ICC) was calculated for each item. An ICC value of 0.80 or higher was considered satisfactory.
Results: 68.8% (n=353) of 513 dentists were female, 66.7% (n=342) were between the ages of 24-40, 67.3% (n=345) had a professional history of 10 years or more, and 49.9% (n=256) were specialists. 56.5% of participants agree that there may be common risk factors for periodontal disease and COVID-19. 74.1% of participants agree that improving oral care levels could reduce complications arising from COVID-19. The systemic diseases/conditions for severe COVID-19 that received the highest "agree" responses in the presence of periodontal disease were Diabetes (90.1%), Tuberculosis (87.7%), and AIDS (86.7%). The highest "undecided" responses were for independent statements created for relationships with necrotizing oral manifestations with fever upon COVID-19 diagnosis (42.3%), vesiculobullous lesions/ulcers (41.7%), atherosclerotic diseases (42.1%), and liver diseases (40.2%). The highest "disagree" response was for the presence of vesiculobullous lesions/ulcers with a COVID-19 diagnosis (17%). Compared to men, women used the "agree" statement more for independent statements given for AIDS, presence of common risk factors, pregnancy, and atherosclerosis (p<0.01) and for oral care level, COPD, liver diseases, and rheumatoid arthritis (p<0.05). The specialists of Periodontology gave more "agree" responses for statements about the course of COVID-19 with oral care level, periodontal disease and dysbiotic flora, the course of COVID-19 with periodontal disease and pregnancy, and the course of atherosclerosis-COVID-19.

Conclusion: Within the limitations of the time of our study and the participating dentist population, it was observed that a sufficient correlation could not be established between COVID-19 and oral/periodontal health and the presence of systemic comorbidities, and there's a need to raise awareness through necessary training/seminar programs.

