Volume 10, Issue 2 (2022)
Health Educ Health Promot 2022, 10(2): 403-409 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mollazadeh A, Mohebbi S, Kharazifard M, Rouzmeh N. Senior Dental Students’ Knowledge and Practice regarding Oral Health of Diabetic Patients in Tehran, Iran. Health Educ Health Promot 2022; 10 (2) :403-409
URL: http://hehp.modares.ac.ir/article-5-54968-en.html
URL: http://hehp.modares.ac.ir/article-5-54968-en.html
1- Department of Orthodontics, Qazvin University of Medical Sciences, Qazvin, Iran
2- Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
3- Periodontology Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
2- Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
3- Periodontology Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (747 Views)
Aims: A strong association has been documented between diabetes mellitus (DM) and oral diseases. Since dental clinicians are mainly responsible for the oral health of the general population, this study aimed to assess the knowledge and practice of dental students in Tehran regarding the oral health of diabetic patients.
Instrument & Methods: In this cross-sectional study, a researcher-designed questionnaire with 3 domains and 32 questions (5 demographic, 21 knowledge, and 6 practice questions) was used for data collection. After assessing the validity and reliability of the questionnaire, 130 senior dental students attending Tehran, Shahid Beheshti, Shahed, and Islamic Azad University dental schools were requested to fill it out. Data were analyzed by the linear regression model using SPSS version 20.
Findings: The mean age of the participants was 24.6±2.47 years. The response rate was 94%. Half of the students were females (n=70, 53%). The mean knowledge and practice scores of the students were 15.29±2.32 out of 21, and 4±1.19 out of 6, respectively. The students with a higher grade point average score acquired higher knowledge and attitude scores (p=0.00). A significant inverse correlation was found between the practice and the age of students (p=0.05).
Conclusion: The results indicate the moderate level of knowledge and practice of dental students in Tehran regarding the oral health of diabetic patients. Educational interventions and revision of dental curricula may enhance the knowledge and practice of dental students in this respect.
Instrument & Methods: In this cross-sectional study, a researcher-designed questionnaire with 3 domains and 32 questions (5 demographic, 21 knowledge, and 6 practice questions) was used for data collection. After assessing the validity and reliability of the questionnaire, 130 senior dental students attending Tehran, Shahid Beheshti, Shahed, and Islamic Azad University dental schools were requested to fill it out. Data were analyzed by the linear regression model using SPSS version 20.
Findings: The mean age of the participants was 24.6±2.47 years. The response rate was 94%. Half of the students were females (n=70, 53%). The mean knowledge and practice scores of the students were 15.29±2.32 out of 21, and 4±1.19 out of 6, respectively. The students with a higher grade point average score acquired higher knowledge and attitude scores (p=0.00). A significant inverse correlation was found between the practice and the age of students (p=0.05).
Conclusion: The results indicate the moderate level of knowledge and practice of dental students in Tehran regarding the oral health of diabetic patients. Educational interventions and revision of dental curricula may enhance the knowledge and practice of dental students in this respect.
Keywords: Oral health [MeSH], Diabetes Mellitus [MeSH], Health Knowledge, Attitudes, Practice [MeSH], Dental Students [MeSH]
Article Type: Descriptive & Survey |
Subject:
Oral Health Education/Promotion
Received: 2021/08/19 | Accepted: 2022/04/12 | Published: 2022/06/15
Received: 2021/08/19 | Accepted: 2022/04/12 | Published: 2022/06/15
References
1. Zimmet P, Alberti KG, Shaw J. Global and societal implications of the diabetes epidemic. Nature. 2001 Dec;414(6865):782-7. [Link] [DOI:10.1038/414782a]
2. Beaglehole R, Bonita R, Horton R, Adams C, Alleyne G, Asaria P, et al. Priority actions for the non-communicable disease crisis. Lancet. 2011;377(9775):1438-47. [Link] [DOI:10.1016/S0140-6736(11)60393-0]
3. Esteghamati A, Larijani B, Aghajani MH, Ghaemi F, Kermanchi J, Shahrami A, et al. Diabetes in Iran: prospective analysis from first nationwide diabetes report of national program for prevention and control of diabetes (NPPCD-2016). Sci Rep. 2017;7(1):13461. [Link] [DOI:10.1038/s41598-017-13379-z]
4. The International Diabetes Federation. IDF MENA members [Internet]. Unknown City: The International Diabetes Federation; 2022 [cited 2022 Apr 2]. Available from: https://idf.org/our-network/regions-members/middle-east-and-north-africa/members/35-iran.html [Link]
5. Harris MI, Eastman RC. Early detection of undiagnosed diabetes mellitus: a US perspective. Diabetes Metab Res Rev. 2000;16(4):230-6.
