Knowledge, Attitudes, and Practices Toward the Treatment of Endodontic-periodontal Lesions Among Oral Health Care Providers: a Multi-center Cross-sectional Study

Overview

Journal BMC Oral Health

Publisher Biomed Central

Specialty Dentistry

Date 2024 Dec 20

PMID 39702181

Authors

Fei Sun

Mina Hu

Qiuyan Zhu

JiaQin Wang

Peng Wang

Ying Zhou

Affiliations

Soon will be listed here.

Abstract

Background: This study aimed to evaluate the knowledge, attitudes, and practices (KAP) of oral healthcare providers concerning the treatment of endodontic-periodontal lesions (EPLs) and investigate the relationships among the KAP dimensions using correlation analysis and structural equation modeling (SEM).

Methods: This cross-sectional study enrolled dental healthcare professionals between February 2024 and June 2024, with questionnaire data collected in Hangzhou and Shaoxing, China. Data were collected using a self-administered questionnaire that gathered demographic information and KAP scores.

Results: A total of 281 valid questionnaires were analyzed. Among the participants, 185 (70.08%) were doctors, and 58 (59.85%) had attended relevant academic conferences or training sessions. The mean scores for knowledge, attitude, and practice were 10.06 ± 3.31 (possible range: 0-18), 25.58 ± 2.29 (possible range: 7-35), and 15.70 ± 3.23 (possible range: 5-25), respectively. The SEM revealed that education (β = 0.013, P = 0.013), professional title (β = 0.64, P < 0.001), participation in related research projects (β = -1.84, P < 0.001), and number of patients treated (β = 1.41, P < 0.001) directly influenced knowledge. Knowledge (β = 0.24, P < 0.001) and research participation (β = -0.79, P = 0.026) directly affected attitude. Both knowledge (β = 0.26, P < 0.001) and attitude (β = 0.19, P = 0.023) directly impacted practice. Additionally, education (β = 0.23, P = 0.021), professional title (β = 0.15, P = 0.001), research participation (β = -0.44, P = 0.001), and number of patients treated (β = 0.34, P < 0.001) indirectly influenced attitude, while indirect effects on practice were noted for knowledge (β = 0.04, P = 0.034), education (β = 0.30, P = 0.023), professional title (β = 0.20, P = 0.001), research participation (β = -0.73, P < 0.001), and number of patients treated (β = 0.44, P < 0.001).

Conclusions: Oral healthcare providers demonstrated limited knowledge, generally positive attitudes, and relatively inactive practices in the treatment of EPLs. To enhance clinical outcomes, targeted educational initiatives and hands-on training should be prioritized to address knowledge gaps and facilitate the translation of positive attitudes into more active and effective clinical practices.

References

Goyal S, Gupta B, Sharma E, Dalal P, Pradeep Y . Psychiatric Morbidity, Cultural Factors, and Health-Seeking Behaviour in Perinatal Women: A Cross-Sectional Study from a Tertiary Care Centre of North India. Indian J Psychol Med. 2020; 42(1):52-60. PMC: 6970307. DOI: 10.4103/IJPSYM.IJPSYM_96_19. View

Shubayr M, Kruger E, Tennant M . Oral health providers' views of oral health promotion in Jazan, Saudi Arabia: a qualitative study. BMC Health Serv Res. 2023; 23(1):214. PMC: 9990294. DOI: 10.1186/s12913-023-09170-8. View

Koni A, Taha S, Daifallah A, Koni M, Abutaha S, Sabateen A . A cross-sectional evaluation of knowledge, attitudes, practices, and perceived challenges among Palestinian pharmacists regarding COVID-19. SAGE Open Med. 2022; 10:20503121211069278. PMC: 8771730. DOI: 10.1177/20503121211069278. View

Jakovljevic A, Ivanovic K . ENDODONTIC PERIAPICAL LESIONS ARE CHARACTERIZED WITH THE HIGH PREVALENCE OF VIABLE AND ACTIVEMICROORGANISMS. J Evid Based Dent Pract. 2021; 21(4):101636. DOI: 10.1016/j.jebdp.2021.101636. View

