Oral health awareness in adult patients with diabetes: a questionnaire study

Bowyer, Vicky; Sutcliffe, Paul; Ireland, Robin; Lindenmeyer, Antje; Gadsby, Roger; Graveney, Mike; Sturt, Jackie; Dale, Jeremy

doi:10.1038/sj.bdj.2011.769

Cited by 65 publications

(95 citation statements)

References 13 publications

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“…Or it could simply be that many dentists do not take on the responsibility of providing oral hygiene education and advice. Similar findings have been reported in many previous studies (Allen et al, 2008;Al Habashneh et al, 2010;Bahammam, 2015;Bowyer et al, 2011).…”

Section: Discussionsupporting

confidence: 81%

“…Poor oral health knowledge and awareness of the relationship between diabetes mellitus and oral health problems have been found in most of the previous studies in different areas worldwide (Yuen et al, 2009;Bowyer et al, 2011;Eldarrat, 2011;Al Habashneh et al, 2009;Allen et al, 2008). Allen et al (2008) reported that Al Amassi and Al Dakheel 9 .…”

Section: Introductionmentioning

confidence: 99%

“…Bowyer et al (2011) reported that 69.1% of diabetic patients in the United Kingdom had never received any oral health advice related to their diabetes. He concluded that training and advice for both healthcare professionals and patients concerning the importance of good oral health for diabetics are needed.…”

Section: Introductionmentioning

confidence: 99%

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Oral hygiene practice of adult diabetic patients and their awareness about oral health problems related to diabetes

Amassi¹,

Dakheel²

2017

J. Dent. Oral Hyg.

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Diabetes mellitus is a major public health problem in the Kingdom of Saudi Arabia. Several studies have shown that diabetic patients are at a greater risk of developing oral health problems than non-diabetics. This study aims to evaluate the oral hygiene practices of adult diabetic patients and their awareness of oral health problems related to the disease. In this cross-sectional, Internet-based descriptive study, a self-administered questionnaire was uploaded online and any adult diabetic patient living in Saudi Arabia was allowed to take part. The participants were asked to complete the questionnaire and submit it online. A total of 278 diabetic patients, ranging from 18 to 64 years of age (115 male and 163 female), responded and submitted their questionnaires. In the section on oral hygiene practice, the results showed 45.6% of the respondents brush their teeth once daily, 10.4% floss once daily, and only 11.5% use mouthwash regularly. Regarding patients' awareness, the majority (81%) are aware that diabetes may increase the risk of oral health problems; 75.9% are aware that diabetes may increase the risk for periodontal problems including gum bleeding and teeth mobility and 36.3% are aware that diabetes may reduce salivary flow. The main source of information was the media (31%), followed by dentists and dental hygienists (23%), physicians (21%) and the Internet (16%). Majority of the participants are aware of the importance of controlling diabetes in order to minimize oral health complication (74.4%) but only 15.1% of them visits the dentist regularly. Patients with higher levels of education (graduate and postgraduate) showed statistically significantly better brushing habits and more awareness regarding oral health problems related to diabetes in comparison with those with low levels of education (p value <0.05). Grouping patients by age and gender did not reveal any statistical difference in their level of awareness or brushing habits. Diabetic patients' level of awareness of their increased risk of oral health problems was generally acceptable. Further educational programs should be established for diabetic patients, especially those with low levels of education, in order to improve their oral health knowledge and dentists should take on more responsibility for this task.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Oral hygiene practice of adult diabetic patients and their awareness about oral health problems related to diabetes

Amassi¹,

Dakheel²

2017

J. Dent. Oral Hyg.

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“…Interestingly, regardless of the well-known negative consequences of diabetes on oral health, many previous studies revealed that most of the diabetic patients did not have enough knowledge about the negative impacts of diabetes on their oral health [17-20]. At the same time, many studies highlighted the fact that diabetic patients have more knowledge about the systemic consequences of diabetes than about diabetes-related oral complications [19, 21].…”

Section: Introductionmentioning

confidence: 99%

Association between Diabetes Mellitus and Periodontal Diseases: A Survey of the Opinions of Dental Professionals

AlShwaimi

Idrees²,

Berri

et al. 2018

Med Princ Pract

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Objective: This cross-sectional survey aimed to assess the knowledge of dentists and dental assistants practicing in Saudi Arabia regarding diabetes mellitus (DM) and periodontal diseases. Subjects and Methods: We used a pretested, closed-ended, multiple-choice questionnaire covering 2 principal sections: the assessment of previous educational training and practice, and the knowledge and scientific background regarding DM and periodontal diseases. The responses were grouped using the Likert-type scale. Results: The questionnaire showed a high reliability value of 0.805 as determined by a Cronbach’s α. Out of 365 subjects who were initially interviewed, 239 subjects participated (response rate 65.5%): general dentists (45.6%) and dental hygienists and assistants (54.4%). Of the participating dentists, 70.4% were males; in contrast, 87.7% of dental assistants were female. Eighty-five percent of the participants strongly agreed that evidence supports the association between periodontal diseases and DM. Remarkably, dental assistants (78%) agreed more than dentists (68.5%) that diabetic patients with periodontal conditions would have worse glycemic control compared to diabetic patients with no periodontal diseases. Seventy-five percent of the respondents were confident about performing oral health screening for diabetic patients. Significantly more dental assistants showed their desire to expand their practice to include oral health screening (85%) and education compared to dentists (74%). Conclusions: Both dentists and dental assistants in Saudi Arabia revealed a satisfactory knowledge level regarding the periodontal disease-diabetes interactions with no significant difference between the two groups. Further studies are recommended to assess the attitude of dental care providers while dealing with diabetic patients.

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“…3 Poor control of blood sugar can cause progression of gingivitis, alveolar bone loss, salivary gland dysfunction and impaired sense of taste and mouth feel. 4 Acidity of saliva in patients with type 1 diabetes is a strong factor in reducing the buffering capacity of saliva and thus increasing the risk of tooth decay. 2 The risk of tooth decay in patients with diabetes is significantly greater than the controls that is because of reducing the ability of saliva in cleaning, neutralizing and antimicrobial activity.…”

Section: Introductionmentioning

confidence: 99%