CC BY · Eur J Dent 2019; 13(03): 437-443
DOI: 10.1055/s-0039-1697109
Original Article
Dental Investigation Society

The Effect of Oral Health Knowledge, Attitude, and Practice on Periodontal Status among Dental Students

1   Department of Preventive and Community Dentistry, Riyadh Elm University, Saudi Arabia
,
Mazen K. Alotaibi
2   Department of Periodontics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
,
Mohammad Abdul Baseer
1   Department of Preventive and Community Dentistry, Riyadh Elm University, Saudi Arabia
,
Sanaa M. Shafshak
1   Department of Preventive and Community Dentistry, Riyadh Elm University, Saudi Arabia
› Author Affiliations
Funding None.
Further Information

Publication History

Publication Date:
18 October 2019 (online)

Abstract

Objectives The primary aim of the current study is to relate oral health knowledge, attitude, and oral hygiene practice with the periodontal condition of both undergraduate and postgraduate dental students.

Materials and Methods Data were collected through a combination of self-reported questionnaire and clinical examination. The estimated sample size was 246. Probing depths and clinical attachment loss were measured in interproximal sites, whereas the gingival index was calculated based on Ramfjord teeth. The Centers for Disease Control and the American Academy of Periodontology classification was used for periodontal diagnosis. The subjects were divided into three groups. Group 1 was composed of undergraduate, preclinical dental students, group 2 consisted of undergraduate clinical-year dental students, whereas group 3 included postgraduate residents.

Results A total of 296 dental students participated in this study. Significant differences were found among the groups in their oral health knowledge, attitude, and practice scores. Gingival disease was detected among most of the participants (99.2–100%) with significant differences between different educational levels (group 1 = 1.13, group 2 = 1.16, group 3 = 0.96, p-value = 0.001). Sixty percent of dental students were diagnosed with periodontal disease regardless of its severity. A positive correlation was established between oral health knowledge and attitude and oral hygiene practice. In addition, gingival inflammation severity and the severity of periodontal disease showed a positive correlation.

Conclusions This study highlighted the need to improve the oral health knowledge, attitude, and practice of dental students. Gingival and periodontal inflammation was highly prevalent among participants.

