Quality of Life in Patients with Chronic Oral Mucosal Conditions: A Qualitative Research

ABSTRACT Objective: To use qualitative research methods to evaluate the experiences of patients with chronic oral diseases. Material and Methods: Purposive sampling was used to recruit patients from the Oral Medicine Unit of Kerman University Dental School. An experienced independent facilitator convened the focus groups and conducted individual interviews in a non-clinical setting. Focus groups were mixed regarding their gender, age, chronic oral mucosal condition, time since diagnosis, and severity. A total of 39 patients participated in the study, including patients with oral lichen planus, pemphigus, recurrent aphthous stomatitis and leukoplakia. Results: Analysis of the interviews revealed that patient views could be divided into the following themes: biopsychosocial issues, treatment limitations and side effects, unpredictability of the conditions and the potential for malignant transformation. Chronic oral mucosal conditions affected patients' daily lives in various areas, from physical health and functioning to concerns about their future. Conclusion: The oral medicine practitioner's role in treating patients with chronic oral mucosal diseases extended beyond active management and symptomatic relief to the management of all aspects of these conditions that affected their daily lives.

Validation of an Ultrashort Persian Version of Oral Health Impact Profile (OHIP-5) Questionnaire

Abstract Objective: To validate the ultrashort (5-item) Persian version of OHIP by investigating its psychometric properties. Material and Methods: Construct validity was assessed by examining the correlation between OHIP-5 scores and self-reported oral health status, judgment for dental treatment needs and the number of natural teeth. Reliability was calculated using Cronbach's alpha and corrected item-total correlation. Effect size (ES) and Standardized Response Mean (SRM) were calculated for the responsiveness of the scale and factor analysis was done by measuring Kaiser-Meyer-Olkin (KMO), Bartlett's sphericity test and scree plot. Results: In 430 subjects (mean age 41.56+/-11.35 years, 56% female) the correlations between OHIP-5 scores and mentioned items were significant (p<0.01) indicating sufficient construct validity. The reliability coefficient (Cronbach's alpha) of the OHIP-5 was above the recommended 0.7 thresholds (0.809) and considered well. For evaluation of responsiveness, the ES was measured to be 5.604 and the SRM was 1.5. Moreover, in the confirmatory factor analysis, the unidimensional model for OHIP5 approved by indices (KMO=0.81, p<0.001 for Bartlett sphericity). Conclusion: The Persian version of OHIP-5 is a precise, valid, reliable and unidimensional instrument for assessing oral health-related quality of life among the general adult population.

Patients Attitudes Toward Chairside Medical Screening in a Dental Setting

Abstract Objective: To assess patient's attitudes toward chairside medical screening in a dental setting. Material and Methods: In this descriptive-analytic study, subjects referring to the dental school, dental offices, and clinics of Kerman were evaluated. Each subject filled a questionnaire containing demographic data, patient's attitude towards the performance of examination and the medical status of the subjects. The questionnaire consisted of seven main questions and the subjects were asked to rate them from very important (score 5) to not important at all (score 1). Wilcoxon and Mann-Whitney tests and t-test were used. Friedman's nonparametric analysis of variance was used to compare response items within each question. Results: Screening for medical conditions by dentists was important for most of the participants, and it was important for them to be monitored for their medical condition by the dentists. The majority of patients had the will to be screened for each medical condition by the dentists. Male subjects stated skillfulness and professionality (88.4%) as the most important characteristics of the dentist and compassion as the least important one (56.2%). Female subjects stated knowledge of the dentists (96.3%) as the most essential characteristic and compassion as the least important one (85.8%). The will to undertake screening tests was higher in elder subjects. Conclusion: Dental patients have a positive attitude for medical conditions screening. Screening for medical conditions in a dental setting is a new approach, which might be an important contributor to disease control in the general population.

