Awareness Of Medical Students Regarding Periodontal Disease In Diabetic Patients In A Private Dental College of Karachi
DOI:
https://doi.org/10.51985/JBUMDC2019054Keywords:
Diabetes Mellitus, Medical Students, Periodontitis, Periodontal Disease.Abstract
Objective: The aim of this study was to evaluate the awareness and knowledge of periodontal disease among medical
students of Bahria University Medical and Dental College (BUMDC) while treating diabetic patients.
Study design and Setting: It was a cross sectional study conducted in Bahria University Medical and Dental College
(BUMDC) Karachi.
Methodology: This study included participants currently studying in 3rd, 4th and final year Bachelor of Medicine and
Bachelor of Surgery (MBBS) in BUMDC Karachi. Questionnaire was divided into two parts, in the first part, demographic
details and year of study were asked, in the second part, questions regarding diabetes mellitus and its complications were
included. Total of 384 participants participated in the study and the data was statistically analyzed using responses SPSS
version 23.
Results: All the participants successfully completed the questionnaire so the response rate was 100% in this study. From
384 participants, 37% were male and 63% were female. The majority of the students were aged between 22-23 years. About
64.1% of respondents thought that they were aware of periodontal disease in diabetic patients whereas only 19.5% individual
had knowledge of periodontitis. Also around 44% of medical students could not specify clinical manifestations in periodontitis
and only 48.4% participants could state the periodontal manifestations present in diabetic mellitus.
Conclusion: It is concluded from the study that medical students have very limited knowledge regarding periodontal disease
and its association with diabetes mellitus. Very few medical students were informed about referring the diabetic patients
to the dental surgeon.
References
Kamran S, Moradian H, Bakhsh EY. Comparison of the Mean DMF Index in Type I Diabetic and Healthy Children. Journal of Dentistry. 2019;20(1):61.
American Diabetes Association. 2. Classification and diagnosis of diabetes. Diabetes care. 2017; 40(Supplement 1): S11-24.
World Health Organization. Global report on diabetes. World Health Organization; 2016.
Cho NH, Shaw JE, Karuranga S, Huang Y, da Rocha Fernandes JD, Ohlrogge AW, Malanda B. IDF Diabetes Atlas: global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes research and clinical practice. 2018;138:271-81.
Hussain A, Ali I. Diabetes mellitus in Pakistan: A major public health concern. Archives of Pharmacy Practice. 2016;7(1):30.
Salman S, Khan K, Salman F, Hameed M. Effect of non-surgical periodontal treatment on glycemic control among type 2 diabetes mellitus patients with periodontitis. Journal of Ayub Medical College Abbottabad. 2016;28(4):742-5.
Varela-Centelles P, Diz-Iglesias P, Estany-Gestal A, Blanco-Hortas A, Bugarín-González R, Seoane-Romero JM, Blanco J. Periodontal awareness and what it actually means: A cross-sectional study. Oral diseases. 2019;25(3):831-8.
Kinane DF, Stathopoulou PG, Papapanou PN. Periodontal diseases. Nature Reviews Disease Primers. 2017; 22(3):17038.
Verhulst MJ, Loos BG, Gerdes VE, Teeuw WJ. Evaluating all potential oral complications of diabetes mellitus. Front. Endocrinol. 10: 56. https://doi.org/10.3389/fendo.2019.00056
Baranowski MJ, Wójtowicz A, Wysokiñska-Miszczuk J, Klempka J, Kubiszyn M. Diabetes in dental practice-review of literature. Journal of Education, Health and Sport. 2019;9(2):264-74.
Al-Khabbaz AK, Al-Shammari KF, Al-Saleh NA. Knowledge about the association between periodontal diseases and diabetes mellitus: contrasting dentists and physicians. Journal of periodontology. 2011; 82(3): 360-6.
Allen EM, Ziada HM, O’halloran D, Clerehugh V, Allen PF. Attitudes, awareness and oral health-related quality of life in patients with diabetes. Journal of oral rehabilitation. 2008; 35(3): 218-23.
