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Knowledge of senior dental students regarding dental management of cardiovascular patients: a cross-sectional study in Yazd, Iran | ||
| Cardiovascular Biomedicine | ||
| Volume 5, Issue 2, December 2025, Pages 59-67 PDF (729.6 K) | ||
| Document Type: original articles | ||
| DOI: 10.18502/cbj.v5i2.21137 | ||
| Authors | ||
| Mohammadreza Mahdavifar1; Hadi Salimi1; Zahra Roustaeizadeh Shouroki2; Parisa Peigan* 3; Farnoosh Ghomi3 | ||
| 1Department of Prosthodontics, Yazd Dental School, Shahid Sadoughi University of Medical Sciences, Yazd, Iran | ||
| 2Department of Oral and Maxillofacial Medicine, School of Dentistry Shahid Sadoughi University of Medical Sciences, Yazd, Iran | ||
| 3Yazd Cardiovascular Research Center, Non-communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran | ||
| Abstract | ||
| Objectives: Cardiovascular diseases (CVDs) are a leading cause of mortality worldwide. Patients with these conditions require special considerations during dental treatment to prevent adverse events. Therefore, the knowledge of dental practitioners is essential for the safe and effective management of such patients. Methods: A descriptive cross-sectional study was conducted in 2023 at Shahid Sadoughi University of Medical Sciences in Yazd, Iran. A total of 65 final-year dental students were surveyed using a validated questionnaire consisting of demographic questions and 18 items assessing their level of awareness. Data were analyzed using SPSS version 23, employing both descriptive statistics and inferential tests, including the t-test and Pearson correlation. Results: A total of 65 students participated (response rate: 100%). The mean awareness score was 13.04 ± 3.42 out of 20, with 78.5% of students demonstrating acceptable knowledge levels. Female students scored higher than males, but the difference was not statistically significant (p = 0.057). Term 12 students scored significantly higher than Term 11 students (p < 0.001). A significant inverse correlation was found between age and awareness (r = –0.327, p = 0.008). Conclusions: Although the overall level of awareness was acceptable, certain demographic variables, such as age and academic term, were found to influence knowledge levels. These findings highlight the need for targeted training in cardiology-related dental care within the dental curriculum. | ||
| Keywords | ||
| Cardiovascular Diseases; Dental Students; Knowledge; Dental Care; Patient Management | ||
| References | ||
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1. Velsko IM, Chukkapalli SS, Rivera MF, et al. Active invasion of oral and aortic tissues by Porphyromonas gingivalis in mice causally links periodontitis and atherosclerosis. PloS one. 2014;9(5):e97811.
2. Xavier ACV, Silva IN, Costa FdO, et al. Periodontal status in children and adolescents with type 1 diabetes mellitus. Arq Bras Endocrinol Metabol. 2009;53(3):348-54.
3. Mucci LA, Hsieh C-c, Williams PL, et al. Do genetic factors explain the association between poor oral health and cardiovascular disease? A prospective study among Swedish twins. Am J Epidemiol. 2009;170(5):615-21.
4. Aarabi G, Zeller T, Seedorf H, et al. Genetic susceptibility contributing to periodontal and cardiovascular disease. J Dent Res. 2017;96(6):610-617.
5. Almeida APCPSC, Fagundes NCF, Maia LC, et al. Is there an association between periodontitis and atherosclerosis in adults? A systematic review. Curr Vasc Pharmacol. 2018;16(6):569-582.
6. Gupta M, Chaturvedi R, Jain A. Role of cardiovascular disease markers in periodontal infection: understanding the risk. Indian J Dent Res. 2015;26(3):231-6.
7. Sanz M, D'Aiuto F, Deanfield J, et al. European workshop in periodontal health and cardiovascular disease—scientific evidence on the association between periodontal and cardiovascular diseases: a review of the literature. E H J S. 2010;12:B3-B12.
8. Dye BA. Global periodontal disease epidemiology. Periodontol 2000. 2012;58(1):10-25.
9. Grippo AJ, Johnson AK. Stress, depression and cardiovascular dysregulation: a review of neurobiological mechanisms and the integration of research from preclinical disease models. Stress. 2009;12(1):1-21.