https://doi.org/10.1002/1520-7560(2000)9999:9999<::AID-DMRR122>3.0.CO;2-W [Link] [DOI:10.1002/1520-7560(2000)9999:99993.0.CO;2-W]
6. Moore PA, Orchavd T, Guggenheimer J, Weyant RJ. Diabetes and oral health promotion: a survey of disease prevention behaviors. J Am Dent Assoc. 2000;131(9):1333-41. [Link] [DOI:10.14219/jada.archive.2000.0388]
7. Baldwin E. Oral health. Lancet. 2009;373(9664):628-9. [Link] [DOI:10.1016/S0140-6736(09)60392-5]
8. Chávez EM, Borrell LN, Taylor GW, Ship JA. A longitudinal analysis of salivary flow in control subjects and older adults with type 2 diabetes. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(2):166-73. [Link] [DOI:10.1067/moe.2001.112054]
9. Collin HL, Niskanen L, Uusitupa M, Töyry J, Collin P, Koivisto AM, et al. Oral symptoms and signs in elderly patients with type 2 diabetes mellitus: a focus on diabetic neuropathy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(3):299-305. [Link] [DOI:10.1067/moe.2000.107536]
10. Guggenheimer J, Moore PA, Rossie K, Myers D, Mongelluzzo MB, Block HM, et al. Insulin-dependent diabetes mellitus and oral soft tissue pathologies: I. Prevalence and characteristics of non-candidal lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89(5):563-9. [Link] [DOI:10.1067/moe.2000.104476]
11. Guggenheimer J, Moore PA, Rossie K, Myers D, Mongelluzzo MB, Block HM, et al. Insulin-dependent diabetes mellitus and oral soft tissue pathologies. II. Prevalence and characteristics of Candida and candidal lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89(5):570-6. [Link] [DOI:10.1067/moe.2000.104477]
12. Sandberg GE, Sundberg HE, Fjellstrom CA, Wikblad KF. Type 2 diabetes and oral health: a comparison between diabetic and non-diabetic subjects. Diabetes Res Clin Pract. 2000;50(1):27-34. [Link] [DOI:10.1016/S0168-8227(00)00159-5]
13. Lamster IB, Lalla E, Borgnakke WS, Taylor GW. The relationship between oral health and diabetes mellitus. J Am Dent Assoc. 2008;139:19S-24S. [Link] [DOI:10.14219/jada.archive.2008.0363]
14. Saini R, Al-Maweri SA, Saini D, Ismail NM, Ismail AR. Oral mucosal lesions in non oral habit diabetic patients and association of diabetes mellitus with oral precancerous lesions. Diabetes Res Clin Pract. 2010;89(3):320-6. [Link] [DOI:10.1016/j.diabres.2010.04.016]
15. Masood Mirza K, Khan AA, Ali MM, Chaudhry S. Oral health knowledge, attitude, and practices and sources of information for diabetic patients in Lahore, Pakistan. Diabetes Care. 2007;30(12):3046-7. [Link] [DOI:10.2337/dc07-0502]
16. Löe H. Periodontal disease: the sixth complication of diabetes mellitus. Diabetes care. 1993;16(1):329-34. [Link] [DOI:10.2337/diacare.16.1.329]
17. Mealey BL. Periodontal disease and diabetes: A two-way street. J Am Dent Assoc. 2006;137:S26-31. [Link] [DOI:10.14219/jada.archive.2006.0404]
18. Tsai C, Hayes C, Taylor GW. Glycemic control of type 2 diabetes and severe periodontal disease in the US adult population. Community Dent Oral. 2002;30(3):182-92. [Link] [DOI:10.1034/j.1600-0528.2002.300304.x]
19. Khader YS, Dauod AS, El-Qaderi SS, Alkafajei A, Batayha WQ. Periodontal status of diabetics compared with nondiabetics: a meta-analysis. J Diabetes Complicat. 2006;20(1):59-68. [Link] [DOI:10.1016/j.jdiacomp.2005.05.006]
20. Taylor GW, Borgnakke W. Periodontal disease: associations with diabetes, glycemic control and complications. Oral Dis. 2008;14(3):191-203. [Link] [DOI:10.1111/j.1601-0825.2008.01442.x]
21. Matthews DC. The relationship between diabetes and periodontal disease. J Can Dent Assoc. 2002;68(3):161-4. [Link]
22. Soell M, Hassan M, Miliauskaite A, Haikel Y, Selimovic D. The oral cavity of elderly patients in diabetes. Diabetes Metab. 2007;33:S10-S8. [Link] [DOI:10.1016/S1262-3636(07)80053-X]
