Oral Health Knowledge, Attitudes, and Practices of Individuals with Diabetes Mellitus in the Sultanate of Oman

Introduction: Diabetes mellitus is a chronic disease with an increasing global prevalence. The condition has several oral health implications, with oral health in turn affecting diabetes control. People with diabetes are at higher risk of oral health problems, including periodontal disease, dental c...

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Main Authors: Noora Al Shihi, Abdulhakeem Al Rawahi, Raya Al Jahdhami, Rayyan Al Riyami, Abdulaziz Al Murazza, Noor Al Busaidi, Fatma Al Riyami, Suad Al Salti
Format: Article
Language:English
Published: Karger Publishers 2023-03-01
Series:Dubai Diabetes and Endocrinology Journal
Subjects:
Online Access:https://www.karger.com/Article/FullText/529684
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author Noora Al Shihi
Abdulhakeem Al Rawahi
Raya Al Jahdhami
Rayyan Al Riyami
Abdulaziz Al Murazza
Noor Al Busaidi
Fatma Al Riyami
Suad Al Salti
author_facet Noora Al Shihi
Abdulhakeem Al Rawahi
Raya Al Jahdhami
Rayyan Al Riyami
Abdulaziz Al Murazza
Noor Al Busaidi
Fatma Al Riyami
Suad Al Salti
author_sort Noora Al Shihi
collection DOAJ
description Introduction: Diabetes mellitus is a chronic disease with an increasing global prevalence. The condition has several oral health implications, with oral health in turn affecting diabetes control. People with diabetes are at higher risk of oral health problems, including periodontal disease, dental caries, and candidiasis; in particular, there appears to be a two-way relationship between periodontitis and blood glucose control. While previous research has indicated that diabetics have poor awareness of oral health, there is a gap in the literature from the Sultanate of Oman. This study aimed to determine oral health knowledge, attitudes, and practices among Omani diabetics. Materials and Methods: A cross-sectional study was conducted using a convenience sample of 400 adult Omani diabetics who attended the outpatient clinic of the National Diabetes and Endocrine Center, Oman, in the period between May 2019 and May 2020. A self-administered, Arabic language questionnaire to assess oral health knowledge, attitudes, and practices was developed and validated. Mean scores were calculated to determine overall levels of oral health knowledge, attitudes, and practice. Ethical approval was obtained from the Center of Studies and Research of the national Ministry of Health. Results: A total of 136 (34.0%) male and 264 (66.0%) female Omani adult diabetics participated in the study. The majority of participants (76.8%) demonstrated poor knowledge of oral health, especially with regards to complications like gingivitis (32.4%), dental caries (27.3%), halitosis (27.1%), and gingival abscesses (21.5%). Moreover, most (76.6%) were unaware that oral diseases affected glycated hemoglobin levels. In terms of practices, more than half (54.74.8%) routinely brushed their teeth twice a day. However, only 14.6% and 12.6% regularly flossed and used mouthwash, respectively. With regards to attitudes, 0.5%, 23.8%, and 75.8% of the participants demonstrated poor, moderate, and good attitudes toward oral health, respectively. Smokers more frequently demonstrated poor attitudes compared to nonsmokers (6.3% vs. 1.6%). Conclusion: Omani adults with diabetes mellitus demonstrated poor to moderate levels of oral health knowledge. Various studies conducted elsewhere around the world have similarly shown that diabetics have limited knowledge and awareness of oral health. Oral self-care behaviors are imperative to minimize the risk of oral health complications associated with diabetes. Previous researchers have shown that education is an effective method of reducing the incidence and burden of diabetes-related oral health complications. Thus, additional multidisciplinary initiatives are needed to raise awareness of good oral hygiene practices among diabetics in Oman.
