Knowledge and attitude of Thai dentists towards obstructive sleep apnea
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Abstract
Obstructive Sleep Apnea (OSA) is a sleep-related breathing disorder that, without proper diagnosis and treatment, could lead to several adverse health conditions. Dentists also have a role in the initial screening of OSA patients. The objectives of this study were to survey the level of knowledge and attitude toward OSA among Thai dentists. A cross-sectional analytical study of 494 Thai dentists during July and September 2022 was conducted using online questionnaires. The questionnaire consisted of 3 parts: general information, knowledge, and attitude. Data analysis was performed using the Mann-Whitney U test and the Kruskal-Wallis test. The results showed that 56.9% of participants had low-level knowledge concerning the definition, pathophysiology, diagnosis, and treatment of OSA. However, 76% of participants showed a positive attitude toward the importance of OSA, and 51.8% of participants agreed that Thai dentists should be able to screen patients, especially those with a history and clinical sign of possible OSA. In conclusion, although Thai dentists had a low level of knowledge, they had good attitudes towards the OSA condition. Therefore, this study suggested the dental curriculum, both undergraduate and post-graduate degree, should incorporate the knowledge on OSA. This knowledge would encourage dentist’s competency toward the multidisciplinary management of OSA patients.
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References
Berry RB, Budhiraja R, Gottlieb DJ, Gozal D, Iber C, Kapur VK, et al. American academy of sleep medicine. Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med 2012; 8(5): 597-619. doi:10.5664/jcsm.2172
Morsy NE, Farrag NS, Zaki NFW, Badawy AY, Abdelhafez SA, El-Gilany A-H, et al. Obstructive sleep apnea: personal, societal, public health, and legal implications. Rev Environ Health 2019; 34(2): 153-69. doi:10. 1515/reveh-2018-0068
Babiloni AH, Beetz G, Fabbro CD, Martel MO, Huynh N, Masse JF, et al. Dental sleep medicine: time to incorporate sleep apnea education in the dental curriculum. Eur J Dent Educ 2020; 24(3): 605-10. doi:10.1111/eje.12533
Kale SS, Kakodkar P, Shetiya SH. Assessment of oral findings of dental patients who screen high and no risk for obstructive sleep apnea (OSA) reporting to a dental college - a cross sectional study. Sleep science 2018; 11(2): 112-7. doi:10.5935/1984-0063.20180021
Tawaranurak K, Leelasawatsuk P, Chaiyarukjirakun V. Prevalence, Risk Factors and Clinical Manifestation of Patients Suspected as having Obstructive Sleep Apnea in Songklanagarind Hospital Sleep Center. J Health Sci Med Res 2019; 37. doi:10.31584/jhsmr.201965.
Ashraf A, Menon I, Gupta R, Arora V, Ahsan I, Das D. Oral findings as predictors of obstructive sleep apnea- A case-control study. J Family Med Prim Care 2022; 11(9): 5263-67. doi:10.4103/jfmpc.jfmpc_582_21.
