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Abstract

Periodontitis has been shown to be a risk factor for systemic diseases, particularly diabetes mellites, and cardiovascular diseases. Hence, the medical practitioners should have sufficient knowledge regarding the link between periodontal disease and different systemic diseases and the adverse effect of periodontal diseases on the outcomes and prognosis of systemic diseases. The aim was to determine the extent of awareness of internal medicine specialists and general medical practitioners regarding the association between periodontal diseases and systemic diseases. Electronic questionnaire were disseminated among Iraqi medical doctors. These questionnaires were composed of general questions about the doctors, awareness of periodontal diseases. And awareness of the link between periodontitis and other systemic diseases. Descriptive statistics and chi-squared test were used to analyze the collected data.

Eighty-six medical doctors participated in this survey from various hospitals across Iraq. 84.8% of the participants were aware of the existed relationship between oral health and general health. Most of the participants from physicians referred their patients for dental checkup as part of their management plan of the diseases the patients have. However, around 39% of the specialized medical doctors were not aware of the positive impact of treating periodontitis on glycemic control. In addition, there is a little awareness regarding the spread of pathogenic bacteria to other parts of the body. As a conclusion, most of the participants in our study had a considerable amount of knowledge about periodontal diseases. However, it is important to stress the value of taking a detailed periodontal history and screening patients for periodontal problems. Moreover, it is recommended to increase medical doctors’ awareness regarding the oral bacterial dissemination and the positive impact of periodontal treatment on systemic diseases.

References

[1] Tonetti MS, Van Dyke TE; working group 1 of the joint EFP/ AAP workshop. Periodontitis and atherosclerotic cardiovascular disease: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. J Periodontol 2013 Apr;84(4 Suppl):S24e9. https://doi.org/ 10.1902/jop.2013.1340019. PMID: 23631582.

[2] Hajishengallis G. Immunomicrobial pathogenesis of periodontitis: keystones, pathobionts, and host response. Trends Immunol 2014;35(1):3e11. https://doi.org/10.1016/j.it.2013.09. 001.35.

[3] Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontol 2000 2013 Jun;62(1):59e94. https://doi.org/ 10.1111/j.1600-0757.2012.00457.x. PMID: 23574464.

[4] Karnoutsos K, Papastergiou P, Stefanidis S, Vakaloudi A. Periodontitis as a risk factor for cardiovascular disease: the role of anti-phosphorylcholine and anti-cardiolipin antibodies. Hippokratia 2008 Jul;12(3):144e9. PMID: 18923669; PMCID: PMC2504402.

[5] Herrera D, Sanz M, Shapira L, Brotons C, Chapple I, Frese T, et al. Association between periodontal diseases and cardiovascular diseases, diabetes and respiratory diseases: Consensus report of the Joint Workshop by the European Federation of Periodontology (EFP) and the European arm of the World Organization of Family Doctors (WONCA Europe). J Clin Periodontol 2023 Jun;50(6):819e41. https:// doi.org/10.1111/jcpe.13807. Epub 2023 Mar 22. PMID: 36935200.

[6] Bingham 3rd CO, Moni M. Periodontal disease and rheumatoid arthritis: the evidence accumulates for complex pathobiologic interactions. Curr Opin Rheumatol 2013 May; 25(3):345e53. https://doi.org/10.1097/BOR.0b013e32835fb8ec. PMID: 23455329; PMCID: PMC4495574.

[7] K. Asaad N. Effects of gingivitis during pregnancy on incidence of low birth weight baby in Al-Dour City, October 2009 - March 2010. Tikrit Journal for Dental Sciences 2011; 1(1):71e6. https://doi.org/10.25130/tjds.1.1.12.

[8] de Jongh CA, de Vries TJ, Bikker FJ, Gibbs S, Krom BP. Mechanisms of Porphyromonas gingivalis to translocate over the oral mucosa and other tissue barriers. J Oral Microbiol 2023 Apr 26;15(1):2205291. https://doi.org/10.1080/20002297. 2023.2205291. PMID: 37124549; PMCID: PMC10134951.

[9] Darveau RP, Hajishengallis G, Curtis MA. Porphyromonas gingivalis as a potential community activist for disease. J Dent Res 2012;91(9):816e20. https://doi.org/10.1177/ 0022034512453589. Epub 2012/07/10.

[10] Anandakumar AS, Sankari R. Aware ness about periodontal disease and its association with systemic disease among medical practitioners: a pilot study. J Contemp Dent 2016; 6(2):104e7. https://doi.org/10.5005/jp-journals-10031-1152S.

[11] Obulareddy VT, Nagarakanti S, Chava VK. Knowledge, attitudes, and practice behaviors of medical specialists for the relationship between diabetes and periodontal disease: a questionnaire survey. J Fam Med Prim Care 2018 JaneFeb; 7(1):175e8. https://doi.org/10.4103/jfmpc.jfmpc_425_16. PMID: 29915755; PMCID: PMC5958564.

[12] Abid M, Javed F. Knowledge of medical practitioners about periodontal diseases and its impact on overall health: a cross-sectional study. Cureus 2018 May 28;10(5):e2694. https://doi.org/10.7759/cureus.2694. PMID: 30062068; PMCID: PMC6063390.

[13] Lopez-Valverde N, Rueda JAB. Effect of periodontal treat- ment in patients with periodontitis and diabetes: review of systematic reviews with meta-analyses in the last five years. Healthcare (Basel) 2024 Sep 14;12(18):1844. https://doi.org/ 10.3390/healthcare12181844. PMID: 39337185; PMCID: PMC11431200.

[14] Mensah G, Roth G, Fuster V. The global burden of cardiovascular diseases and risk factors: 2020 and beyond. JACC (J Am Coll Cardiol) 2019 Nov;74(20):2529e32. https://doi.org/ 10.1016/j.jacc.2019.10.009.

[15] Xie M, Tang Q, Nie J, Zhang C, Zhou X, Yu S, et al. BMAL1- downregulation aggravates porphyromonas gingivalisinduced atherosclerosis by encouraging oxidative Stress. Circ Res 2020;126(6):e15e29. https://doi.org/10.1161/ CIRCRESAHA.119.315502.

[16] Figuero E, Sanchez-Beltran M, Cuesta-Frechoso S, Tejerina JM, del Castro JA, Gutierrez JM, et al. Detection of periodontal bacteria in atheromatous plaque by nested polymerase chain reaction. J Periodontol 2011;82(10):1469e77. https://doi.org/10.1902/jop.2011.100719.

[17] Zhang J, Xie M, Huang X, Chen G, Yin Y, Lu X, et al. The effects of porphyromonas gingivalis on atherosclerosisrelated cells. Front Immunol 2021 Dec 23;12:766560. https:// doi.org/10.3389/fimmu.2021.766560.

[18] FDI World Dental Federation. Oral health and general health: a call for collaborative approach. 101st FDI Annual World Dental Congress. 2013. Istanbul, Turkey

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