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|Title: ||Periodontal Systemic Interaction: Perception, Attitudes and Practices among Medical Doctors in Nigeria|
|Other Titles: ||Interaction Systemique Parodontale: La Perception, Les Attitudes Et Les Pratiques Chez Les Medecins Au Nigeria|
|Authors: ||Umeizudike, K. A.|
Iwuala, S. O.
Ozoh, O. B.
Ekekezie, O. O.
Umeizudike, T. I.
|Issue Date: ||2015|
|Publisher: ||Journal of West African College of Surgeons|
|Series/Report no.: ||Vol. 5;No. 1; Pp 58 - 79|
|Abstract: ||Background: Periodontal diseases (PD) impact the outcome of some systemic illnesses. Medical doctors‘ knowledge
and practices regarding this association may influence the effective management of their patients. This has been
understudied among Nigerian doctors.
Aim: The study aimed to determine the knowledge, attitudes and practices regarding periodontal-systemic disease
interactions among medical doctors in Nigeria.
Methodology: This was a descriptive, cross sectional study by design, while the study setting was at the National
Postgraduate Medical College of Nigeria (NPMCN), Ijanikin, Lagos. The study participants were senior resident
doctors attending compulsory Research Methodology and Management courses organized by the NPMCN in 2014.
Self administered questionnaires were distributed among the participants to obtain information on their socio-
demography, PD knowledge, association between PD and systemic illnesses, attitudes to periodontal health and oral
hygiene practices questionnaires. Student t test and ANOVA were used to test associations between variables. The
level of signiﬁcance was set at p< 0.05.
Results: A total of 236 doctors participated in the study with a mean age of 35.8 (± 4.5) years, males being
predominant (62.7%). Few doctors (42.1%) knew dental plaque as the main cause of PD, while 16.5% were aware of
gum bleeding as earliest sign. Female doctors displayed better knowledge than males (p= 0.044). Majority were
aware of an association between PD and chronic kidney disease (88.6%) and diabetes (86.5%). Knowledge of PD as a
risk factor for stroke was 33.1%, poor glycemic control (25.4%), and pre-term low birth weight (14.8%). Most doctors
had positive attitudes towards patients‘ periodontal health, while 33.5% assessed their patients‘ oral cavity regularly.
All the doctors used tooth brush and paste to clean their teeth, while 43.2% cleaned twice daily. Only 16.5% used
dental floss frequently and was associated with higher PD knowledge (p<0.001) and higher attitude scores (p=0.005).
Conclusion: Senior resident doctors in Nigeria have positive attitudes regarding periodontal health. However, poor
knowledge of PD and PD as risk factor for some systemic illnesses, coupled with unsatisfactory oral hygiene and
dental examination practices are evident among the doctors.|
|Appears in Collections:||Surgery|
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