The Open Dentistry Journal

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Awareness of the Relationship between Systemic and Periodontal Diseases among Physicians and Dentists in Saudi Arabia and Kuwait: Cross-sectional Study

Ahmad Al Sharrad5, Khalid N. Said1, 2, 3, Fathima F. Farook1, 3, *, Sami Shafik4, Khallaf Al-Shammari5
1 College of Dentistry, King Saud Bin Abdul Aziz University for Health Sciences, Riyadh, Saudi Arabia
2 Depatment of Dental Services, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia
3 King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
4 Depatment of Preventive Dentistry/Periodontics, Riyadh Elm University, Riyadh, Saudi Arabia
5 Jahra Specialized Dental Center, Ministry of Health, Al Jahra, Kuwait



Previous studies have shown possible association between periodontal diseases and Diabetes Mellitus (DM), Cardiovascular Disease (CVD) and Adverse Pregnancy Outcomes (APO). Increasing the knowledge of physicians and dentists regarding the association between periodontal disease and systemic diseases should improve their ability to provide a high standard of treatment for the disease and prevent its consequences. In our study, we sought to identify knowledge gaps in the awareness of the relationship between systemic and periodontal diseases among dentists and physicians from the Kingdom of Saudi Arabia and the State of Kuwait.


A cross-sectional study was performed with a convenient sample of selected physicians and dentists in Saudi Arabia and Kuwait using a self-developed structured questionnaire. Physicians’ and dentists’ awareness were assessed regarding current evidence of the relationship between systemic diseases and conditions (DM, CVD, APO) and periodontal diseases.


A total of 134 (21.5%) of the identified physicians and 485 (78%) of the identified dentists participated in this study. More than half of the participants (52.1% physicians and 67.5% dentists) agreed that there is a relationship between periodontal diseases and DM, CVD and APO. Dentists had a statistically higher level of awareness compared with the physicians. The findings related to the awareness of the dentist sub groups highlighted that periodontists were significantly more likely to have a good level of knowledge.


Within the limitations of this study, we concluded that the awareness of physicians and dentists regarding the relationship between periodontal diseases and systemic diseases (DM, CVD, APO) is generally low, Therefore, improved collaboration between medical and dental health providers is recommended.

Keywords: Oral health, Periodontal disease, Systemic disease, Cardiovascular disease, Pregnancy outcomes, Diabetes mellitus.

Article Information

Identifiers and Pagination:

Year: 2019
Volume: 13
First Page: 288
Last Page: 295
Publisher Id: TODENTJ-13-288
DOI: 10.2174/1874210601913010288

Article History:

Received Date: 19/03/2019
Revision Received Date: 11/07/2019
Acceptance Date: 26/07/2019
Electronic publication date: 31/07/2019
Collection year: 2019

© 2019 Al Sharrad et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Preventive Dental Science, King Saud Bin Abdulaziz University for Health Sciences, 11426 Riyadh, SA 11426, E-mail:

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