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      Knowledge, attitude, and practice of medical doctors towards periodontal disease

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          Abstract

          The study aimed to assess the knowledge of medical doctors on the association between periodontal disease and general health and their willingness to advise their patients to seek dental treatment. In a cross-sectional survey, randomly selected medical doctors ( n = 267) practicing in Nellore District were interviewed through a questionnaire survey about their knowledge of periodontal diseases and the bidirectional relationship between general health and periodontal diseases. Data were analyzed through percentages. All the medical doctors (100%) were aware that there existed a relation between oral health and general health. But only 10% of respondents refer their patients to dentists without patients asking for referral. Very few respondents (21.3%) knew about different branches of dentistry. Screening and referral by healthcare professionals may benefit their patients by improving access to dental care. Therefore, there is a need to educate doctors about oral health and general health.

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          Periodontal disease. The sixth complication of diabetes mellitus.

          H Löe (1993)
          Article 0 comments Cited 179 times – based on 0 reviews     Review now
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            A review of the relationship between tooth loss, periodontal disease, and cancer.

            Dominique S Michaud, Edward L. Giovannucci, Stephanie Meyer … (2008)
            Recent studies have investigated the association between periodontal disease, tooth loss, and several systemic diseases including cancer, cardiovascular disease, and preterm birth. Periodontal disease, a chronic inflammatory condition, is highly prevalent in adult populations around the world, and may be preventable. Estimates of prevalence vary between races and geographic regions, with a marked increase in the occurrence of periodontal disease with advancing age. Worldwide estimates for the prevalence of severe periodontal disease generally range from 10 to 15%. The relationship between oral health and cancer has been examined for a number of specific cancer sites. Several studies have reported associations between periodontal disease or tooth loss and risk of oral, upper gastrointestinal, lung, and pancreatic cancer in different populations. In a number of studies, these associations persisted after adjustment for major risk factors, including cigarette smoking and socioeconomic status. This review provides a summary of these findings, discusses possible biological mechanisms involved, and raises methodological issues related to studying these relationships.
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              Control of periodontal infection reduces the severity of active rheumatoid arthritis.

              J Sue, N Bissada, J Bordeaux … (2007)
              To determine if eliminating periodontal infection and gingival inflammation affects the severity of active rheumatoid arthritis (RA) in patients with chronic inflammatory periodontal disease. Twenty-nine subjects with confirmed diagnosis of RA and mild-to-moderate chronic periodontitis of at least 3 years' duration were enrolled in the study. The activity of RA was assessed using the disease activity score test (DAS28). Seventeen subjects completing the study received periodontal treatment consisting of scaling/root planing and oral hygiene instruction; 12 subjects completing the study received no treatment. Participants continued their usual disease-modifying medications for RA without any changes in DMARD therapy during the study period. RA measurements, and periodontal indices were recorded at baseline and at 8 weeks for each participant. Mann-Whitney U and chi tests were used to test for significant differences in the severity of RA in the periodontally treated group compared with the untreated groups. Ten of 17 subjects (58.8%) in the treated group and 2 of 12 subjects (16.7%) in the untreated group showed improvement in RA scores. There was a statistically significant difference in DAS28 (4.3 +/- 1.6 vs. 5.1 +/- 1.2) and erythrocyte sedimentation rate (31.4 +/- 24.3 vs. 42.7 +/- 22) between the treatment and the control groups. Control of periodontal infection and gingival inflammation by scaling/root planing and plaque control in subjects with periodontal disease may reduce the severity of RA. This notion is supported by reported subjective improvement in treated patients.
              Article 0 comments Cited 59 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Indian Soc Periodontol
                Journal ID (iso-abbrev): J Indian Soc Periodontol
                Journal ID (publisher-id): JISP
                Title: Journal of Indian Society of Periodontology
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 0972-124X
                ISSN (Electronic): 0975-1580
                Publication date (Print): Jan-Feb 2013
                Volume: 17
                Issue: 1
                Pages: 137-139
                Affiliations
                [1] Department of Periodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
                [1 ] Department of Community Medicine, Narayana Medical College, Nellore, Andhra Pradesh, India
                [2 ] Department of Pedodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
                Author notes
                Address for correspondence: Dr. Sreenivas Nagarakanti, Department of Periodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India. E-mail: sreenivasnagara kanti@ 123456yahoo.co.in
                Article
                Publisher ID: JISP-17-137
                DOI: 10.4103/0972-124X.107491
                PMC ID: 3636935
                PubMed ID: 23633790
                SO-VID: 21b02af9-6d44-4c23-aba5-8d7431dcc53e
                Copyright © Copyright: © Journal of Indian Society of Periodontology
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 10 December 2011
                Date accepted : 17 August 2012
                Categories
                Subject: Short Communication

                ScienceOpen disciplines: Dentistry
                Keywords: knowledge,medical doctors,practice,periodontal disease
                Data availability:
                ScienceOpen disciplines: Dentistry
                Keywords: knowledge, medical doctors, practice, periodontal disease

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