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泰国牙科诊所中医生对牙周病和糖尿病筛查的态度。

Attitude of Physicians towards Periodontal Disease and Diabetes Mellitus Screening in Dental Clinics in Thailand.

机构信息

Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University, Ratchathewi, Bangkok 10400, Thailand.

Mahidol International Dental School, Faculty of Dentistry, Mahidol University, Ratchathewi, Bangkok 10400, Thailand.

出版信息

Int J Environ Res Public Health. 2021 May 18;18(10):5385. doi: 10.3390/ijerph18105385.

Abstract

BACKGROUND

Diabetes mellitus (DM) is one of the top causes of death in many places of the world. Diagnosing DM in the early stage is necessary to avoid severe cases and death.

OBJECTIVES

To evaluate the knowledge of association between DM and periodontal disease (PD) among Thai physicians and assess their attitudes towards DM screening in dental clinics in Thailand.

METHODS

Online survey of currently practicing physicians in Thailand was conducted on voluntary basis using the newly developed questionnaire.

RESULT

We received 403 responses that are statistically sufficient to represent the entire population of currently practicing physicians in Thailand. A total of 97.3% of all responses indicate that Thai physicians have knowledge about the association between DM and PD. More than 90% know that DM has an effect on PD; however, 70% know about the effect of untreated PD in DM patients. Most of physicians think that DM screening in dental clinics is important (79.1%) and are ready to accept referred cases for definite DM diagnosis from a dentist (84.1%). The concerned issues among the participants were the accuracy of the test results in DM screening (73%) and ability of a dentist to perform the screening (71.5%).

CONCLUSIONS

The majority of participating physicians have adequate knowledge about the bidirectional relationship between DM and PD. They have a positive attitude towards DM screening in dental setting. The collaboration between physicians and dental professionals should be established to reduce the number of undiagnosed DM patients and enhance the medical care of DM patients.

摘要

背景

糖尿病(DM)是世界上许多地方的主要死亡原因之一。早期诊断 DM 对于避免严重病例和死亡是必要的。

目的

评估泰国医生对 DM 与牙周病(PD)之间关联的认识,并评估他们对泰国牙科诊所进行 DM 筛查的态度。

方法

使用新开发的问卷对泰国目前执业的医生进行了在线调查,调查是自愿参加的。

结果

我们收到了 403 份回复,这些回复在统计学上足以代表泰国目前执业医生的全部人群。所有回复中有 97.3%表明泰国医生了解 DM 与 PD 之间的关联。超过 90%的人知道 DM 对 PD 有影响;然而,只有 70%的人了解未经治疗的 PD 在 DM 患者中的影响。大多数医生认为在牙科诊所进行 DM 筛查很重要(79.1%),并愿意接受牙医转诊的明确 DM 诊断病例(84.1%)。参与者关注的问题是 DM 筛查中测试结果的准确性(73%)和牙医进行筛查的能力(71.5%)。

结论

大多数参与的医生对 DM 和 PD 之间的双向关系有足够的了解。他们对在牙科环境中进行 DM 筛查持积极态度。应建立医生和牙科专业人员之间的合作关系,以减少未确诊的 DM 患者数量,并加强对 DM 患者的医疗护理。

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本文引用的文献

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Evaluating All Potential Oral Complications of Diabetes Mellitus.评估糖尿病所有潜在的口腔并发症。
Front Endocrinol (Lausanne). 2019 Feb 18;10:56. doi: 10.3389/fendo.2019.00056. eCollection 2019.
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Screening for prediabetes and type 2 diabetes in dental offices.牙科诊所中对糖尿病前期和2型糖尿病的筛查。
J Public Health Dent. 2015 Summer;75(3):175-82. doi: 10.1111/jphd.12082. Epub 2015 Feb 6.
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Diabetes mellitus and oral health.糖尿病与口腔健康。
Endocrine. 2015 May;49(1):27-34. doi: 10.1007/s12020-014-0496-3. Epub 2014 Dec 9.

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