Topics of internal medicine for undergraduate dental education: a qualitative study

Kunde, A.; Harendza, Sigrid

doi:10.1111/eje.12116

Cited by 4 publications

(10 citation statements)

References 24 publications

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“…This might also motivate dental students to learn internal medicine and their experience with IMDDSs in their dental patients could help them to contextualise the theoretical knowledge as it has been shown for undergraduate medical students [ 13 ]. However, while learning based on self-encountered patient cases might increase the interest in internal medicine, it might not cover all IMDDSs [ 4 ] or medical emergencies [ 5 ] found to be relevant for dental practice.…”

Section: Discussionmentioning

confidence: 99%

“…Yet knowledge about such IMDDSs still has to be acquired by dental students because of its relevance for their future practice. Therefore, other sources to define IMDDSs of relevance for dental practice need to be considered additionally when designing internal medicine teaching for dental students [ 4 ]. The IMDDSs encountered by the dental students while treating dental patients plus the other relevant IMDDSs could severe a starting points for case-based internal medicine teaching at dental school.…”

Section: Discussionmentioning

confidence: 99%

“…A retrospective study of dental patients’ records in India revealed that cardiovascular diseases accounted for the most prevalent internal medicine conditions in dental patients followed by endocrine disorders [ 3 ]. When internists and dentists were asked in a qualitative study which internal medicine topics should be taught at dental school, both groups mentioned cardiovascular diseases most frequently [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Dentists in private practice in Brazil reported an increasing number of emergencies with respect to cardiovascular diseases [ 5 ] and complications of IMDDSs in general [ 6 ]. When internists and dentists were asked to rank the IMDDSs compiled from these two studies according to their importance for dentists, coagulopathies, endocarditis, and anaphylaxis accounted for the top three topics to be taught in internal medicine at dental school [ 4 ]. Even though these studies underscore the demand to focus teaching of internal medicine during dental education on diseases and topics relevant for dentists, internal medicine teaching at medical faculties still seems to give rather a broad overview of internal medicine than providing students with a dentistry-oriented focus on specific diseases.…”

Section: Introductionmentioning

confidence: 99%

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Internal diseases encountered by dental students while treating dental patients during undergraduate training

2018

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BackgroundThe number of internal diseases, disorders and syndromes (IMDDSs) encountered in dental practice is increasing. Dentists report to feel ill prepared by their undergraduate dental training for the management of IMDDSs. To increase the effectiveness of internal medicine training at dental school it might be necessary to focus on IMDDs encountered by dental students. The aim of our study was to identify IMDDSs dental students come across while treating dental patients during the clinical years of their undergraduate training.MethodsAll dental patients treated between April and July 2015 by 116 dental students enrolled at the Medical Faculty of Hamburg University in the semesters 7 to 10 were anonymously analysed retrospectively with respect to age, gender, smoking habits, drinking habits, current or previous diseases, allergies, current medication, dental diagnoses, and dental treatment in the current semester. Identified IMDDSs were clustered and evaluated.ResultsThe 116 dental students treated 511 patients with 559 IMDDSs with a median of one IMDDS per patient. The IMDDSs encountered most frequently could be assigned to the subspecialties cardiology, endocrinology/diabetology, and rheumatology. Arterial hypertension occurred most frequently in dental patients, followed by diabetes mellitus type 2, and chronic bronchitis.ConclusionsWe identified the spectrum of IMDDSs encountered by dental students in the clinical years of their undergraduate dental education. Further studies are needed to test the effects of learning internal medicine with an internal medicine course based on the IMDDSs encountered by dental students and including additional IMDDSs specific relevance for dentists.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Internal diseases encountered by dental students while treating dental patients during undergraduate training

2018

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“…Coagulopathy and endocarditis were rated the highest by the dentists, while anaphylaxis was rated the highest by the interns. The largest number of different internal diseases mentioned by the dentists and interns could be categorized into cardiovascular diseases [ 9 ]. This shows the importance of thorough knowledge of recent guidelines regarding antibiotic prophylaxis for IE and cardiac problems in general, although the relevance of these topics should be confirmed by larger quantitative studies performed to develop guidelines related to the specific learning objectives for internal medicine in the dental curriculum.…”