Levine M, Bennett K, Cantwell M, Postol K, Schwartz D. Dental sleep medicine standards for screening, treating, and managing adults with sleep-related breathing disorders. J Dent Sleep Med 2018; 5(3). 61-8. doi:10.15331/jdsm.7030
Ramar K, Dort LC, Katz SG, Lettieri CJ, Harrod CG, Thomas SM, et al. Clinical practice guideline for the treatment of obstructive sleep apnea and snoring with oral appliance therapy: an update for 2015. J Clin Sleep Med 2015; 11(7): 773-827. doi:10.5664/jcsm.4858
The dental council of Thailand. Competency standards. [online] 10 January 2019 [cited 2023 Apr 4]; Available from: URL:https://dentalcouncil.or.th/images/uploads/file/XEK5VKDF77QLPVXS.pdf
Saelim K, Uthairat M, Ruangnapa K, Prasertsan P, Anuntaseree W. Practice, self-confidence and understanding of pediatric obstructive sleep apnea survey among pediatricians. Turk J Pediatr 2021; 63(1): 68-76. doi:10.24953/turkjped.2021.01.008
Torcharus K, Panichkul S. Sample size. In Torcharus K, Panichkul S, (eds). Clinical epidemiology. Bangkok: Phramongkutklao College of Medicine; 2011. p. 51-2. (in Thai)
Schotland HM, Jeffe DB. Development of the obstructive sleep apnea knowledge and attitudes (OSAKA) questionnaire. Sleep Med 2003; 4(5): 443-50. doi:10.1016/s1389-9457(03)00073-x
Swapna LA, Alotaibi NF, Falatah SA, Joaithen MSA, Koppolu P. Knowledge of obstructive sleep apnea among dental fraternity in Riyadh. Open Access Maced J Med Sci 2019; 7(15): 2508-12. doi:10.3889/oamjms.2019. 654
Alzahrani MM, Alghamdi AA, Alghamdi SA, Alotaibi RK. Knowledge and attitude of dentists towards obstructive sleep apnea. Int Dent J 2022; 72(3): 315-21. doi:10.1016/ j.identj.2021.05.004
Rovinelli RJ, Hambleton RK. On the use of content specialists in the assessment of criterion-referenced test item validity. Dutch Int J Educ Res 1997; 2: 49-60.
Bloom BS, Hastings JT, Madaus, G. Evaluation techniques for knowledge and comprehension ojectives. In McGraw H, (eds). Handbook on formation and summative evaluation of student learning. New York: McGraw-Hill Book Company; 1971. p. 141-56.
Anderson LW. Likert scales. in Keeves JP, (eds). Education research methodology and measurement: an international handbook. Oxford: Pergamon; 1988, 427-8.
Khatony A, Fallahi M, Rezaei M, Mahdavikian S. Comparison of attitude of nurses and nursing students toward euthanasia. Nurs Ethics. 2022; 29(1): 208-16. doi:10.1177/ 0969733021999751
The dental council of thailand. The number of dentists in Thailand. Circular letter no. 0102/47 on 20 Jan 2023. (in Thai)
Sleep Society of Thailand. History of Sleep Society of Thailand. [online] [cited 2022 Jan 10]; Available from: URL:https://sst.or.th/ sleep/คลิปวีดีทัศน์หลัก-10-ประก/ (in Thai)
Kale SS, Kakodkar P, Shetiya SH. Obstructive sleep apnea domains: knowledge, attitude and practice results of dentists from a dental college in India. Sleep Sci 2020; 13(1): 3-9. doi:10.5935/1984-0063.20190121
The American Academy of Sleep Medicine (AASM). About American Academy of Sleep Medicine. [online] [cited 2022 Oct 30]; Available from: URL: https://aasm.org/about/
The American Academy of Dental Sleep Medicine (AADSM). About AADSM. [online] 2022 [cited 2022 Oct 30]; Available from: URL:https://www.aadsm.org/about.php
Jokubauskas L, Pileičikienė G, Žekonis G, Baltrušaitytė A. Lithuanian dentists’ knowledge, attitudes, and clinical practices regarding obstructive sleep apnea: a nationwide cross-sectional study. CRANIO® 2019; 37(4): 238-45. doi:10.1080/08869634. 2018.1437006
Nguyen VT. Knowledge, attitude, and clinical practice of dentists toward obstructive sleep apnea: A literature review. Cranio 2023; 41(3): 238-44. doi:10.1080/ 08869634.2020.1816408
The Royal College of Dental Surgeons of Thailand. Residency Training Program. [online] [cited 2023 Apr 4]; Available from: URL:https://www.royalthaident.org/course
Chiang HK, Long A, Carrico CK, Robinson R. The prevalence of general dentists who screen for obstructive sleep apnea. J Dent Sleep Med 2018; 5(3): 55-60. doi:10.15331/jdsm.7028
Neruntarat C, Mahakit P, Banhiran W, Charakorn N, Laohasiriwong S, Keskool P, et al. Flowchart guideline. In Mahakit P, Banhiran W, (eds). Guideline for development of diagnosis and treatment of snoring and obstructive sleep apnea in Thailand for adults 2017. 2nd ed. Bangkok: Sleep Apnea Association; 2018. p. 10-28. (in Thai)