Assessment of Knowledge and Attitude Towards Oral Health and Periodontal Disease in Diabetic Patients among Libyan Physicians

Authors

  • Amelsaad Elbarasi Faculty of Dentistry, University of Benghazi, Libya
  • Salma Mahfoud Faculty of Dentistry, University of Benghazi
  • Nazeha Elzaidy Diabetic Centre of Seidi-Hussein, Benghazi, Libya

DOI:

https://doi.org/10.37376/ljd.v8i1.5874

Keywords:

Periodontitis, Diabetes Mellitus, Oral health, Physician, Knowledge

Abstract

Background: Periodontitis is a chronic inflammatory disease characterized by the destruction of the supporting structures of the teeth. Emerging research suggests a bidirectional link between diabetes mellitus (DM) and periodontal disease (PD). This indicates that DM elevates the risk of developing PD, while periodontal inflammation may contribute to increased blood sugar levels and worsen glycemic control.

Aim: To determine the knowledge and attitude of internal medicine physicians towards oral health and periodontal disease in public and private diabetic clinics within the city of Benghazi, Libya. 

Methods: A cross-sectional study among practicing physicians who treat diabetic patients in various clinics within the city limits of Benghazi, Libya. A structured questionnaire consisting of 30 questions was utilized to assess the physicians’ demographics, their understanding of periodontal disease, and their attitudes towards the oral health of diabetic patients.

Results: The study findings indicated that a positive attitude was more prevalent among female physicians (75%) than their male counterparts (25%). Conversely, a negative attitude was predominantly observed in senior house officers (93.8%), whereas consultants and physicians with over 10 years of experience demonstrated a positive attitude, accounting for 22.4% and 55.3% respectively. The data also revealed a statistically significant association between the attitude and knowledge level and the basic demographic characteristics of the participants, with a p-value < 0.05.

Conclusion: Although most physicians are aware of the impact that PD and DM have on overall patient health, a knowledge deficiency is evident among senior house officers. In contrast, consultants possess the most comprehensive knowledge. The physicians also expressed a willingness to enhance their understanding of PD to improve health outcomes for their diabetic patients.

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Author Biographies

Amelsaad Elbarasi, Faculty of Dentistry, University of Benghazi, Libya

Lecturer at the Department of Periodontics

Salma Mahfoud, Faculty of Dentistry, University of Benghazi

Professor, Department of Periodontics

Nazeha Elzaidy, Diabetic Centre of Seidi-Hussein, Benghazi, Libya

General dental practitioner

References

Chen MX, Zhong YJ, Dong QQ, Wong HM, Wen YF. Global, regional, and national burden of severe periodontitis, 1990–2019: An analysis of the Global Burden of Disease Study 2019. J clinic perio. 2021 Sep;48(9):1165-88.

Listgauten M A, Nature of periodontal disease; Pathogenic mechanisms. J Periodonl Res. 1987;22:172-178.

Gholami M, Pakdaman A, Virtanen JI. Common perceptions of periodontal health and illness among adults: A qualitative study. ISRN Dent 2012;2012:671879.

Marcenes W, Kassebaum NJ, Bernabé E, et al. Global burden of oral conditions in 1990–2010: a systematic analysis. J Dent Res. 2013;92(7):592–597. doi: 10.1177/0022034513490168,

Kassebaum NJ, Smith AGC, Bernabé E, et al. Global, Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990–2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors. J Dent Res. 2017;96(4):380–87.

Vos T, Abajobir AA, Abate KH, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 2017;390(10100):1211–59.

Albandar JM Epidemiology and risk factors of periodontal diseases. Dent Clin North Am. 2005;49(3):517–32.

Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J health sci. 2017 Apr;11(2):72.

Worthington HV, MacDonald L, Poklepovic Pericic T, et al. Home use of interdental cleaning devices, in addition to toothbrushing, for preventing and controlling periodontal diseases and dental caries. Cochrane Database Syst Rev. 2019;4(4):CD012018. Published 2019 Apr 10.

Listgauten M A, Nature of periodontal disease; Pathogenic mechanisms. J Periodonl Res. 1987;22:172-78.

Anil S, Al-Ghamdi HS. The impact of periodontal infections on systemic diseases. Saudi Med J. 2006;27(6):767-76.

Arigbede AO, Babatope BO, Bamidele MK. Periodontitis and systemic diseases: A literature review. J Indian Soc of Periodontol. 2012 Oct 1;16(4):487-91.