 
  • References

  • 1 FDI World Denal Federation. FDI's definition of oral health. www.fdiworlddental.org/oral-health/fdi-definition-of-oral-health Updated 2016
  • 2 Gomes AS, Abegg C, Fachel JM. Relationship between oral clinical conditions and daily performances. Braz Oral Res 2009; 23 (01) 76-81
  • 3 Lang NP, Bartold PM. Periodontal health. J Clin Periodontol 2018; 45 (Suppl. 20) S9-S16
  • 4 Lindhe J, Lang N. Clinical Periodontology and Implant Dentistry. 6th. ed. UK: Wiley Blackwell; 2017
  • 5 Loe H, Theilade E, Jensen SB. Experimental gingivitis in man. J Periodontol 1965; 36: 177-187
  • 6 Page RC, Schroeder HE. Pathogenesis of inflammatory periodontal disease. A summary of current work. Lab Invest 1976; 34 (03) 235-249
  • 7 Hosing A, Hiremath AM, Vadavadagi V, Bansal A, Kahar A. Oral hygiene practices in dental students. JOHCD 2016; 10 (01) 30-34
  • 8 Kumar S, Motwani K, Dak N, Balasubramanyam G, Duraiswamy P, Kulkarni S. Dental health behaviour in relation to caries status among medical and dental undergraduate students of Udaipur district, India. Int J Dent Hyg 2010; 8 (02) 86-94
  • 9 Al-Ansari J, Honkala E, Honkala S. Oral health knowledge and behavior among male health sciences college students in Kuwait. BMC Oral Health 2003; 3 (01) 2
  • 10 Ali DA. Assessment of oral health attitudes and behavior among students of Kuwait University Health Sciences Center. J Int Soc Prev Community Dent 2016; 6 (05) 436-446
  • 11 Badovinac A, Božić D, Vučinac I, Vešligaj J, Vražić D, Plancak D. Oral health attitudes and behavior of dental students at the University of Zagreb, Croatia. J Dent Educ 2013; 77 (09) 1171-1178
  • 12 Cortes FJ, Nevot C, Ramon JM, Cuenca E. The evolution of dental health in dental students at the University of Barcelona. J Dent Educ 2002; 66 (10) 1203-1208
  • 13 Kumar H, Behura SS, Ramachandra S, Nishat R, Dash KC, Mohiddin G. Oral health knowledge, attitude, and practices among dental and medical students in Eastern India - a comparative study. J Int Soc Prev Community Dent 2017; 7 (01) 58-63
  • 14 Jella RK, Pratap K, Padma TM, Kalyan VS, Vineela P, Varma LS. Oral health attitude and behavior among health-care students in a teaching hospital, Telangana State: a cross-sectional Study. Indian J Dent Sci 2016; 8: 242-245
  • 15 Ahamed S, Moyin S, Punathil S, Patil NA, Kale VT, Pawar G. Evaluation of the oral health knowledge, attitude and behavior of the preclinical and clinical dental students. J Int Oral Health 2015; 7 (06) 65-70
  • 16 Petruţiu SA, Stratul SI, Soancă A. et al. The impact of some behavioral aspects on periodontal disease in a group of Romanian students - an epidemiological survey. Rev Epidemiol Sante Publique 2014; 62 (06) 367-375
  • 17 American Dental Association A. Floss/Interdental Cleaners. https://www.ada.org/en/member-center/oral-health-topics/floss Updated 20.10.2017
  • 18 American Dental Association A. Toothbrushes. https://www.ada.org/en/member-center/oral-health-topics/toothbrushes Updated 18.09.2017
  • 19 Komabayashi T, Kwan SY, Hu DY, Kajiwara K, Sasahara H, Kawamura M. A comparative study of oral health attitudes and behaviour using the Hiroshima University - Dental Behavioural Inventory (HU-DBI) between dental students in Britain and China. J Oral Sci 2005; 47 (01) 1-7
  • 20 Page RC, Eke PI. Case definitions for use in population-based surveillance of periodontitis. J Periodontol 2007; 78 (07) 1387-1399
  • 21 Eke PI, Page RC, Wei L, Thornton-Evans G, Genco RJ. Update of the case definitions for population-based surveillance of periodontitis. J Periodontol 2012; 83 (12) 1449-1454
  • 22 Löe H. The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol 1967; 38 (06) Suppl 610-616
  • 23 Petersen PE, Ogawa H. The global burden of periodontal disease: towards integration with chronic disease prevention and control. Periodontol 2000 2012; 60 (01) 15-39
  • 24 Haffajee AD, Socransky SS. Microbial etiological agents of destructive periodontal diseases. Periodontol 2000 1994; 5: 78-111
  • 25 Bernick SM, Cohen DW, Baker L, Laster L. Dental disease in children with diabetes mellitus. J Periodontol 1975; 46 (04) 241-245
  • 26 Mirbod SM, Ahing SI, Pruthi VK. Immunohistochemical study of vestibular gingival blood vessel density and internal circumference in smokers and non-smokers. J Periodontol 2001; 72 (10) 1318-1323
  • 27 Genco RJ, Ho AW, Grossi SG, Dunford RG, Tedesco LA. Relationship of stress, distress and inadequate coping behaviors to periodontal disease. J Periodontol 1999; 70 (07) 711-723
  • 28 Mombelli A, Gusberti FA, van Oosten MA, Lang NP. Gingival health and gingivitis development during puberty. A 4-year longitudinal study. J Clin Periodontol 1989; 16 (07) 451-456
  • 29 Peker K, Uysal O, Bermek G. Dental training and changes in oral health attitudes and behaviors in Istanbul dental students. J Dent Educ 2010; 74 (09) 1017-1023
  • 30 Marulanda AM, Coral D, Sabogal D, Serrano C. Periodontal conditions of Colombian university students aged 16 to 35. Braz Oral Res 2014; 28: 28
  • 31 Lucena R, Menezes K, Cavalcanti A, Granville-Garcia A, Uchôa Lins R. Oral hygiene habits, periodontal status and need for treatment in university students. Rev Odonto Ciênc 2012; 27 (04) 289-293
  • 32 Rahman B, Kawas SA. The relationship between dental health behavior, oral hygiene and gingival status of dental students in the United Arab Emirates. Eur J Dent 2013; 7 (01) 22-27
  • 33 Sharda AJ, Shetty S. Relationship of periodontal status and dental caries status with oral health knowledge, attitude and behavior among professional students in India. Int J Oral Sci 2009; 1 (04) 196-206
  • 34 Ilhan D, Oktay I, Nur B. et al. Percentage and severity of periodontal diseases in Turkish adults aged 35+ years, 2009-10. J Public Health Dent 2017; 77 (04) 325-333
  • 35 Tangade PS, Mathur A, Gupta R, Chaudhary S. Assessment of stress level among dental school students: an Indian outlook. Dent Res J (Isfahan) 2011; 8 (02) 95-101
  • 36 Ahmad FA, Karimi AA, Alboloushi NA, Al-Omari QD, AlSairafi FJ, Qudeimat MA. Stress level of dental and medical students: comparison of effects of a subject-based curriculum versus a case-based integrated curriculum. J Dent Educ 2017; 81 (05) 534-544
  • 37 Mizutani S, Ekuni D, Yamane-Takeuchi M. et al. Type D personality and periodontal disease in university students: a prospective cohort study. J Health Psychol 2018; 23 (05) 754-762
  • 38 Lang NP, Schätzle MA, Löe H. Gingivitis as a risk factor in periodontal disease. J Clin Periodontol 2009; 36 (Suppl. 10) 3-8
  • 39 Beck JD, Koch GG, Offenbacher S. Attachment loss trends over 3 years in community-dwelling older adults. J Periodontol 1994; 65 (08) 737-743
  • 40 Eke PI, Dye BA, Wei L. et al. Update on prevalence of periodontitis in adults in the United States: NHANES 2009 to 2012. J Periodontol 2015; 86 (05) 611-622