Dentists' Awareness about the Link between Oral and Systemic Health

Main Article Content

Maram Ahmed Almanasif, Fatimah Abdulkarim Alhammadi, Nawal Asaad Alanazi, Hamda Fayez Alosleb, Aishah Eissa Alanazi, Amany Abdullh Mohammed

Keywords

Oral care, oral health, dental professionals, systemic health

Abstract

Oral health is essential for overall wellness. Increasing research suggests a connection between periodontal and systemic disorders. The objective of the study was to assess the level of knowledge among dentists on the correlation between oral health and overall systemic health.


MATERIALS AND METHODS: The data was obtained through the use of a self-administered questionnaire that had been tested in a preliminary trial. The level of dentists' understanding regarding the connection between oral health and systemic health was evaluated using a five-point Likert scale. The data was inputted and analyzed using SPSS.


RESULTS: Out of the total of 588 dentists, 500 dentists successfully filled out the questionnaire, resulting in a response rate of 85.03%. 93% of the subjects, with a mean age of 25.82 ± 4.21 years, expressed agreement with the correlation between dental health and systemic health. A majority of dentists (84.4%) were cognizant of the correlation between periodontal disease and diabetes, whereas a significant proportion (70.2%) recognized the link between periodontal disease and heart disease. Similarly, 85.6% of respondents held the belief that oral disease had a detrimental effect on the quality of life of patients. A significantly higher proportion of female dentists than male dentists demonstrated awareness of the association between periodontal disease and unfavorable pregnancy outcomes, diabetes, and rheumatoid arthritis (P < 0.001). An overwhelming majority of dentists (97%) held the belief that increased patient awareness of the oral-systemic relationship will lead to a higher demand for dental care. Following adjustments, private dentists exhibited a 4.65-fold higher likelihood compared to public dentists in their belief that enhancing access to oral care might be achieved by increasing patient understanding of the oral-systemic relationship (P = 0.011).


CONCLUSIONS: The majority of dentists were knowledgeable of the connection between oral health and systemic health. Their belief was that patients' access to oral care would be enhanced if they were informed about the correlation between oral and systemic health. Hence, it is imperative to educate patients about the connection between oral and systemic health in order to enhance their oral well-being