Can Internet Anxiety Affect Electronic Journals Usage? A Cross- Sectional Study with Iranian Postgraduate Dental Students

Objective: To investigate internet anxiety among the dentistry students at Kerman University of Medical Sciences and its relationship with electronic journals use. Material and Methods: In this cross-sectional study, all 72 postgraduate dental assistants at Dentistry School of Kerman University of Medical Sciences were considered. Internet anxiety questionnaire included demographic questions and questions measuring online journals use and the barriers of using. The data then analyzed using independent t-test and linear regression, with significance level set at 5%. Results: The use of printed books was reported by 78.2% of the sample while the use of electronic books was 45.8%. The use of atlas was 28.9%, while the use of indexes and abstracts was 57.2. The participants used online journals mostly for research (30.8%) and education (27.7%). The most important advantages of online journals were fast access (25.1%) and easy use (19.9%). To get informed about online journals contents, they mostly used search engines and online databases (79%). The most important criterion was indexing in Web of Science (20.8%). A significant relationship between Internet anxiety and academic year was detected (p<0.05) also increase in internet use significantly increased Internet anxiety (p=0.001). We suggested increasing the knowledge and skill of dental students with online resources toward decreasing the level of their Internet anxiety. Conclusion: A reverse relationship was observed between the academic year and internet anxiety, in other words, senior students were more anxious than the junior ones. This study did not ask about computer literacy, other studies have reported a negative relationship between computer literacy, Internet literacy and internet anxiety, so it is suggested to increase the knowledge and skill of students with computer, internet and online resources.

Pattern of Logical Drug Prescription Among Iranian General Dental Practitioners

Objective: To determine the prescribing patterns of the general dental practitioners in Kerman province in Iran. Material and Methods: In this cross sectional study 1200 prescriptions, which were prescribed by general dentists in Kerman province during one-year period, were evaluated. Each prescription was assessed for the number of drugs per prescription, drug (category, name, route of administration, frequency) and duration of treatment. Descriptive statistics were used to calculate the absolute and relative frequencies, mean and standard deviation. The Chi-square test, analysis of variance (ANOVA) and t-test were used. The statistical tests were performed at the significance level of 0.05. Results: The mean number of drugs per prescription was 2.59. Antibiotics, Analgesics, corticosteroids and antiseptics were the most common drug category prescribed drugs by general dentists. Oral route was the commonest route of drug prescription (84.1%). Amoxicillin capsule (60.5%) was the commonest drug prescribed by general practitioners followed by ibuprofen derivatives (55.4%). Spelling errors was found in 62.7% of prescriptions. The mean score of prescriptions for logical prescription pattern was 7.36 ± 1.32 out of 9. Conclusion: Dental prescribing patterns should be considered as a potential area for improvement in the treatment process and patient safety. It is suggested to emphasis more on principles of prescription at university and retraining courses for dentists.

Probability of Publication Bias in Published Articles Resulting from Dental Dissertations of Medical Sciences Universities in Iran

Abstract Objective: To evaluate the association of publication bias with obtaining positive or negative results in the Doctoral thesis of Iranian dental schools. Material and Methods: In this cross-sectional study firstly we collected all the abstracts of Doctoral and post-doctoral thesis belonging to electronic archives of five Iranian dental schools there after the analytic abstracts were included and in the second phase, we try to search resulting articles with searching in Google Scholar. Data were analyzed using descriptive statistics and a Chi-squared test, Pearson's correlation coefficient, Fisher's exact test, and Logistic Regression Results: Out of 483 reviewed thesis abstracts 269 cases were included (55.7%) 153 of which were accessible as papers (56.9%). In 67.7% of the reviewed thesis, positive results were obtained. There were significant relationships between publishing and publishing in international journals with two variables: Study type and field (p<0.05). In vitro studies, clinical trials and studies in the field of oral diseases and periodontics had a higher rate of publication in the form of articles. Retrospective studies and those in the fields of endodontics and oral pathology had a higher rate of publication in journals with international indexes. Using regression logistic model showed that the probability of publishing positive data was greater (18-31%) than negative data. It was shown that the specialty field affected the relationship between the chance of publication of the article and the positive/negative results (p=0.008), increasing the chance of publication to 31% Conclusion: There was publication bias in reviewed dental articles.