Oyetola EO, Oyewole T, Adedigba M, Aregbesola ST, Umezudike K, Adewale A. Knowledge and awareness of medical doctors, medical students and nurses about dentistry in Nigeria. Pan African Medical Journal. doi: 10.11604/pamj. 2016.23.172.7696
Fatima G, Akhtar MJ, Naveed N, Ahmd M, Tariq M, Khawaja AR. Diabetic Patients And Periodontitis: A Study. Pakistan Oral & Dental Journal. 20170;37(2):290-3.
Ahmad MS, Abuzar MA, Razak IA, Rahman SA, Borromeo GL. Educating medical students in oral health care: current curriculum and future needs of institutions in Malaysia and Australia. European Journal of Dental Education. 2017;21(4) :e29-38.
Knight ET, Liu J, Seymour GJ, Faggion Jr CM, Cullinan MP. Risk factors that may modify the innate and adaptive immune responses in periodontal diseases. Periodontology 2000. 2016;71(1):22-51.
Bascones-Martinez A, Gonzalez-Febles J, Sanz-Esporrin J. Diabetes and periodontal disease. Review of the literature. Am J Dent. 2014;27(2):63-7.
Sede MA, Ehizele AO. Oral diseases and diabetes: Nigerian medical and dental caregivers' perspective. Annals of African medicine. 2015;14(4):193.
Abbott B, Zybutz C, Scott KM, Eberhard J, Widmer R. A review of the hours dedicated to oral health education in medical programmes across Australia. Internal medicine journal. 2018;48(9):1035-40.
Jaiswal R, Shenoy N, Thomas B. Extent of awareness regarding periodontal disease in diabetic patients among medical interns. Nitte University Journal of Health Science. 2015;5(4):17.
Hsu YT, Nair M, Angelov N, Lalla E, Lee CT. Impact of diabetes on clinical periodontal outcomes following non-surgical periodontal therapy. Journal of clinical periodontology. 2019;46(2):206-17.
Roy M, Gastaldi G, Courvoisier DS, Mombelli A, Giannopoulou C. Periodontal health in a cohort of subjects with type 1 diabetes mellitus. Clinical and Experimental Dental Research. 201;5(3):243-9.
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. Journal of Dental Education. 2011;75(3):329-38.
Bahammam MA. Periodontal health and diabetes awareness among Saudi diabetes patients. Patient preference and adherence. 2015;9:225-33.
Mohebbi SZ, Rabiei S, Yazdani R, Nieminen P, Virtanen JI. Evaluation of an educational intervention in oral health for primary care physicians: a cluster randomized controlled study. BMC oral health. 2018;18(1):218. doi: 10.1186/s12903-018-0676-2
Dana R, Torneck CD, Iglar K, Lighvan NL, Quiñonez C, Azarpazhooh A. Knowledge and Practices of Family and Emergency Physicians in Managing Nontraumatic Dental Conditions: A Case-based Survey. Journal of endodontics. 2019;45(3):263-71.
Parker JL. Interdisciplinary Health Professions Faculty's Lived Experiences with Oral Health Curricular Integration: An Interpretative Phenomenological Analysis (Doctoral dissertation, Northeastern University).
Horikawa Y, Suzuki A, Enya M, Hashimoto KI, Nishida S, Kobayashi R, et. al. Periodontal Disease May be Associated With the Occurrence of Diabetic Retinopathy: A Subgroup Analysis of The Survey of the Diabetes Coordination Notebook in Gifu. Experimental and Clinical Endocrinology & Diabetes. 2019 Apr 11. doi: 10.1055/a-0879-1890.
Al-Habashneh R, Barghout N, Humbert L, Khader Y, Alwaeli H. Diabetes and oral health: doctors' knowledge, perception and practices. Journal of evaluation in clinical practice. 2010;16(5):976-80.
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Copyright (c) 2019 Natasha Fatima, Saima Mazhar, Mushtaq Ahmed, Umair Aslam
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