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spelling doaj.art-7c9cba7792494659812b183ab3be55b02023-04-13T08:16:41ZengKarger PublishersDubai Diabetes and Endocrinology Journal2673-17972673-17382023-03-011910.1159/000529684529684Oral Health Knowledge, Attitudes, and Practices of Individuals with Diabetes Mellitus in the Sultanate of OmanNoora Al Shihi0https://orcid.org/0000-0002-2845-4333Abdulhakeem Al Rawahi1Raya Al Jahdhami2Rayyan Al Riyami3Abdulaziz Al Murazza4Noor Al Busaidi5Fatma Al Riyami6Suad Al Salti7National Diabetes and Endocrine Center, Royal Hospital, Muscat, OmanOman Medical Specialty Board, Muscat, OmanNational Diabetes and Endocrine Center, Royal Hospital, Muscat, OmanThe Directorate General for Health Services at Muscat Governorate, Muscat, OmanThe Directorate General for Health Services at Muscat Governorate, Muscat, OmanNational Diabetes and Endocrine Center, Royal Hospital, Muscat, OmanNational Diabetes and Endocrine Center, Royal Hospital, Muscat, OmanNational Diabetes and Endocrine Center, Royal Hospital, Muscat, OmanIntroduction: Diabetes mellitus is a chronic disease with an increasing global prevalence. The condition has several oral health implications, with oral health in turn affecting diabetes control. People with diabetes are at higher risk of oral health problems, including periodontal disease, dental caries, and candidiasis; in particular, there appears to be a two-way relationship between periodontitis and blood glucose control. While previous research has indicated that diabetics have poor awareness of oral health, there is a gap in the literature from the Sultanate of Oman. This study aimed to determine oral health knowledge, attitudes, and practices among Omani diabetics. Materials and Methods: A cross-sectional study was conducted using a convenience sample of 400 adult Omani diabetics who attended the outpatient clinic of the National Diabetes and Endocrine Center, Oman, in the period between May 2019 and May 2020. A self-administered, Arabic language questionnaire to assess oral health knowledge, attitudes, and practices was developed and validated. Mean scores were calculated to determine overall levels of oral health knowledge, attitudes, and practice. Ethical approval was obtained from the Center of Studies and Research of the national Ministry of Health. Results: A total of 136 (34.0%) male and 264 (66.0%) female Omani adult diabetics participated in the study. The majority of participants (76.8%) demonstrated poor knowledge of oral health, especially with regards to complications like gingivitis (32.4%), dental caries (27.3%), halitosis (27.1%), and gingival abscesses (21.5%). Moreover, most (76.6%) were unaware that oral diseases affected glycated hemoglobin levels. In terms of practices, more than half (54.74.8%) routinely brushed their teeth twice a day. However, only 14.6% and 12.6% regularly flossed and used mouthwash, respectively. With regards to attitudes, 0.5%, 23.8%, and 75.8% of the participants demonstrated poor, moderate, and good attitudes toward oral health, respectively. Smokers more frequently demonstrated poor attitudes compared to nonsmokers (6.3% vs. 1.6%). Conclusion: Omani adults with diabetes mellitus demonstrated poor to moderate levels of oral health knowledge. Various studies conducted elsewhere around the world have similarly shown that diabetics have limited knowledge and awareness of oral health. Oral self-care behaviors are imperative to minimize the risk of oral health complications associated with diabetes. Previous researchers have shown that education is an effective method of reducing the incidence and burden of diabetes-related oral health complications. Thus, additional multidisciplinary initiatives are needed to raise awareness of good oral hygiene practices among diabetics in Oman.https://www.karger.com/Article/FullText/529684diabetes mellitusoral healthknowledgeattitude and practice
spellingShingle Noora Al Shihi
Abdulhakeem Al Rawahi
Raya Al Jahdhami
Rayyan Al Riyami
Abdulaziz Al Murazza
Noor Al Busaidi
Fatma Al Riyami
Suad Al Salti
Oral Health Knowledge, Attitudes, and Practices of Individuals with Diabetes Mellitus in the Sultanate of Oman
Dubai Diabetes and Endocrinology Journal
diabetes mellitus
oral health
knowledge
attitude and practice
title Oral Health Knowledge, Attitudes, and Practices of Individuals with Diabetes Mellitus in the Sultanate of Oman
title_full Oral Health Knowledge, Attitudes, and Practices of Individuals with Diabetes Mellitus in the Sultanate of Oman
title_fullStr Oral Health Knowledge, Attitudes, and Practices of Individuals with Diabetes Mellitus in the Sultanate of Oman
title_full_unstemmed Oral Health Knowledge, Attitudes, and Practices of Individuals with Diabetes Mellitus in the Sultanate of Oman
title_short Oral Health Knowledge, Attitudes, and Practices of Individuals with Diabetes Mellitus in the Sultanate of Oman
title_sort oral health knowledge attitudes and practices of individuals with diabetes mellitus in the sultanate of oman
topic diabetes mellitus
oral health
knowledge
attitude and practice
url https://www.karger.com/Article/FullText/529684
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