Knowledge of senior students concluding the courses of Dentistry and Medicine toward the interrelationship of periodontal diseases and systemic health

Authors

DOI:

https://doi.org/10.33448/rsd-v9i12.10967

Keywords:

Education, Educational Measurement, Periodontal Diseases, Periodontics, Oral Medicine, Dental Students, Medical students.

Abstract

Background/Purpose This study evaluated the knowledge of last year's students of dentistry (DENT) and medicine (MED) regarding the association between periodontal disease (PD) and systemic disease (SD). Materials and methods: A questionnaire developed to evaluate the knowledge, attitudes and behaviors related to PD was applied for the students. Results: 287 students participated, 81 from DENT and 206 from MED. 47% of DENT students correctly answered all five questions of true or false, compared to 51% of MED students (p> 0.05). Between MED students, 67% never ask their patients if they have ever been diagnosed with PD; 51% never evaluate their patients for PD; 28% never refer their patients to a dentist; 95% didn’t receive PD training during the course; 61% believe that patients do not expect them to discuss/evaluate PD and 51% agree that discussing/evaluating periodontal condition is secondary to their role. For DENT, 12% never ask their patients if they have ever been diagnosed with PD, although 98% always do the evaluation, and 9% do not feel comfortable doing the periodontal examination. Conclusion: Although the students of both courses presented a good theoretical knowledge about PD and its association with systemic health, when approached regarding clinical practices, the results were unsatisfactory.

References

Albujeer, A. N., & Taher, A. (2017). Dental Education and Oral Health Service in Iraq. Iranian Journal of Public Health, 46 (5), 713–714. http://www.ncbi.nlm.nih.gov/pubmed/28560206

Almeida, R. F., Morado Pinho, M., Lima, C., Faria, I., Santos, P., & Bordalo, C. (2006). Associação entre doença periodontal e patologias sistémicas. Revista Portuguesa de Clínica Geral, 22, 379–390.

Andia, D. C., de Oliveira, N. F. P., Casarin, R. C. V., Casati, M. Z., Line, S. R. P., & de Souza, A. P. (2010). DNA Methylation Status of the IL8 Gene Promoter in Aggressive Periodontitis. Journal of Periodontology, 81 (9), 1336–1341. https://doi.org/10.1902/jop.2010.100082

Arbes, S. J., Slade, G. D., & Beck, J. D. (1999). Association between extent of periodontal attachment loss and self-reported history of heart attack: an analysis of NHANES III data. Journal of Dental Research, 78 (12), 1777–1782. http://www.ncbi.nlm.nih.gov/pubmed/10598906

BRASIL. Ministério da Saúde. (2011). Secretaria de Vigilância em Saúde - Sistema de Informações de Mortalidade. http://tabnet.datasus.gov.br/cgi/tabcgi.exe?idb2012/c08.def

Caton, J. G., Armitage, G., Berglundh, T., Chapple, I. L. C., Jepsen, S., Kornman, K. S., Mealey, B. L., Papapanou, P. N., Sanz, M., tonetti, M. S. (2018) A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes form the 1999 classification. Journal of Clinical Periodontology, 45 (45), S1-S8. https://doi.org/10.1111/jcpe.12935

Chan, S., Pasternak, G. M., & West, M. J. (2017). The place of periodontal examination and referral in general medicine. Periodontology 2000 (Vol. 74, Issue 1, pp. 194–199). Blackwell Munksgaard. https://doi.org/10.1111/prd.12199

Fang, D., Yalin, L., Xiao, H., Hai, Z., Dongyu, L., Wei, H., Yinhua, L., & Hospital, B. A. (2014). Detection of periodontal pathogens in the patients with aortic. Chinese Medical Journal, 127(23), 4114–4118. https://doi.org/10.3760/cma.j.issn.0366-6999.20141208

Feng, P., Wang, X., Casado, P. L., Kuchler, E. C., Deeley, K., Noel, J., Kimm, H., Kim, J. H., Haas, a N., Quinelato, V., Bonato, L. L., Granjeiro, J. M., Susin, C., & Vieira, a R. (2014). Genome wide association scan for chronic periodontitis implicates novel locus. BMC Oral Health, 14, 84. https://doi.org/10.1186/1472-6831-14-84 [doi]

Gulati, M., Anand, V., Jain, N., Anand, B., Bahuguna, R., Govila, V., & Rastogi, P. (2013). Essentials of periodontal medicine in preventive medicine. International Journal of Preventive Medicine, 4 (9), 988–994. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3793498&tool=pmcentrez&rendertype=abstract

Johnson, N. W., Glick, M., & Mbuguye, T. N. L. (2006). (A2) Oral health and general health. Advances in Dental Research, 19 (1), 118–121. https://doi.org/10.1177/154407370601900122

Kaldahl, W. B., Kalkwarf, K. L., Patil, K. D., Molvar, M. P., & Dyer, J. K. (1996). Long-Term Evaluation of Periodontal Therapy: I. Response to 4 Therapeutic Modalities. Journal of Periodontology, 67 (2), 93–102. https://doi.org/10.1902/jop.1996.67.2.93

Katagiri, S., Nitta, H., Nagasawa, T., Izumi, Y., Kanazawa, M., Matsuo, A., Chiba, H., Fukui, M., Nakamura, N., Oseko, F., Kanamura, N., Inagaki, K., Noguchi, T., Naruse, K., Matsubara, T., Miyazaki, S., Miyauchi, T., Ando, Y., Hanada, N., & Inoue, S. (2013). Effect of glycemic control on periodontitis in type 2 diabetic patients with periodontal disease. Journal of Diabetes Investigation, 4 (3), 320–325. https://doi.org/10.1111/jdi.12026

Kinane, D. F., Shiba, H., & Hart, T. C. (2005). The genetic basis of periodontitis. In Periodontology 2000, 39, 91–117. https://doi.org/10.1111/j.1600-0757.2005.00118.x

Kramer, M. S. (1987). Determinants of low birth weight: Methodological assessment and meta-analysis. Bulletin of the World Health Organization, 65 (5), 663–737.