Keywords

covid-19 periodontal disease dentists questionnaire

References

  • 1. Tamimi F, Altigani S, Sanz M. Periodontitis and coronavirus disease 2019. Periodontol 2000. 2022;89(1):207-214.
  • 2. Cheng H, Wang Y, Wang GQ. Organ-protective effect of angiotensin-converting enzyme 2 and its effect on the prognosis of COVID-19. J Med Virol. 2020;92(7):726-730.
  • 3. Fu J, Zhou B, Zhang L, et al. Expressions and significances of the angiotensin-converting enzyme 2 gene, the receptor of SARS-CoV-2 for COVID-19. Mol Biol Rep. 2020;47(6):4383-4392.
  • 4. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507-513.
  • 5. Herrera D, Serrano J, Roldán S, Sanz M. Is the oral cavity relevant in SARS-CoV-2 pandemic? Clin Oral Investig. 2020;24(8):2925-2930.
  • 6. Iranmanesh B, Khalili M, Amiri R, Zartab H, Aflatoonian M. Oral manifestations of COVID-19 disease: A review article. Dermatol Ther. 2021;34(1):e14578.
  • 7. Qi M, Sun W, Wang K, et al. Periodontitis and COVID-19: Immunological Characteristics, Related Pathways, and Association. Int J Mol Sci. 2023;24(3):3012.
  • 8. Gomes SC, da Fonseca JG, Miller LM, et al. SARS-CoV-2 RNA in dental biofilms: Supragingival and subgingival findings from inpatients in a COVID-19 intensive care unit. J Periodontol. 2022;93(10):1476-1485.
  • 9. Berton F, Rupel K, Florian F, Biasotto M, Pallavicini A, Di Lenarda R. Dental calculus-a reservoir for detection of past SARS-CoV-2 infection. Clin Oral Investig. 2021;25(8):5113-5114.
  • 10. Fernandes Matuck B, Dolhnikoff M, Maia GVA, et al. Periodontal tissues are targets for Sars-Cov-2: a post-mortem study. J Oral Microbiol. 2020;13(1):1848135.
  • 11. Hajishengallis G. Interconnection of periodontal disease and comorbidities: Evidence, mechanisms, and implications. Periodontol 2000. 2022;89(1):9-18.
  • 12. Takahashi Y, Watanabe N, Kamio N, Kobayashi R, Iinuma T, Imai K. Aspiration of periodontopathic bacteria due to poor oral hygiene potentially contributes to the aggravation of COVID-19. J Oral Sci. 2020;63(1):1-3.
  • 13. Pitones-Rubio V, Chávez-Cortez EG, Hurtado-Camarena A, González-Rascón A, Serafín-Higuera N. Is periodontal disease a risk factor for severe COVID-19 illness? Med Hypotheses. 2020;144:109969.
  • 14. Marouf N, Cai W, Said KN, et al. Association between periodontitis and severity of COVID-19 infection: A case-control study. J Clin Periodontol. 2021;48(4):483-491.
  • 15. Sirin DA, Ozcelik F. The relationship between COVID-19 and the dental damage stage determined by radiological examination. Oral Radiol. 2021;37(4):600-609. d
  • 16. Katz J, Yue S, Xue W. Dental diseases are associated with increased odds ratio for coronavirus disease 19. Oral Dis. 2022;28 Suppl 1(Suppl 1):991-993.
  • 17. Patel J, Woolley J. Necrotizing periodontal disease: Oral manifestation of COVID-19. Oral Dis. 2021;27 Suppl 3(Suppl 3):768-769.
  • 18. Di Spirito F, Iandolo A, Amato A, et al. Prevalence, Features and Degree of Association of Oral Lesions in COVID-19: A Systematic Review of Systematic Reviews. Int J Environ Res Public Health. 2022;19(12):7486.
  • 19. Lawshe CH. A quantitative approach to content validity. Personnel psychology. 1975;28(4):563-575.
  • 20. Cagetti MG, Cairoli JL, Senna A, Campus G. COVID-19 Outbreak in North Italy: An Overview on Dentistry. A Questionnaire Survey. Int J Environ Res Public Health. 2020;17(11):3835.
  • 21. Singh Gambhir R, Singh Dhaliwal J, Aggarwal A, Anand S, Anand V, Kaur Bhangu A. Covid-19: a survey on knowledge, awareness and hygiene practices among dental health professionals in an Indian scenario. Rocz Panstw Zakl Hig. 2020;71(2):223-229.
  • 22. Khader Y, Al Nsour M, Al-Batayneh OB, et al. Dentists’ awareness, perception, and attitude regarding COVID-19 and infection control: cross-sectional study among Jordanian dentists. JMIR public health and surveillance. 2020;6(2):e18798.
  • 23. Karayürek F, Yilmaz Çırakoğlu N, Gülses A, Ayna M. Awareness and Knowledge of SARS-CoV-2 Infection among Dental Professionals According to the Turkish National Dental Guidelines. Int J Environ Res Public Health. 2021;18(2):442.
  • 24. Karasek D, Baer RJ, McLemore MR, et al. The association of COVID-19 infection in pregnancy with preterm birth: A retrospective cohort study in California. The Lancet Regional Health–Americas. 2021;2.
  • 25. Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-1062.
  • 26. Duruk G, Gümüşboğa ZŞ, Çolak C. Investigation of Turkish dentists’ clinical attitudes and behaviors towards the COVID-19 pandemic: a survey study. Braz Oral Res. 2020;34:e054.
  • 27. Greenberg BL, Glick M, Frantsve-Hawley J, Kantor ML. Dentists’ attitudes toward chairside screening for medical conditions. J Am Dent Assoc. 2010;141(1):52-62.
  • 28. 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):206-212.
  • 29. 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):626-635.
  • 30. Karaaslan F, Dikilitaş A, Yiğit U. Effects of COVID-19 pandemic on Turkish private practice dentists’ economic well-being. Balkan Journal of Dental Medicine. 2021;25(3):178-182.
  • 31. Tunçer J, Karkaç A. Diş Hekimlerinin COVID-19 Pandemisi ve Aşısına Karşı Tutumlarının Değerlendirilmesi. Van Diş Hekimliği Dergisi. 2021;2(2):11-20.
  • 32. Fidan V, Koyuncu H, Akin O. Oral lesions in Covid 19 positive patients. Am J Otolaryngol. 2021;42(3):102905.
  • 33. Tuter G, Yerebakan M, Celik B, Kara G. Oral manifestations in SARS-CoV-2 infection. Med Oral Patol Oral Cir Bucal. 2022;27(4):e330-e339.
  • 34. Gupta S, Mohindra R, Singla M, et al. The clinical association between Periodontitis and COVID-19. Clin Oral Investig. 2022;26(2):1361-1374.
  • 35. Vergara-Buenaventura A, Castro-Ruiz C. Use of mouthwashes against COVID-19 in dentistry. Br J Oral Maxillofac Surg. 2020;58(8):924-927.
  • 36. Patel D, Louca C, Vargas CM. Oral manifestations of long COVID and the views of healthcare professionals. Research square, 2023.
There are 36 citations in total.

Details

Primary Language English
Subjects Periodontics
Journal Section Original Research Articles
Authors

Serap Karakış Akcan 0000-0003-4371-5455

Dilek Mamaklıoğlu 0000-0002-8828-7549

Süleyman Emre Meşeli 0000-0002-8922-155X

Publication Date June 30, 2024
Submission Date October 9, 2023
Published in Issue Year 2024Volume: 27 Issue: 2

Cite

EndNote Karakış Akcan S, Mamaklıoğlu D, Meşeli SE (June 1, 2024) Awareness of potential oral and systemic risk factors for COVID-19 among dentists. Cumhuriyet Dental Journal 27 2 69–78.
 Download Cover Image

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


CDJ accepts articles in English. Submitting a paper to CDJ is free of charges. In addition, CDJ has not have article processing charges.

Frequency: Four times a year (March, June, September, and December)

IMPORTANT NOTICE

All users of Cumhuriyet Dental Journal should visit to their user's home page through the "https://dergipark.org.tr/tr/user" " or "https://dergipark.org.tr/en/user" links to update their incomplete information shown in blue or yellow warnings and update their e-mail addresses and information to the DergiPark system. Otherwise, the e-mails from the journal will not be seen or fall into the SPAM folder. Please fill in all missing part in the relevant field.

Please visit journal's AUTHOR GUIDELINE to see revised policy and submission rules to be held since 2020.