medigraphic.com
ISSN 1025-0255 (Electronic)

2012, Number 6

<< Back Next >>

AMC 2012; 16 (6)

Information level of physicians on the association between periodontitis and certain systemic diseases

Roa CYP, Plata GJC, Correa MIC, Araque SML, Córdoba HOP, Ardila CM

Language: Spanish
References: 16
Page: 1693-1703
PDF size: 373.74 Kb.


ABSTRACT

Background: periodontal infection is considered a subclinical inflammation in which is observed association with elevated levels of C-reactive protein and increased risk of systemic inflammatory diseases.
Objective: to assess the level of information of general practitioners on the relationship between periodontal disease and diabetes, and periodontal disease and cardiovascular disease.
Methods: a survey was conducted to 37 general practitioners at two public hospitals of first level, in two cities from Colombia. The structured survey was asked about knowledge and usual practices of physicians in general consultation in relation to anamnesis, clinical examination and the most frequent recommendations to patients.
Results: the majority of the surveyed individuals reported knowledge of the relationship between periodontal and cardiovascular disease and diabetes, however, only 37,8 % carry out a report in the patient's medical history while the 46 % made referrals to odontology. Additionally, it was observed a less knowledge about the relationship between the therapeutic management of diabetes and the severity of periodontal disease in physicians with less than five years of professional experience.
Conclusions: although a significant proportion of general practitioners reported knowledge on the relationship of periodontal disease with systemic diseases, very few of them evidenced this information in the patient's medical history.


REFERENCES

  1. Manjunath BC, Praveen K, Chandrashekar BR, Rani RM, Bhalla A. Periodontal infections: a risk factor for various systemic diseases. Natl Med J India. 2011;24:214-219.

  2. Agrawal P, Sanikop S, Patil S. New developments in tools for periodontal diagnosis. Int Dent J. 2012;62:57-64.

  3. Organización Mundial de la Salud. World Health Organization. Oral health surveys. Basic methods. Geneva (Switzerland):World Health Organization; 1997

  4. Chopra R, Patil SR, Mathur S. Comparison of cardiovascular disease risk in two main forms of periodontitis. Dent Res J. 2012;9:7479.

  5. Li L, Michel R, Cohen J, Decarlo A, Kozarov E. Intracellular survival and vascular cell-to-cell transmission of Porphyromonas gingivalis. BMC Microbiol. 2008;8: 1-11.

  6. Lee HR, Jun HK, Kim HD, Lee SH, Choi BK. Fusobacterium nucleatum GroEL induces risk factors of atherosclerosis in human microvascular endothelial cells and ApoE(-/-) mice. Mol Oral Microbiol. 2012;27:109-23.

  7. Yamazaki K, Honda T, Domon H, Okui T, Kajita K, Amanuma R, et al. Relationship of periodontal infection to serum antibody levels to periodontopathic bacteria and inflammatory markers in periodontitis patients with coronary heart disease. Clin Exp Immunol. 2007; 149: 445-452.

  8. Aspriello SD, Zizzi A, Tirabassi G, Buldreghini E, Biscotti T, Faloia E, et al. Diabetes mellitus-associated periodontitis: differences between type 1 and type 2 diabetes mellitus. J Periodontal Res. 2011; 46: 164-169.

  9. Davidson MB. Correction to the 2010 report on the diagnosis and classification of diabetes. Diabetes Care. 2010;33:e57.

  10. Kanaparthy R, Kanaparthy A, Mahendra M. C-reactive protein as a marker of periodontal disease. Gen Dent. 2012;60:e1-5.

  11. Franek E, Januszkiewicz-Caulier J, Blach A, Napora M, Jedynasty K, Budlewski T, et al. Intima-media thickness and other markers of atherosclerosis in patients with type 2 diabetes and periodontal disease. Kardiol Pol. 2012;70:7-13.

  12. Manjunath BC, Praveen K, Chandrashekar BR, Rani RM, Bhalla A. Periodontal infections: a risk factor for various systemic diseases. Natl Med J India. 2011;24:214-219.

  13. Duque A, Tirado M, Arbeláez C, García S. Conocimientos y actitudes sobre la posible asociación de la periodontitis como factor de riesgo de algunas enfermedades y condiciones médicas en una muestra de médicos en Medellín - Colombia. Rev CES Odont. 2011;24:29-36.

  14. Al-Habashneh R, Aljundi SH, Alwaeli HA. Survey of medical doctors' attitudes and knowledge of the association between oral health and pregnancy outcomes. Int J Dent Hyg. 2008;6:214-220.

  15. Baicker K, Chandra A. Medicare spending, the physician workforce, and beneficiaries' quality of care. Health Aff. 2004;Suppl Web Exclusives:W4-184-97.

  16. Applebaum E, Ruhlen TN, Kronenberg FR, Hayes C, Peters ES. Oral cancer knowledge, attitudes and practices: a survey of dentists and primary care physicians in Massachusetts. J Am Dent Assoc. 2009;140:461-467.




2020     |     www.medigraphic.com