Raheja J, Tewari S, Tewari S, Duhan J . Evaluation of efficacy of chlorhexidine intracanal medicament on the periodontal healing of concomitant endodontic-periodontal lesions without communication: an interventional study. J Periodontol. 2014; 85(8):1019-26. DOI: 10.1902/jop.2014.130430. View

Al-Fouzan K . A new classification of endodontic-periodontal lesions. Int J Dent. 2014; 2014:919173. PMC: 4009301. DOI: 10.1155/2014/919173. View

Asgary S, Roghanizadeh L, Haeri A . Surgical Endodontics Regenerative Periodontal Surgery for Management of a Large Periradicular Lesion. Iran Endod J. 2018; 13(2):271-276. PMC: 5911307. DOI: 10.22037/iej.v13i2.20648. View

Khalid A, Haque S, Alvi S, Ferdous M, Genereux O, Chowdhury N . Promoting Health Literacy About Cancer Screening Among Muslim Immigrants in Canada: Perspectives of Imams on the Role They Can Play in Community. J Prim Care Community Health. 2022; 13:21501319211063051. PMC: 8819818. DOI: 10.1177/21501319211063051. View

Yin Q, Fan H, Wang Y, Guo C, Cui X . Exploring the Peer Effect of Physicians' and Patients' Participation Behavior: Evidence from Online Health Communities. Int J Environ Res Public Health. 2022; 19(5). PMC: 8910083. DOI: 10.3390/ijerph19052780. View

10.

Huffaker S, Safavi K, Spangberg L, Kaufman B . Influence of a passive sonic irrigation system on the elimination of bacteria from root canal systems: a clinical study. J Endod. 2010; 36(8):1315-8. DOI: 10.1016/j.joen.2010.04.024. View

11.

Singh P . Endo-perio dilemma: a brief review. Dent Res J (Isfahan). 2011; 8(1):39-47. PMC: 3177380. View

12.

Agheli N, de Faria Neiva G, Maia R, Duddanahalli Siddanna G, Inglehart M . Dentists' education, knowledge, and professional behavior concerning the diagnosis and treatment of dentin hypersensitivity: An exploration. J Dent Educ. 2023; 87(12):1705-1717. DOI: 10.1002/jdd.13363. View

13.

Kim E, Song J, Jung I, Lee S, Kim S . Prospective clinical study evaluating endodontic microsurgery outcomes for cases with lesions of endodontic origin compared with cases with lesions of combined periodontal-endodontic origin. J Endod. 2008; 34(5):546-51. DOI: 10.1016/j.joen.2008.01.023. View

14.

Dugasa Y . Level of Patient Health Literacy and Associated Factors Among Adult Admitted Patients at Public Hospitals of West Shoa Oromia, Ethiopia. Patient Prefer Adherence. 2022; 16:853-859. PMC: 8977217. DOI: 10.2147/PPA.S357741. View

15.

Shitu S, Adugna G, Abebe H . Occupational exposure to blood/body fluid splash and its predictors among midwives working in public health institutions at Addis Ababa city Ethiopia, 2020. Institution-based cross-sectional study. PLoS One. 2021; 16(6):e0251815. PMC: 8213160. DOI: 10.1371/journal.pone.0251815. View

16.

Aboalsaud K, Foster N, Yu S, Sweier D, Rulli D . Periodontal staging and grading: An international dental hygiene education survey. Int J Dent Hyg. 2022; 21(2):283-290. DOI: 10.1111/idh.12627. View

17.

Shenoy N, Shenoy A . Endo-perio lesions: diagnosis and clinical considerations. Indian J Dent Res. 2010; 21(4):579-85. DOI: 10.4103/0970-9290.74238. View

18.

Qi Z . On the Professional Development Environment of Young Teachers in the Series of Quality Education in Colleges and Universities. J Environ Public Health. 2022; 2022:5370757. PMC: 9423944. DOI: 10.1155/2022/5370757. View

19.

Qiu C, Yu Y, Xu P . [Treatment of combined periodontal-pulpal lesions with periodontal therapy]. Shanghai Kou Qiang Yi Xue. 2020; 28(6):636-639. View

20.

Evans M . The endodontic-periodontal juncture: Where two worlds meet. An overview of endo-perio lesions. Aust Dent J. 2023; 68 Suppl 1:S56-S65. DOI: 10.1111/adj.12993. View