10. Lu H, Xu M, Wang F, et al. Chronic stress enhances progression of periodontitis via α1-adrenergic signaling: a potential target for periodontal disease therapy. Exp Mol Med. 2014;46(10):e118.
11. Pucar A, Milasin J, Lekovic V, et al. Correlation between atherosclerosis and periodontal putative pathogenic bacterial infections in coronary and internal mammary arteries. J Periodontol. 2007;78(4):677-82.
12. Roth GA, Moser B, Huang SJ, et al. Infection with a periodontal pathogen induces procoagulant effects in human aortic endothelial cells. J Thromb Haemost. 2006;4(10):2256-61.
13. Scannapieco FA, Bush RB, Paju S. Associations between periodontal disease and risk for atherosclerosis, cardiovascular disease, and stroke. A systematic review. Ann Periodontol. 2003;8(1):38-53.
14. Leira Y, Rodríguez‐Yáñez M, Arias S, et al. Periodontitis is associated with systemic inflammation and vascular endothelial dysfunction in patients with lacunar infarct. J Periodontol. 2019;90(5):465-474.
15. Leira Y, Iglesias-Rey R, Gómez-Lado N, et al. Periodontitis and vascular inflammatory biomarkers: an experimental in vivo study in rats. Odontology. 2020;108(2):202-212.
16. Haber J. Smoking is a major risk factor for periodontitis. Curr Opin Periodontol. 1994:12-8.
17. Bresolin AC, Pronsatti MM, Pasqualotto LN, et al. Lipid profiles and inflammatory markers after periodontal treatment in children with congenital heart disease and at risk for atherosclerosis. Vasc Health Risk Manag. 2013:703-9.
18. Brown ML, Yukata K, Farnsworth CW, et al. Delayed fracture healing and increased callus adiposity in a C57BL/6J murine model of obesity-associated type 2 diabetes mellitus. PloS One. 2014;9(6):e99656.
19. Ramírez JH, Parra B, Gutierrez S, et al. Biomarkers of cardiovascular disease are increased in untreated chronic periodontitis: a case control study. Aust Dent J. 2014;59(1):29-36.
20. Al-Mohaissen MA, Al-Mehisen R, Lee T, et al. Managing cardiac patients: dentists’ knowledge, perceptions, and practices. Int Dent J. 2022;72(3):296-307.
21. KHOZAIMEH F, Salehi MR, Tavangar A, et al. Analysis of awareness and performance of senior dental students of Isfahan universities regarding essential policies about cardiovascular diseases. J I D S. 2011;6(6):536-545.
22. Aliabadi E, Pad A. Knowledge of general dental practitioners in shiraz about dental considerations in cardiac patients. J I D S. 2020;16(3):264-271.
23. Roozbahani NA, Jabarifar SE, Mazaheri R, et al. Knowledge levels of general dental practitioners and senior dental students about antibiotic prophylactic measures in children with heart disease in Isfahan, Iran, in 2010. J I D S. 2012;8(2):136-142.
24. Vinayak M, Sharma A. Dental considerations in cardiovascular patients: A practical perspective. Indian Heart J. 2017;69(1):129.
25. Sanchez P, Everett B, Salamonson Y, et al. Oral health and cardiovascular care: Perceptions of people with cardiovascular disease. PLoS One. 2017; 12(7):e0181189.
26. Chaudhry S, Jaiswal R, Sachdeva S. Dental considerations in cardiovascular patients: A practical perspective. Indian Heart J. 2016;68(4):572-5.
27. Gopinathan PA, Alammari FS, Alsulaim SA, et al. Assessment of knowledge, attitude, and practices of cardiovascular medical emergencies among dental students: an institutional-based cross-sectional study. Cureus. 2023;15(11):e48568.
28. Dwivedi S, Sharma N, Sharma V. Dental considerations in cardiovascular patients: A practical perspective. Indian Heart J. 2017;69(3):423-424. | ||
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