School of Stomatology, Universidad Privada San Juan Bautista, Av. Jose Antonio Lavalle Avenue s/n (Ex Hacienda Villa), Chorrillos, Lima, Peru.
"Grupo de Investigación Salud y Bienestar Global", Faculty of Dentistry and Postgraduate School, Universidad Nacional Federico Villarreal, Lima, Peru.
BMC Oral Health. 2023 Jan 30;23(1):51. doi: 10.1186/s12903-023-02745-1.
Epilepsy is a chronic neurological disease that could indirectly affect oral health, and it is necessary for dentists to be familiar with the specific needs of patients with epilepsy. Therefore, aim of the present study was to assess the factors associated with the level of knowledge about management of epileptic patients in Peruvian dental students.
This analytical, observational, cross-sectional and prospective study assessed 312 dental students from a Peruvian university during February to April 2022. A validated questionnaire of 20 closed multiple-choice questions was used to measure the level of knowledge about dental management in epileptic patients. A logit model was used to assess the influence of variables: gender, age, year of study, marital status, place of origin and area of residence, with the level of knowledge in dental students considering a significance level of p < 0.05.
Of the total, 28.8%, 36.2% and 34.9% had a poor, fair and good level of knowledge, respectively, about the dental treatment of epileptic patients. On the other hand, it was observed that being a woman (OR = 0.44, CI 0.26-0.75) and being a third year student (OR = 0.39, CI 0.21-0.74) and fourth year student (OR = 0.43, CI 0.23-0.89) constituted a protective factor against poor knowledge about the dental management of epileptic patients, while being from the capital city constituted a risk factor. Finally, age, marital status and the students' area of residence were not considered influential factors (p > 0.05).
Most of the students showed a poor and fair level of knowledge about the dental management of epileptic patients, with gender, academic year and place of origin being influential factors. It is advisable that authorities and teachers in the dental profession organize recurrent training programs on the care of patients with chronic diseases requiring special attention, since knowing general concepts, pharmacological management and dental care of epileptic patients will allow future dentists to develop competencies to improve and implement good quality care protocols for this group of patients.
癫痫是一种慢性神经系统疾病，可能会间接影响口腔健康，因此牙医需要熟悉癫痫患者的特殊需求。因此，本研究旨在评估与秘鲁牙科学生对癫痫患者管理知识水平相关的因素。
本研究为 2022 年 2 月至 4 月期间对秘鲁一所大学的 312 名牙科学生进行的分析性、观察性、横断面和前瞻性研究。使用经过验证的包含 20 个封闭多项选择题的问卷来衡量牙科学生对癫痫患者口腔管理的知识水平。使用逻辑回归模型评估变量（性别、年龄、学习年限、婚姻状况、原籍地和居住地）对牙科学生知识水平的影响，考虑到 p 值<0.05，认为具有统计学意义。
在总共的学生中，分别有 28.8%、36.2%和 34.9%的学生对癫痫患者的牙科治疗具有较差、一般和良好的知识水平。另一方面，观察到女性（OR=0.44，CI 0.26-0.75）和三年级学生（OR=0.39，CI 0.21-0.74）和四年级学生（OR=0.43，CI 0.23-0.89）是对癫痫患者牙科管理知识较差的保护因素，而来自首都则是一个危险因素。最后，年龄、婚姻状况和学生居住地都没有被认为是影响因素（p>0.05）。
大多数学生对癫痫患者的牙科管理知识水平较差和一般，性别、学习年限和原籍地是影响因素。建议牙科专业的当局和教师组织针对需要特殊关注的慢性病患者护理的经常性培训计划，因为了解癫痫患者的一般概念、药物管理和口腔护理将使未来的牙医能够发展出提高和实施针对这组患者的高质量护理方案的能力。
