Abstract
Introduction The association between periodontitis and certain systemic diseases is well established; however, there is a distinct lack of research available on its awareness among medical students in the United Kingdom.
Aims To determine the awareness of fourth-year undergraduate medical students concerning periodontitis including its risk factors, relationship with systemic health and students' attitudes towards oral diseases and further education.
Methods We delivered an online survey via a weekly email news bulletin to 299 fourth-year medical students and received 101 completed responses.
Results Medical students were largely aware of the most common features of periodontitis and recognised that systemic diseases may affect the periodontium. There was less awareness of the associations between certain systemic diseases and periodontitis and there appeared to be confusion with tooth decay. Perceived knowledge was generally reported to be poor and most students believed that further teaching would improve their medical practice.
Conclusions Increased teaching on periodontitis within the medical curriculum would benefit students. This may be achieved using an integrated teaching approach. Future doctors should graduate with an adequate education on the interdisciplinary links and should be capable of signposting or referring patients early to the appropriate services where indicated to improve patient care.
Key points
-
Medical students would benefit from increased teaching on periodontitis and its relationship with systemic health.
-
Medical education curricula should include a focus on oral diseases, especially common conditions including dental caries and periodontal disease.
-
Educators and general dental practitioners play a vital role in improving the awareness of their medical counterparts of the importance of oral health.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
Change history
08 April 2022
A Correction to this paper has been published: https://doi.org/10.1038/s41415-022-4092-2
References:
Cekici A, Kantarci A, Hasturk H, Van Dyke T E. Inflammatory and immune pathways in the pathogenesis of periodontal disease. Periodontol 2000 2014; 64: 57-80.
Van Dyke T E, Sheilesh D. Risk factors for periodontitis. J Int Acad Periodontol 2005; 7: 3-7.
Chapple I L C, Wilson N H F. Manifesto for a paradigm shift: periodontal health for a better life. Br Dent J 2014; 216: 159-162.
Frencken J E, Sharma P, Stenhouse L, Green D, Laverty D, Dietrich T. Global epidemiology of dental caries and severe periodontitis - a comprehensive review. J Clin Periodontol 2017; DOI: 10.1111/jcpe.12677.
Batchelor P. Is periodontal disease a public health problem? Br Dent J 2014; 217: 405-409.
Bui F Q, AlmeidadaSilva C L C, Huynh B et al. Association between periodontal pathogens and systemic disease. Biomed J 2019; 42: 27-35.
Sanz M, Marco del Castillo A, Jepsen S et al. Periodontitis and cardiovascular diseases: consensus report. Glob Heart 2020; DOI: 10.5334/gh.400.
Preshaw P M, Bissett S M. Periodontitis and diabetes. Br Dent J 2019; 227: 577-584.
Daalderop L A, Wieland B V, Tomsin K et al. Periodontal Disease and Pregnancy Outcomes: Overview of Systematic Reviews. JDR Clin Trans Res 2018; 3: 10-27.
Engebretson S, Kocher T. Evidence that periodontal treatment improves diabetes outcomes: a systematic review and meta-analysis. J Periodontol 2013; DOI: 10.1902/jop.2013.1340017.
Baeza M, Morales A, Cisterna C et al. Effect of periodontal treatment in patients with periodontitis and diabetes: systematic review and meta-analysis. J Appl Oral Sci 2020;DOI: 10.1590/1678-7757-2019-0248.
NHS England and NHS Improvement. Commissioning standard: dental care for people with diabetes. 2019. Available at https://www.england.nhs.uk/publication/commissioning-standard-dental-care-for-people-with-diabetes/ (accessed November 2021).
Al-Ahmari F. Relationship between periodontal disease and diabetes: a survey among internal medicine residents in Saudi Arabia. Int J Dent Oral Sci 2018; 5: 589-594.
Quijano A, Shah A J, Schwarcz A I, Lalla E, Ostfeld R J. Knowledge and orientations of internal medicine trainees toward periodontal disease. J Periodontol 2010; 81: 359-363.
General Medical Council. Outcomes for graduates. 2018. Available at https://www.gmc-uk.org/-/media/documents/outcomes-for-graduates-a4-6_pdf-78952372.pdf (accessed May 2021).
Linden G J, Herzberg M C. Periodontitis and systemic diseases: a record of discussions of working group 4 of the Joint EFP/AAP workshop on Periodontitis and Systemic Diseases. J Periodontol 2013; DOI: 10.1902/jop.2013.1340020.
General Dental Council. Preparing for practice. 2015. Available at https://www.gdc-uk.org/docs/default-source/quality-assurance/preparing-for-practice-(revised-2015).pdf (accessed November 2021).
Ramsey P G, Carline J D, Inui T S et al. Changes over time in the knowledge base of practicing internists. J Am Med Assoc 1991; 266: 1103-1107.
NHS Health Education England. Mouth care matters. 2014. Available at https://mouthcarematters.hee.nhs.uk/ (accessed May 2021).
Keat R M, Makwana M, Powell H E, Poveda A, Albuquerque R. Assessing confidence in the understanding and management of oral cancer among medical and dental undergraduates at a UK university. Br Dent J 2019; 227: 153-157.
Elledge R, Houlton S, Hackett S, Evans M J. "Flipped classrooms" in training in maxillofacial surgery: preparation before the traditional didactic lecture? Br J Oral Maxillofac Surg 2018; 56: 384-387.
European Federation of Periodontology. Home. 2021. Available at https://www.efp.org/ (accessed May 2021).
Park S E, Bruce Donoff R, Saldana F. The impact of integrating oral health education into a medical curriculum. Med Princ Pract 2017; 26: 61-65.
Heinrichs E P, Famili P. Dental school faculty teaching the periodontal-systemic connection to medical students: a pilot mini-elective. J Dent Educ 2011; 75: 1370-1373.
Association of American Medical Colleges. Report IX: contemporary issues in medicine: oral health education for medical and dental students. 2008. Available at https://www.aamc.org/system/files/c/2/497664-contemporaryissuesinmedoralhealthreportix.pdf (accessed November 2021).
AlJohani K, AlZahrani A S. Awareness among medical and dental students regarding the relationship between periodontal and systemic conditions. Int J Pharm Res Allied Sci 2017; 6: 61-72.
Owens J B, Wilder R S, Southerland J H, Buse J B, Malone R M. North Carolina internists' and endocrinologists' knowledge, opinions, and behaviours regarding periodontal disease and diabetes: need and opportunity for interprofessional education. J Dent Edu 2011; 75: 329-338.
Revilla M, Ochoa C. Ideal and maximum length for a web survey. Int J Mark Res 2017; 59: 557-565.
Author information
Authors and Affiliations
Contributions
Mohammed Adam: conceptualisation, methodology, formal analysis, investigation, writing - original draft, writing - review and editing, project administration. Adejumoke Adeyemi: methodology, formal analysis, investigation, writing - review and editing, supervision. Girvan Burnside: methodology, formal analysis, writing - review and editing.
Corresponding author
Ethics declarations
The authors declare no conflicts of interest.
Rights and permissions
About this article
Cite this article
Adam, M., Burnside, G. & Adeyemi, A. A study to assess the awareness of periodontitis and its relationship with systemic health among undergraduate medical students. Br Dent J 231, 641–645 (2021). https://doi.org/10.1038/s41415-021-3665-9
Received:
Accepted:
Published:
Version of record:
Issue date:
DOI: https://doi.org/10.1038/s41415-021-3665-9