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References

1. Ide M, Papapanou PN. Epidemiology of association between maternal periodontal disease and adverse pregnancy outcomes – Systematic review. J Periodontol. 2013;84:S181–94. [PubMed] [Google Scholar]
2. Chapple IL, Genco R. Working Group 2 of the Joint EFP/AAP Workshop. Diabetes and periodontal diseases: Consensus Report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. J Periodontol. 2013;84:S106–12. [PubMed] [Google Scholar]
3. Dietrich T, Sharma P, Walter C, Weston P, Beck J. The epidemiological evidence behind the association between periodontitis and incident atherosclerotic cardiovascular disease. J Periodontol. 2013;84:S70–84. [PubMed] [Google Scholar]
4. Kaur S, Bright R, Proudman SM, Bartold PM. Does periodontal treatment influence clinical and biochemical measures for rheumatoid arthritis? A systematic review and meta-analysis. Semin Arthritis Rheum. 2014;44:113–22. [PubMed] [Google Scholar]
5. Kane SF. The effects of oral health on systemic health. Gen Dent. 2017;65:30–4. [PubMed] [Google Scholar]
6. Hussain M, Stover CM, Dupont A. P. gingivalis in periodontal disease and atherosclerosis – Scenes of action for antimicrobial peptides and complement. Front Immunol. 2015;6:45. [PMC free article] [PubMed] [Google Scholar]
7. Reichert S, Haffner M, Keyßer G, Schäfer C, Stein JM, Schaller HG, et al. Detection of oral bacterial DNA in synovial fluid. J Clin Periodontol. 2013;40:591–8. [PubMed] [Google Scholar]
8. Sun QY, Feng M, Zhang MZ, Zhang YQ, Cao MF, Bian LX, et al. Effects of periodontal treatment on glycemic control in type 2 diabetic patients: A meta-analysis of randomized controlled trials. Chin J Physiol. 2014;57:305–14. [PubMed] [Google Scholar]
9. World Health Organization. Global Status Report on Noncommunicable Diseases. World Health Organization; 2010. [Last accessed on 2017 Aug 12]. Burden: mortality, Morbidity and Risk Factors. Available from: https://www.who.int/nmh/publications/ncd_report_full_en.pdf . [Google Scholar]
10. Song M, O'Donnell JA, Bekhuis T, Spallek H. Are dentists interested in the oral-systemic disease connection? A qualitative study of an online community of 450 practitioners. BMC Oral Health. 2013;13:65. [PMC free article] [PubMed] [Google Scholar]
11. Bhatia A, Bains SK, Singh MP. To assess knowledge and awareness of North Indian population towards periodontal therapy and oral-systemic disease link: A cross-sectional survey. J Interdiscip Dent. 2013;3:79. [Google Scholar]
12. US Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General--Executive Summary. US Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health. 2000. [Last accessed on 2017 Aug 13]. Available from: https://www.nidcr.nih.gov/research/data-statistics/surgeon-general .
13. Alpert PT. Oral health: The oral-systemic health connection. Home Health Care Manag Pract. 2017;29:56–9. [Google Scholar]
14. Seymour G. Good oral health is essential for good general health: The oral – Systemic connection. Clin Microbiol Infect. 2007;13:1–2. [Google Scholar]
15. Jansson L, Kalkali H, Mulk Niazi F. Mortality rate and oral health – A cohort study over 44 years in the county of Stockholm. Acta Odontol Scand. 2018;76:299–304. [PubMed] [Google Scholar]
16. Lockhart PB, Bolger AF, Papapanou PN, Osinbowale O, Trevisan M, Levison ME, et al. Periodontal disease and atherosclerotic vascular disease: Does the evidence support an independent association? A scientific statement from the American Heart Association. Circulation. 2012;125:2520–44. [PubMed] [Google Scholar]
17. Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim) 2017;11:72–80. [PMC free article] [PubMed] [Google Scholar]
18. Desvarieux M, Demmer RT, Jacobs DR, Jr, Rundek T, Boden-Albala B, Sacco RL, et al. Periodontal bacteria and hypertension: The oral infections and vascular disease epidemiology study (INVEST) J Hypertens. 2010;28:1413–21. [PMC free article] [PubMed] [Google Scholar]
19. Jaramillo A, Lafaurie GI, Millán LV, Ardila CM, Duque A, Novoa C, et al. Association between periodontal disease and plasma levels of cholesterol and triglycerides. Colomb Med (Cali) 2013;44:80–6. [PMC free article] [PubMed] [Google Scholar]
20. Orlandi M, Suvan J, Petrie A, Donos N, Masi S, Hingorani A, et al. Association between periodontal disease and its treatment, flow-mediated dilatation and carotid intima-media thickness: A systematic review and meta-analysis. Atherosclerosis. 2014;236:39–46. [PubMed] [Google Scholar]
21. American Academy of Periodontology. Periodontal Disease Linked to Cardiovascular Disease. American Academy of Periodontology. 2018. [Last accessed on 2018 Jan 24]. Available from: https://www.perio.org/consumer/AHA-statement .
22. D'Aiuto F, Nibali L, Parkar M, Suvan J, Tonetti MS. Short-term effects of intensive periodontal therapy on serum inflammatory markers and cholesterol. J Dent Res. 2005;84:269–73. [PubMed] [Google Scholar]
23. Tonetti MS, D'Aiuto F, Nibali L, Donald A, Storry C, Parkar M, et al. Treatment of periodontitis and endothelial function. N Engl J Med. 2007;356:911–20. [PubMed] [Google Scholar]
24. Teeuw WJ, Slot DE, Susanto H, Gerdes VE, Abbas F, D'Aiuto F, et al. Treatment of periodontitis improves the atherosclerotic profile: A systematic review and meta-analysis. J Clin Periodontol. 2014;41:70–9. [PubMed] [Google Scholar]
25. Lafon A, Pereira B, Dufour T, Rigouby V, Giroud M, Béjot Y, et al. Periodontal disease and stroke: A meta-analysis of cohort studies. Eur J Neurol. 2014;21:1155. [PubMed] [Google Scholar]
26. Sen S, Giamberardino LD, Moss K, Morelli T, Rosamond WD, Gottesman RF, et al. Periodontal disease, regular dental care use, and incident ischemic stroke. Stroke. 2018;49:355–62. [PMC free article] [PubMed] [Google Scholar]
27. Kuo LC, Polson AM, Kang T. Associations between periodontal diseases and systemic diseases: A review of the inter-relationships and interactions with diabetes, respiratory diseases, cardiovascular diseases and osteoporosis. Public Health. 2008;122:417–33. [PubMed] [Google Scholar]
28. Jeffcoat M, Parry S, Sammel M, Clothier B, Catlin A, Macones G, et al. Periodontal infection and preterm birth: Successful periodontal therapy reduces the risk of preterm birth. BJOG. 2011;118:250–6. [PubMed] [Google Scholar]
29. Ayers KM, Thomson WM, Rich AM, Newton JT. Gender differences in dentists' working practices and job satisfaction. J Dent. 2008;36:343–50. [PubMed] [Google Scholar]
30. GBD 2013 Mortality and Causes of Death Collaborators. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: A systematic analysis for the global burden of disease study 2013. Lancet. 2015;385:117–71. [PMC free article] [PubMed] [Google Scholar]
31. Chapple IL. The impact of oral disease upon systemic health-symposium overview. J Dent. 2009;37:S568–71. [PubMed] [Google Scholar]
32. Hirotomi T, Yoshihara A, Ogawa H, Miyazaki H. Number of teeth and 5-year mortality in an elderly population. Community Dent Oral Epidemiol. 2015;43:226–31. [PubMed] [Google Scholar]
33. Haumschild MS, Haumschild RJ. The importance of oral health in long-term care. J Am Med Dir Assoc. 2009;10:667–71. [PubMed] [Google Scholar]