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Knowledge and Decision-Making among Israeli Dentists Treating Young Patients with Type 1 Diabetes Mellitus: A Cross Sectional Survey
1Department of Pediatric Dentistry, the Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
2Private Practice, Israel
3Dental Medicine,Tel Aviv University, Tel Aviv, Israel
*Corresponding Author(s): Sigalit Blumer E-mail: blumer@012.net.il
Objective: To assess decision making process and knowledge level of dentists treating children with type 1 diabetes. Study design: Cross-sectional survey among dentistry residents and dental specialists working in clinics that provide dental care to children with type 1 diabetes. Results: A total of 166 respondents were included. 42% of respondents perceived that they have sufficient knowledge to treat children with diabetes, in correlation with an average score of 1.9 out of 4 on knowledge questions. Over 80% of dentists decided to treat patients by consulting with the treating physician or by checking HbA1c and glucose blood levels independently. Greater knowledge was associated with a significantly higher tendency of the dentists to determine if the child’s diabetes is controlled, and to refer less often to the hospital. Furthermore, greater knowledge was also associated with dentists’ greater perception that they have enough knowledge, skills and confidence to treat children with diabetes. Conclusions: The study revealed significant gaps in the knowledge on diabetes among dentists who provide dental care to children. Dentists, pediatricians, endocrinologists, and other healthcare professionals who provide care for children should be encouraged to collaborate to create a mutual knowledgeable work environment for delivering best care to their patients.
Children, dentistry; Type 1 diabetes mellitus; Knowledge; Decision making
Sigalit Blumer,Hila Eliasi,Benjamin Peretz,Johnny Kharouba,Ehud Jonas. Knowledge and Decision-Making among Israeli Dentists Treating Young Patients with Type 1 Diabetes Mellitus: A Cross Sectional Survey. Journal of Clinical Pediatric Dentistry. 2022. 46(3);225-232.
1. Patterson CC, Karuranga S, Salpea P, et al. Worldwide estimates of incidence, prevalence and mortality of type 1 diabetes in children and adolescents: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice. 2019;157.
2. Preshaw PM, Alba AL, Herrera D, et al. Periodontitis and diabetes: a two-way relationship. Diabetologia. 2012;55:21-31.
3. Loe H. Periodontal disease. The sixth complication of diabetes mellitus. Diabetes Care. 1993;16:329-334.
4. Lalla E, Cheng B, Lal S, et al. Diabetes mellitus promotes periodontal destruction in children. Journal of clinical periodontology. 2007;34 4:294-298.
5. Dakovic D. Periodontal Disease in Children and Adolescents With Type 1 Diabetes in Serbia. Journal of periodontology. 2008;79:987-992.
6. Yaacob M, Han TM, Ardini YD, et al. Periodontal diseases in children and adolescent with diabetes mellitus. Materials Today: Proceedings. 2019;16:2292-2301.
7. Ismail AF, McGrath CP, Yiu CK. Oral health of children with type 1 diabetes mellitus: A systematic review. Diabetes Res Clin Pract. 2015;108:369-381.
8. Novotna M, Podzimek S, Broukal Z, Lencova E, Duskova J. Periodontal Diseases and Dental Caries in Children with Type 1 Diabetes Mellitus. Mediators Inflamm. 2015;2015:379626.
9. Orbak R, Simsek S, Orbak Z, Kavrut F, Colak M. The influence of type-1 diabetes mellitus on dentition and oral health in children and adolescents. Yonsei Med J. 2008;49:357-365.
10. Carneiro VL, Fraiz FC, Ferreira Fde M, Pintarelli TP, Oliveira AC, Boguszewski MC. The influence of glycemic control on the oral health of children and adolescents with diabetes mellitus type 1. Arch Endocrinol Metab. 2015;59:535-540.
11. Zalewska A, Knas M, Kuzmiuk A, et al. Salivary innate defense system in type 1 diabetes mellitus in children with mixed and permanent dentition. Acta Odontol Scand. 2013;71:1493-1500.
12. Blumer S, Eliasi H, Rachmiel M, et al. Oral Health in Young Children with Type 1 Diabetes Mellitus. Archives of Pediatrics. 2018;2018:1-8. 13. Siudikiene J, Machiulskiene V, Nyvad B, Tenovuo J, Nedzelskiene I. Dental caries and salivary status in children with type 1 diabetes mellitus, related to the metabolic control of the disease. Eur J Oral Sci. 2006;114:8-14.
14. Bimstein E, Zangen D, Abedrahim W, Katz J. Type 1 Diabetes Mellitus (Juvenile Diabetes)–A Review for the Pediatric Oral Health Provider. J Clin Pediatr Dent. 2019;43:417-423.
15. Rhodes ET, Ferrari LR, Wolfsdorf JI. Perioperative management of pediatric surgical patients with diabetes mellitus. Anesth Analg. 2005;101:986- 999, table of contents.