Section: Introductionmentioning

confidence: 99%

Awareness of Antimicrobial Prophylaxis for Infective Endocarditis Among Dental Students and Interns at a Teaching Hospital in Jeddah, Saudi Arabia

Bahammam¹,

Abdelaziz²

2015

TODENTJ

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Introduction : Infective endocarditis is a serious infection of the heart endothelium and valves. It carries long-term health risks and compromises the heart condition. However, this condition has been rarely observed since the introduction of appropriate antibiotic prophylaxis. Dentists play a major role in preventing infective endocarditis in susceptible patients. In this study, we assessed the levels of awareness about antibiotic prophylaxis for infective endocarditis among students and young dentists at King Abdulaziz University, Jeddah, Saudi Arabia. Methods : This cross-sectional study included 367 dental students and dental interns who answered a questionnaire designed to assess their awareness levels; it included questions pertaining to demographic information and questions examining the general knowledge of the participants with regard to antibiotic prophylaxis for infective endocarditis. Results : An average of 50% of the participants clearly lacked knowledge regarding the conditions that require antibiotic prophylaxis, while an average of 65% provided correct answers pertaining to the conditions that do not require prophylaxis. Regarding dental procedures that require prophylaxis, the majority of responses were correct with an average of 71.2%. With regard to the type of antibiotic to be prescribed, 63.5% of the participants chose to prescribe 2 g of amoxicillin as a first-line antibiotic. Conclusion : The results of this study showed that the levels of awareness about antibiotic prophylaxis for infective endocarditis are below 100%. Awareness is essential because of the cardiac risks associated with the lack of appropriate treatment. Up-to-date and accurate knowledge is mandatory for all dental students and interns who see and treat patients on a daily basis.

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Evaluation of a concept to classify anamnesis-related risk of complications and oral diseases in patients attending the clinical course in dental education

Schmalz,

Brauer,

Haak

et al. 2023

BMC Oral Health

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Background Aim of the current study was the assessment of risk classes according to a previously established system to classify the anamnesis-related risk of complications and of oral diseases in a cohort of patients attending the dental student course for dental preventive measures. Methods Patients attending the student course between April 2020 and December 2021 were included. To assess the medical history, a specific anamnesis tool was used, which included the classification of different potential anamneis-related risks originating from general diseases, medications or lifestyle factors into a low, moderate or high risk of complications and/or risk of oral diseases. Thereby, the risk of complications was defined as the increaeed probability of harm during dental measures (professional tooth cleaning, invasive dental treatment or any kind of manipulation, which may cause a bacteremia), e.g. infectious endocarditis. On the other hand, the risk of oral diseases was an increaeed probability of development and/or progression of oral diseases like caries, periodontitis or mucosal diseases. Those risk classes were subsequently analyzed under consideration of age and gender. Results 858 patients, with a mean age of 50.48 ± 20.72 [median: 52.0] years, and a nearly balanced gender distribution (50.8% female and 49.2% male) were included. In the overall cohort, the risk of complications related with dental measures was low in 38.3%, moderate in 42.4% and high in 19.3% of participants. The risk of oral diseases was low in 33.1%, moderate in 37.2% and high in 29.7% of participants. Both, the risk of complications and the risk of oral diseases increased with patients’ age (p < 0.01). Thereby, the risk of complications as well as the risk of oral diseases related to general diseases and medication significantly increased with age (p < 0.01). Conclusion Nearly one fifth of patients in dental student couse show a high risk of complications related with dental measures. Morever, nearly one third of those individuals have a high anamnesis-related risk of oral diseases. With increasing age, the amount of patients in high risk classes becomes higher. Future dental education and research should address the high relevance of anamnesis-related risk factors.

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Topics of internal medicine for undergraduate dental education: a qualitative study

Cited by 4 publications

References 24 publications

Internal diseases encountered by dental students while treating dental patients during undergraduate training

Internal diseases encountered by dental students while treating dental patients during undergraduate training

Awareness of Antimicrobial Prophylaxis for Infective Endocarditis Among Dental Students and Interns at a Teaching Hospital in Jeddah, Saudi Arabia

Evaluation of a concept to classify anamnesis-related risk of complications and oral diseases in patients attending the clinical course in dental education

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