Lamster, I. B., Lalla, E., Borgnakke, W. S., & Taylor, G. W. (2008). The relationship between oral health and diabetes mellitus. The Journal of the American Dental Association, 139, 19S-24S.

Lin, H., Zhang, H., Yan, Y., Liu, D., Zhang, R., Liu, Y., Chen, P., Zhang, J., & Xuan, D. (2014). Knowledge, awareness, and behaviors of endocrinologists and dentists for the relationship between diabetes and periodontitis. Diabetes Research and Clinical Practice, 106 (3), 428–434. https://doi.org/10.1016/j.diabres.2014.09.008

Llambés, F., Silvestre, F. J., Hernández-Mijares, A., Guiha, R., & Caffesse, R. (2008). The effect of periodontal treatment on metabolic control of type 1 diabetes mellitus. Clinical Oral Investigations, 12 (4), 337–343. https://doi.org/10.1007/s00784-008-0201-0

Mattos, R. A. de. (2004). A integralidade na prática (ou sobre a prática da integralidade). Cadernos de Saúde Pública, 20 (5), 1411–1416. https://doi.org/10.1590/s0102-311x2004000500037

SB Brasil 2010: Pesquisa Nacional de Saúde Bucal: resultados principais. (2012) http://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_nacional_saude_bucal.pdf

Quijano, A., Shah, A. J., Schwarcz, A. I., Lalla, E., & Ostfeld, R. J. (2010). Knowledge and Orientations of Internal Medicine Trainees Toward Periodontal Disease. Journal of Periodontology, 81 (3), 359–363. https://doi.org/10.1902/jop.2009.090475

Sá, P. K. de, & Almeida, C. (2003). Ministério Da Saúde a Integralidade Da Atenção No Programa Médico De Família De Niterói/Rj. Ministério da Saúde Fundação Oswaldo Cruz Escola Nacional de Saúde Pública. https://teses.icict.fiocruz.br/pdf/sapkm.pdf

Sanz, M., Marco del Castillo, A., Jepsen, S., Gonzalez-Juanatey, J. R., D’Aiuto, F., Bouchard, P., Chapple, I., Dietrich, T., Gotsman, I., Graziani, F., Herrera, D., Loos, B., Madianos, P., Michel, J. B., Perel, P., Pieske, B., Shapira, L., Shechter, M., Tonetti, M., … Wimmer, G. (2020). Periodontitis and cardiovascular diseases: Consensus report. Journal of Clinical Periodontology, 47 (3), 268–288. https://doi.org/10.1111/jcpe.13189

Seymour, B., Shick, E., Chaffee, B. W., & Benzian, H. (2017). Going Global: Toward Competency-Based Best Practices for Global Health in Dental Education. Journal of Dental Education, 81 (6), 707–715. https://doi.org/10.21815/jde.016.034

Shimpi, N., Schroeder, D., Kilsdonk, J., Chyou, P. H., Glurich, I., Penniman, E., & Acharya, A. (2016). Medical Providers’ Oral Health Knowledgeability, Attitudes, and Practice Behaviors: An Opportunity for Interprofessional Collaboration. Journal of Evidence-Based Dental Practice, 16 (1), 19–29. https://doi.org/10.1016/j.jebdp.2016.01.002

Silva, A. M., Vargas, A. M. D., Ferreira, E. F., & Abreu, M. H. N. G. de. (2010). A integralidade da atenção em diabéticos com doença periodontal. Ciência & Saúde Coletiva, 15 (4), 2197–2206.

Taşdemir, Z., & ALKAN, B. A. (2015). Knowledge of medical doctors in Turkey about the relationship between periodontal disease and systemic health. Original Research Periodontology, 29 (1), 1–8. https://doi.org/10.1590/1807-3107BOR-2015.vol29.0055

Toregeani, J. F., Nassar, C. A., Toregeani, K. A. M., & Nassar, P. O. (2014). Periodontal disease and atherosclerosis. Jornal Vascular Brasileiro, 13 (3), 208–216.

Wu, Y.-Y., Xiao, E., & Graves, D. T. (2015). Diabetes mellitus related bone metabolism and periodontal disease. International Journal of Oral Science, 7 (2), 63–72. https://doi.org/10.1038/ijos.2015.2

Zhou, X., Wang, Z., Song, Y., Zhang, J., & Wang, C. (2011). Periodontal health and quality of life in patients with chronic obstructive pulmonary disease. Respiratory Medicine, 105 (1), 67–73. https://doi.org/10.1016/j.rmed.2010.06.017

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Published

2020-12-19

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Health Sciences

How to Cite

Knowledge of senior students concluding the courses of Dentistry and Medicine toward the interrelationship of periodontal diseases and systemic health. Research, Society and Development, [S. l.], v. 9, n. 12, p. e19691210967, 2020. DOI: 10.33448/rsd-v9i12.10967. Disponível em: https://rsdjournal.org/rsd/article/view/10967. Acesso em: 5 dec. 2025.