Manjunath BC, Praveen K, Chandrashekar BR, Vatchala Rani RM, Bhalla A. Periodontal infections: a risk factor for various systemic diseases. Nat Med J Ind. 2011 Jul 1;24(4):214.

Loe H. Periodontal disease. The sixth complication of diabetes mellitus. Diabetes Care. 1993; 16:329–334.

Kay A, Simpson C, Stewart J Jr. The role of AGE/RAGE signaling in diabetes-mediated vascular calcification. J Diabetes Res. Oct 2016;2016. 2016:6809703.

Dolińska E, Milewski R, Pietruska MJ, Gumińska K, Prysak N, Tarasewicz T, Janica M, Pietruska M. Periodontitis-related knowledge and its relationship with oral health behavior among adult patients seeking Professional Periodontal Care. J Clin Med. 2022 Mar 10;11(6):1517.

Razi MA, Debnath S, Kumari P, Singh S, Kumar N, Prashant S. Assessment of Attitude, Knowledge and Awareness towards Oral Health and Periodontal Diseases among Medical Professionals in Hazaribag District, Jharkhand, India. ECDE. 2018;17:1685-92.

Obulareddy VT, Nagarakanti S, Chava VK. Knowledge, attitudes, and practice behaviors of medical specialists for the relationship between diabetes and periodontal disease: A questionnaire survey. J family med prim care. 2018 Jan 1;7(1):175-8.

Umeizudike KA, Onajole AT, Ayanbadejo PO. Periodontal health knowledge of nonmedical professionals and their oral hygiene behavior in a teaching hospital in Nigeria. Eur J Gen Dent. 2015 May;4(02):48-54.

Siddiqi A, Zafar S, Sharma A, Quaranta A. Diabetes mellitus and periodontal disease: The call for interprofessional education and interprofessional collaborative care-A systematic review of the literature. J Interprof Care. 2022 Jan 2;36(1):93-101.

Taşdemir Z, Alkan BA. Knowledge of medical doctors in Turkey about the relationship between periodontal disease and systemic health. Braz oral res. 2015 Apr 10;29:1-8.

Bains VK, Chandra H, Jamaluddin K, Bains R. Awareness among health care professionals regarding interrelationship between diabetes mellitus and periodontal diseases: A step towards interprofessional collaborative practice. AJOHAS. 2020 Dec 30;10.

Shanmukappa SM, Nadig P, Puttannavar R, Ambareen Z, Gowda TM, Mehta DS. Knowledge, attitude, and awareness among diabetic patients in Davangere about the association between diabetes and periodontal disease. J Int Soc Prev Community Dent. 2017 Nov 1;7(6):381-8.

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 Mar;82(3):360-6.

Sorunke, Modupeore, Afolabi Oyapero, and Olufemi Olagundoye. Determination of the extent of awareness of Nigerian General Population on the relationship between periodontal diseases and systemic illnesses. Nurse health sci. 2021;10(5):26-33.

Al Matrooshi K, Al Raeesi S, Tawfik AR, Khamis AH, Bain C, Atieh M, Shah M. Knowledge of physicians about the interrelationship between diabetes mellitus and periodontitis in the United Arab Emirates. Eur J Dent. 2023 Feb;17(01):219-26.

Dhir S, Bansal S, Wangnoo S, Jana D. Periodontitis and diabetes mellitus—an awareness and perception study among endocrinologists and diabetologists. Int J Diabetes Dev Ctries. 2021:1-9.

Tse SY. Diabetes mellitus and periodontal disease: awareness and practice among doctors working in public general out-patient clinics in Kowloon West Cluster of Hong Kong. BMC family practice. 2018 Dec;19:1-9.

Sujatha BK, Yavagal PC, Gomez MS. Assessment of oral health awareness among undergraduate Medical Students in Davangere city: A cross-sectional survey. J Indian Assoc Public Health Dent. 2014 Jan 1;12(1):43-6.

Taani DQ. Periodontal awareness and knowledge, and pattern of dental attendance among adults in Jordan. Int Dent J. 2002;52(2):94–8.

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Published

2024-06-15

How to Cite

Elbarasi, A. ., Mahfoud, S. ., & Elzaidy, N. . (2024). Assessment of Knowledge and Attitude Towards Oral Health and Periodontal Disease in Diabetic Patients among Libyan Physicians. Libyan Journal of Dentistry, 8(1), 3–10. https://doi.org/10.37376/ljd.v8i1.5874

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