Conhecimento geral e específico entre médicos, dentistas e enfermeiros da doença periodontal e sua associação a outras doenças

• Ano de defesa: 2016
• Autor(a) principal: Fried, Hana
• Orientador(a): Fischer, Ricardo Guimarães
• Banca de defesa: Figueredo, Carlos Marcelo da Silva , Dias, Katia Regina Hostilio Cervantes , Caldas Junior, Arnaldo de França , Bushatsky, Magaly , Pereira, Gisele Damiana da Silveira
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Odontologia
• Departamento: Centro Biomédico::Faculdade de Odontologia
• País: BR
• Palavras-chave em Português: Questionário; Doença periodontal; Doenças sistêmicas; Fatores de risco
• Palavras-chave em Inglês: Questionnaire; Periodontal diseases; Systemic diseases; Risk factors
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA::PERIODONTIA
• Link de acesso: http://www.bdtd.uerj.br/handle/1/14069

The aim of this study was to evaluate among physicians, dentists and nurses the general and specific knowledge of periodontal disease (PD) and its association with other diseases. A structured questionnaire including questions about periodontal disease, its association with other diseases, and the degree of commitment of health professionals with periodontal patient was used. Responses were determined according to systematic reviews and meta-analyzes consulted. Two hundred and sixty-nine health professionals at the Military Police of Rio de Janeiro answered the questionnaire, including 87 dentists, 123 doctors and 59 nurses with a mean age of 39.5 (± 7.2) years. Fifty-six (20.8%) professionals were teachers, while 200 (74.3%) were specialists. The percentage of correct answers for questions regarding the signs and symptoms of PD ranged from 87.7% to 97.4% for gingival bleeding, gingival recession and tooth mobility. However, only 7.8% of the professionals correctly answered questions regarding tooth loss. With regard to questions pertaining risk factors, the percentage of correct answers ranged between 91.4% and 96.7% for diabetes and smoking. On the other hand, the percentages of correct answers to questions regarding age and education as risk factors were 22.3% and 24.2%. Periodontal disease was correctly identified as a risk factor for cardiovascular disease by 81.4% of the professionals. Dentists recognized more often that PD was associated with an increased risk for diabetes, premature birth and low birth weight babies. Regarding the association between PD and pre-eclampsia, metabolic syndrome and chronic kidney disease, the percentage of correct answers ranged between 17.1% and 41.2%. The level of education and teaching of health professionals significantly influenced the percentage of correct answers chosen. In relation to questions regarding periodontal treatment for the aforementioned diseases, the percentage of correct answers ranged from 2.6% to 20.8%. Once again, the educational background significantly influenced the percentage of correct answers. The recognition of scientific evidence that periodontal treatment may improve metabolic control in diabetic patients ranged from 40.7% (nurses) to 50.4% (physicians). The frequency of physicians and nurses who often/always diagnose, examine and advise patients about the risks and effects of PD in general health ranged from 0% to 20.3%. Only 23.6% refer patients for evaluation and periodontal treatment. In conclusion, knowledge about PD and PD as a risk factor for other diseases was reduced between physicians and nurses. All three categories of professionals investigated physicians, dentists and nurses- showed reduced knowledge about the lack of scientific evidence of periodontal treatment as prevention factor for other diseases. A high degree of education and teaching significantly increased the likelihood of identifying the correct answers. Physicians and nurses do not usually refer patients to periodontal specialists