Academic Journal
Knowledge, attitudes, and practices regarding periodontal assessment and co-management during orthodontic care among Moroccan dentists: a nationwide cross-sectional survey.
| Τίτλος: | Knowledge, attitudes, and practices regarding periodontal assessment and co-management during orthodontic care among Moroccan dentists: a nationwide cross-sectional survey. |
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| Συγγραφείς: | Hbibi A; Department of Periodontology, International Faculty of Dental Medicine, Research Center of Health Sciences (CReSS), College of Health Sciences, International University of Rabat, Sala-Al Jadida, Morocco. Abdelhadi.hbibi@uir.ac.ma., Halal S; Department of Orthodontics, International Faculty of Dental Medicine, Research Center of Health Sciences (CReSS), College of Health Sciences, International University of Rabat, Sala-Al Jadida, Morocco., Sikkou K; International Faculty of Dental Medicine, Research Center of Health Sciences (CReSS), College of Health Sciences, International University of Rabat, Sala-Al Jadida, Morocco., Atieh M; Oral Implantology Research Group, Sir John Walsh Research Institute, School of Dentistry, University of Otago, Dunedin, New Zealand.; Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Healthcare City, Dubai, United Arab Emirates.; School of Dentistry, The University of Jordan, Amman, Jordan., Ben Jelloun S; International Faculty of Dental Medicine, College of Health Sciences, International University of Rabat, Sala-Al Jadida, Morocco., Cherkaoui A; Department of Periodontology, Faculty of Dental Medicine of Rabat, Mohammed V University in Rabat, Rabat, Morocco., Ghoul S; International Faculty of Dental Medicine, Research Center of Health Sciences (CReSS), International University of Rabat (UIR), Sala-Al Jadida, Morocco., Hanine Y; Department of Periodontology, International Faculty of Dental Medicine, Research Center of Health Sciences (CReSS), College of Health Sciences, International University of Rabat, Sala-Al Jadida, Morocco., Kadri G; Department of Odontological Sciences, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, Morocco. |
| Πηγή: | BMC oral health [BMC Oral Health] 2026 Sep 09; Vol. 26 (1). Date of Electronic Publication: 2026 Sep 09. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088684 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6831 (Electronic) Linking ISSN: 14726831 NLM ISO Abbreviation: BMC Oral Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001- |
| Ιατρικοί όροι (MeSH): | Practice Patterns, Dentists'*/statistics & numerical data , Periodontal Diseases*/diagnosis , Periodontal Diseases*/therapy , Dentists*/psychology , Health Knowledge, Attitudes, Practice* , Orthodontics* , Attitude of Health Personnel*, Humans ; Morocco ; Cross-Sectional Studies ; Female ; Adult ; Male ; Surveys and Questionnaires ; Middle Aged |
| Περίληψη: | Background: Periodontal diseases are common chronic inflammatory conditions that may compromise the planning, safety, and outcomes of orthodontic treatment, particularly in adults and in patients with reduced periodontal support. In such patients, orthodontic care requires accurate periodontal diagnosis, confirmation of disease stability before treatment initiation, careful biomechanical adaptation, and close coordination with periodontal maintenance. However, the extent to which dentists providing orthodontic care integrate these principles into routine practice remains insufficiently documented, particularly in North African settings. This study assessed the knowledge, attitudes, and practices of Moroccan dentists providing orthodontic care regarding the diagnosis and management of patients with periodontal diseases. Methods: A nationwide cross-sectional online survey was conducted in Morocco between September 2025 and February 2026. Eligible participants were dentists practicing orthodontics exclusively or within general practice. The questionnaire included demographic variables, 8 knowledge items, and 9 attitude/practice items covering diagnosis, screening, treatment timing, interdisciplinary collaboration, and periodontal maintenance. Item-level descriptives used available-case denominators. Knowledge (0-7), attitude (0-2), practice (0-6), and total KAP (0-15) scores were calculated. Associations with periodontitis-case management were explored using logistic regression; correlates of KAP scores were examined using linear regression, with candidate variables selected from univariable analyses (p < 0.20). Results: Of 418 platform entries, 118 blank entries were excluded; 300 practitioners from 11 regions provided at least 1 valid response, including 190 complete questionnaires. Only 18.3% correctly defined periodontitis and 46.3% identified the radiographic criterion for bone loss, whereas 81.1% recognized apical displacement of the center of resistance and 70.4% identified intrusion as the movement associated with bone gain. Pre-orthodontic periodontal screening was reported by 63.0%, but systematic full-mouth 6-site probing by only 16.5%. Among periodontitis cases, 44.4% reported formal periodontal stability confirmation before treatment initiation and 35.9% waited 3 months after active periodontal therapy. Median knowledge, attitude, and total scores were 2 (interquartile range (IQR) 0-3)/7, 1 (IQR 0-1)/2, and 6 (IQR 1-7)/15; mean practice score was 2.36 ± 1.25/6. A total of 84.0% expressed a need for continuing education. Conclusions: Moroccan dentists showed suboptimal ortho-periodontal performance, with limited comprehensive periodontal assessment and variable interdisciplinary coordination. Training should prioritize periodontal diagnosis, full-mouth assessment, and structured co-management pathways. (© 2026. The Author(s).) |
| Competing Interests: | Declarations. Ethics approval and consent to participate: This study was approved by the Ethics Committee for Biomedical Research (CERB) of Mohammed V University in Rabat, Faculty of Medicine and Pharmacy of Rabat, Morocco (approval number CERB 170 − 24). The study was conducted in accordance with the Declaration of Helsinki and applicable ethical guidelines and regulations. Before accessing the questionnaire, participants received information about the study objectives, the voluntary nature of participation, anonymity, and confidentiality. Because the survey was anonymous and participation was voluntary, completion and submission of the questionnaire were considered to indicate implied informed consent. Data were collected using LimeSurvey in anonymous response mode, and no IP addresses or referrer links were stored. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. |
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| Contributed Indexing: | Keywords: Cross-sectional studies; Decision making; Dentists; Health knowledge, attitudes, practice; Periodontitis; Referral and consultation; Surveys and questionnaires |
| Entry Date(s): | Date Created: 20260923 Date Completed: 20260924 Latest Revision: 20260926 |
| Update Code: | 20260926 |
| PubMed Central ID: | PMC13602505 |
| DOI: | 10.1186/s12903-026-09653-0 |
| PMID: | 42778914 |
| Βάση Δεδομένων: | MEDLINE |
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