16. Al-Khabbaz AK, Al-Shammari KF, Al-Saleh NA. Knowledge about the association between periodontal diseases and diabetes mellitus: contrasting dentists and physicians. J Periodontol. 2011;82:360-366.
17. Lin H, Zhang H, Yan Y, et al. Knowledge, awareness, and behaviors of endocrinologists and dentists for the relationship between diabetes and periodontitis. Diabetes Res Clin Pract. 2014;106:428-434.
18. Saxena K, Sharma ML, Vijay B, Dhillon M. Knowledge, Attitude and Practice assessment of dental professionals towards diabetes: a cross sectional study. J Dent Spec. 2016;4:113-118.
19. Al-Khabbaz AK, Al-Shammari KF. Diabetes mellitus and periodontal health: dentists’ knowledge. Med Princ Pract. 2011;20:538-544.
20. Bahammam MA. Awareness and practice about the association between periodontal diseases and diabetes mellitus: a cross-sectional study in Western Saudi Arabia among health care providers. J Multidiscip Healthc. 2018;11:511-517.
21. American Diabetes A. 6. Glycemic Targets: Standards of Medical Care in Diabetes-2018. Diabetes Care. 2018;41:S55-S64.
22. Beck RW, Connor CG, Mullen DM, Wesley DM, Bergenstal RM. The Fallacy of Average: How Using HbA1c Alone to Assess Glycemic Control Can Be Misleading. Diabetes Care. 2017;40:994-999.
23. Juvenile Diabetes Research Foundation Continuous Glucose Monitoring Study G, Wilson DM, Xing D, et al. Hemoglobin A1c and mean glucose in patients with type 1 diabetes: analysis of data from the Juvenile Diabetes Research Foundation continuous glucose monitoring randomized trial. Diabetes Care. 2011;34:540-544.
24. Sherwani SI, Khan HA, Ekhzaimy A, Masood A, Sakharkar MK. Signif-icance of HbA1c Test in Diagnosis and Prognosis of Diabetic Patients. Biomark Insights. 2016;11:95-104.
25. Lind M, Pivodic A, Svensson A-M, Ólafsdóttir AF, Wedel H, Ludvigsson J. HbA<sub>1c</sub> level as a risk factor for retinopathy and nephrop-athy in children and adults with type 1 diabetes: Swedish population based cohort study. BMJ. 2019;366:l4894.
26. Christman AL, Selvin E, Margolis DJ, Lazarus GS, Garza LA. Hemo-globin A1c predicts healing rate in diabetic wounds. J Invest Dermatol. 2011;131:2121-2127.
27. Critchley JA, Carey IM, Harris T, DeWilde S, Hosking FJ, Cook DG. Glycemic Control and Risk of Infections Among People With Type 1 or Type 2 Diabetes in a Large Primary Care Cohort Study. Diabetes Care. 2018;41:2127-2135.
28. Preshaw PM, Bissett SM. Periodontitis and diabetes. British Dental Journal. 2019;227:577-584.
29. Kalra S, Mukherjee JJ, Venkataraman S, et al. Hypoglycemia: The neglected complication. Indian J Endocrinol Metab. 2013;17:819-834.
30. Rewers M, Pihoker C, Donaghue K, Hanas R, Swift P, Klingensmith GJ. Assessment and monitoring of glycemic control in children and adolescents with diabetes. Pediatr Diabetes. 2009;10 Suppl 12:71-81.
31. Esmeili T, Ellison J, Walsh MM. Dentists’ attitudes and practices related to diabetes in the dental setting. J Public Health Dent. 2010;70:108-114.
32. The Workforce in the Health Professions 2019 Jerusalem: Israeli Ministry of Health; 2020.
33. Sanz M, Ceriello A, Buysschaert M, et al. Scientific evidence on the links between periodontal diseases and diabetes: Consensus report and guide-lines of the joint workshop on periodontal diseases and diabetes by the International diabetes Federation and the European Federation of Periodon-tology. Diabetes Res Clin Pract. 2018;137:231-241.
34. 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 Family Med Prim Care. 2018;7:175-178.
35. Ziebolz D, Reiss L, Schmalz G, Krause F, Haak R, Mausberg RF. Different views of dentists and general medical practitioners on dental care for patients with diabetes mellitus and coronary heart diseases: results of a questionnaire-based survey in a district of Germany. Int Dent J. 2018;68:197-203.
36. Holzinger F, Dahlendorf L, Heintze C. ‘Parallel universes’? The interface between GPs and dentists in primary care: a qualitative study. Fam Pract. 2016;33:557-561.
37. Moore J, Csikar J, Kang J, Tugnait A, Campbell F, Clerehugh V. Awareness, practices, training, and confidence of Paediatric Diabetes Care Teams in relation to periodontitis. Pediatr Diabetes. 2020;21:384-389.
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