23. Forbes K, Thomson WM, Kunzel C, Lalla E, Lamster IB. Management of patients with diabetes by general dentists in New Zealand. J Periodontol. 2008;79(8):1401-8. [Link] [DOI:10.1902/jop.2008.070640]
24. Al‐Habashneh R, Barghout N, Humbert L, Khader Y, Alwaeli H. Diabetes and oral health: doctors' knowledge, perception and practices. J Eval Clin Pract. 2010;16(5):976-80. [Link] [DOI:10.1111/j.1365-2753.2009.01245.x]
25. Jaiswal R, Shenoy N, Thomas B. Extent of awareness regarding periodontal disease in diabetic patients among medical interns. J Health Alli Sci NU. 2015;5(4):17-21. [Link] [DOI:10.1055/s-0040-1703928]
26. Mumtaz S, Ashfaq T, Siddiqui H. Knowledge of medical students regarding diabetes mellitus at Ziauddin University, Karachi. J Pak Med Assoc. 2009;59(3):163-6. [Link]
27. Poudel P, Griffiths R, Wong VW, Arora A, George A. Knowledge and practices of diabetes care providers in oral health care and their potential role in oral health promotion: a scoping review. Diabetes Res Clin Pract. 2017;130:266-77. [Link] [DOI:10.1016/j.diabres.2017.06.004]
28. Umeizudike KA, Iwuala SO, Ozoh OB, Ayanbadejo PO, Fasanmade OA. Association between periodontal diseases and systemic illnesses: A survey among internal medicine residents in Nigeria. Saudi Dent J. 2016;28(1):24-30. [Link] [DOI:10.1016/j.sdentj.2015.03.005]
29. Yuen HK, Onicescu G, Hill EG, Jenkins C. A survey of oral health education provided by certified diabetes educators. Diabetes Res Clin Pract. 2010;88(1):48-55. [Link] [DOI:10.1016/j.diabres.2009.12.015]
30. Aljoudi AS, Taha AZ. Knowledge of diabetes risk factors and preventive measures among attendees of a primary care center in eastern Saudi Arabia. Ann Saudi Med.. 2009;29(1):15-9. [Link] [DOI:10.4103/0256-4947.51813]
31. Khan N, Gomathi KG, Shehnaz SI, Muttappallymyalil J. Diabetes mellitus-related knowledge among university students in Ajman, United Arab Emirates. Sultan Qaboos Univ Med J. 2012;12(3):306. [Link] [DOI:10.12816/0003144]
32. Friesen LR, Walker MP, Kisling RE, Liu Y, Williams KB. Knowledge of risk factors and the periodontal disease-systemic link in dental students' clinical decisions. J Dent Educ. 2014;78(9):1244-51. [Link] [DOI:10.1002/j.0022-0337.2014.78.9.tb05795.x]
33. 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. [Link] [DOI:10.1002/j.0022-0337.2015.79.6.tb05934.x]
34. Araújo PC, Garbín CA, Moimaz SA, Saliba NA, Arcieri RM. Perception and attitude about systemic health and periodontal disease among dentistry undergraduates. OHPD. 2013;11(4):383-8. [Link]
35. 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. [Link] [DOI:10.1902/jop.2010.100372]
36. Bell KP, Phillips C, Paquette DW, Offenbacher S, Wilder RS. Dental hygienists' knowledge and opinions of oral-systemic connections: implications for education. J dent educ. 2012;76(6):682-94. [Link] [DOI:10.1002/j.0022-0337.2012.76.6.tb05302.x]
37. Efurd MG, Bray KK, Mitchell TV, Williams K. Comparing the risk identification and management behaviors between oral health providers for patients with diabetes. Am Dent Hygienists Assoc. 2012;86(2):130-40. [Link]
38. Nivashini G, Kumar M. Knowledge and awareness among undergraduate dental students regarding oral health of diabetes mellitus patients. Drug Invent Today. 2018;10(4). [Link]
39. Lin H, Zhang H, Yan Y, Liu D, Zhang R, Liu Y, et al. Knowledge, awareness, and behaviors of endocrinologists and dentists for the relationship between diabetes and periodontitis. Diabetes Res Clin Pract. 2014;106(3):428-34. [Link] [DOI:10.1016/j.diabres.2014.09.008]
40. Kunzel C, Lalla E, Lamster I. Dentists' management of the diabetic patient: contrasting generalists and specialists. Am J Public Health. 2007;97(4):725-30. [Link] [DOI:10.2105/AJPH.2006.086496]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |