Oral health knowledge and behaviour among patient in supportive periodontal care in Sarawak

Mohamad Adib Jaafar; Hui Ling Chen; Aisah Ahmad

doi:10.31436/ijohs.v2i1.59

Authors

Mohamad Adib Jaafar Periodontal Specialist Unit of Sibu Jaya, Sibu Jaya Dental Clinic, Ministry of Health Malaysia, Sibu, Sarawak.
Chen Hui Ling Periodontal Specialist Unit of Jalan Masjid, Polyclinic Jalan Masjid, Ministry of Health Malaysia, Kuching, Sarawak.
Aisah Ahmad Periodontal Specialist Unit of Jalan Masjid, Polyclinic Jalan Masjid, Ministry of Health Malaysia, Kuching, Sarawak.

DOI:

https://doi.org/10.31436/ijohs.v2i1.59

Keywords:

Supportive periodontal care (SPC), periodontitis, knowledge, behaviour

Abstract

After completing the active phase of periodontal therapy, supportive periodontal care is required to maintain periodontal health. Patient knowledge and awareness are key to periodontal therapy's success, and the study aims to provide baseline data among supportive periodontal care patients in Sarawak. Questionnaires were distributed among patients at two periodontal clinics. Out of 80 responses, 31.3% of respondents believed they had a good-excellent level of periodontal health. 41.3% felt satisfied with their current periodontal condition. 81.3% understood what dental plaque was, 92.5% knew its role in the aetiology of gingival disease, and 93.8% knew it can be controlled with good oral hygiene care. 91.3% of them were aware that; gingival bleeding indicated the presence of periodontal disease, the disease can cause mobile teeth if untreated, and it can be prevented by having regular maintenance. Only 45% were aware that the disease is not 'curable.' Concerning behaviour, 98.8% brushed teeth at least twice daily and used dental floss (43.7%), interdental brush (65%), and mouthwash (52.5%). In the case of gingival bleeding, 70% will continue brushing their teeth, and 36.3% will only use a mouth rinse. 37.5% will attend the appointment if pain arises, and 38.8% believed that a general dentist can sufficiently provide supportive periodontal care. In conclusion, there was inadequate knowledge of periodontitis's curative nature and a lack of understanding of the importance of specialist care's regular follow-up. It is important to reinforce oral health education at SPC.

References

Ahmad,N.A., Naime, Z., Maling, T.H. , Lo, J. Y. Y. (2018). The beliefs and oral health practices amongst indigenous people in bario, sarawak (unpublished manuscript). University of Malaya, Malaysia.

Armitage, G. C. (1999). Development of a classification system for periodontal diseases and conditions. Annals of Periodontology, 4(1), 1-6.

Axelsson, P. , Lindhe, J. (1981). Effect of controlled oral hygiene procedures on caries and periodontal disease in adults. Results after 6 years. Journal of Clinical Periodontology, 8(3), 239-248.

Axelsson, P., Nystrom, B. , Lindhe, J. (2004). The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. Journal of Clinical Periodontology, 31(9), 749-757.

Badiah, H. (2015). A preliminary survey on awareness of periodontal risk and oral health practices among diabetic patients in hospital kuala. Malaysian Dental Journal, 34(1), 1-7.

Cohen, R. E., Research, Science Therapy Committee , American Academy of Periodontology. (2003). Position paper: Periodontal maintenance. Journal of Periodontology, 74(9), 1395-1401.

de Carvalho V.F., Okuda O.S., Bernardo C.C., Pannuti C.M., Georgetti M.A., De Micheli G., et al. (2010). Compliance improvement in periodontal maintenance. Journal of Applied Oral Science, 18(3), 215-219.

Deinzer, R., Micheelis, W., Granrath, N. , Hoffmann, T. (2009). More to learn about: Periodontitis-related knowledge and its relationship with periodontal health behaviour. Journal of Clinical Periodontology, 36(9), 756-764.

Delatola, C., Adonogianaki, E. , Ioannidou, E. (2014). Non-surgical and supportive periodontal therapy: Predictors of compliance. Journal of Clinical Periodontology, 41(8), 791-796.

Demetriou, N., Tsami-Pandi, A. , Parashis, A. (1995). Compliance with supportive periodontal treatment in private periodontal practice. A 14-year retrospective study. Journal of Periodontology, 66(2), 145-149.

Fardal, O. (2006). Interviews and assessments of returning non-compliant periodontal maintenance patients. Journal of Clinical Periodontology, 33(3), 216-220.

Graziani, F. , Tsakos, G. (2020). Patient-based outcomes and quality of life. Periodontology 2000, 83(1), 277-294.

Jackson, M. A., Kellett, M., Worthington, H. V. , Clerehugh, V. (2006). Comparison of interdental cleaning methods: A randomized controlled trial. Journal of Periodontology, 77(8), 1421-1429.

Kopp, S. L., Ramseier, C. A., Ratka-Kruger, P. , Woelber, J. P. (2017). Motivational interviewing as an adjunct to periodontal therapy-a systematic review. Frontiers in Psychology, 2017(8), 279.

Leavy, P. G. , Robertson, D. P. (2018). Periodontal maintenance following active specialist treatment: Should patients stay put or return to primary dental care for continuing care? A comparison of outcomes based on the literature. International Journal of Dental Hygiene, 16(1), 68-77.

Lee, J. Y., Park, H. J., Lee, H. J. , Cho, H. J. (2019). The use of an interdental brush mitigates periodontal health inequalities: The korean national health and nutrition examination survey (KNHANES). BMC Oral Health, 19(1), 168.

Linden, G. J., Lyons, A. , Scannapieco, F. A. (2013). Periodontal systemic associations: Review of the evidence. Journal of Periodontology, 84(4 Suppl), S8-S19.

Macgregor, I. D., Balding, J. W. , Regis, D. (1998). Flossing behaviour in english adolescents. Journal of Clinical Periodontology, 25(4), 291-296.

Martensson, C., Soderfeldt, B., Axtelius, B. , Andersson, P. (2013). Knowledge of periodontitis and self-perceived oral health: A survey of periodontal specialist patients. Swedish Dental Journal 37(1), 49-58.

Masood, M., Younis, L. T., Masood, Y., Bakri, N. N. , Christian, B. (2019). Relationship of periodontal disease and domains of oral health-related quality of life. Journal of Clinical Periodontology, 46(2), 170-180.

Mohd Dom, T. N., Ayob, R., Abd Muttalib, K. , Aljunid, S. M. (2016). National economic burden associated with management of periodontitis in malaysia. International Journal of Dentistry, 2016(1891074), 1-6.

Mohd-Dom, T. N., S. M. Said , Abidin, Z. Z. (2009). Dental knowledge and self-reported oral care practices among medical, pharmacy and nursing students Malaysian Journal of Health Science, 7(1), 13-23.

Ojima, M., Hanioka, T. , Shizukuishi, S. (2001). Survival analysis for degree of compliance with supportive periodontal therapy. Journal of Clinical Periodontology, 28(12), 1091-1095.

Petersen, P. E. , Ogawa, H. (2005). Strengthening the prevention of periodontal disease: The who approach. Journal of Periodontology, 76(12), 2187-2193.

Raman, R. W., Woon, T. K.; Mamat, M.; Ishak, A.; Khan, A. R. (2012). Oral health awareness, behaviour and status among malaysian 16-year-old school students in penang. Malaysian Dental Journal, 34 (2), 45-53.

Shiva, C. Y. K., Mukta, V. S. , Vinay, K. M. (2017). Patient education and motivation. Advances in Dentistry & Oral Health, 7(1), 28-33.

Slots, J. (2017). Periodontitis: Facts, fallacies and the future. Periodontology 2000, 75(1), 7-23.

Tonetti, M. S., Muller-Campanile, V. , Lang, N. P. (1998). Changes in the prevalence of residual pockets and tooth loss in treated periodontal patients during a supportive maintenance care program. Journal of Clinical Periodontology, 25(12), 1008-1016.

Varela-Centelles, P., Diz-Iglesias, P., Estany-Gestal, A., Seoane-Romero, J. M., Bugarin-Gonzalez, R. , Seoane, J. (2016). Periodontitis awareness amongst the general public: A critical systematic review to identify gaps of knowledge. Journal of Periodontology, 87(4), 403-415.

Yaacob, M., Worthington, H. V., Deacon, S. A., Deery, C., Walmsley, A. D., Robinson, P. G., et al. (2014). Powered versus manual toothbrushing for oral health. Cochrane Database of Systematic Reviews, 2014(6), Art. No. CD002281.