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Multicenter Study
. 2024 Dec 19;24(1):1513.
doi: 10.1186/s12903-024-05342-y.

Knowledge, attitudes, and practices toward the treatment of endodontic-periodontal lesions among oral health care providers: a multi-center cross-sectional study

Fei Sun  1 , Mina Hu  2 , Qiuyan Zhu  1 , Jiaqin Wang  1 , Peng Wang  1 , Ying Zhou  1
Affiliations
Multicenter Study

Knowledge, attitudes, and practices toward the treatment of endodontic-periodontal lesions among oral health care providers: a multi-center cross-sectional study

Fei Sun et al. BMC Oral Health. .

Abstract

Background: This study aimed to evaluate the knowledge, attitudes, and practices (KAP) of oral healthcare providers concerning the treatment of endodontic-periodontal lesions (EPLs) and investigate the relationships among the KAP dimensions using correlation analysis and structural equation modeling (SEM).

Methods: This cross-sectional study enrolled dental healthcare professionals between February 2024 and June 2024, with questionnaire data collected in Hangzhou and Shaoxing, China. Data were collected using a self-administered questionnaire that gathered demographic information and KAP scores.

Results: A total of 281 valid questionnaires were analyzed. Among the participants, 185 (70.08%) were doctors, and 58 (59.85%) had attended relevant academic conferences or training sessions. The mean scores for knowledge, attitude, and practice were 10.06 ± 3.31 (possible range: 0-18), 25.58 ± 2.29 (possible range: 7-35), and 15.70 ± 3.23 (possible range: 5-25), respectively. The SEM revealed that education (β = 0.013, P = 0.013), professional title (β = 0.64, P < 0.001), participation in related research projects (β = -1.84, P < 0.001), and number of patients treated (β = 1.41, P < 0.001) directly influenced knowledge. Knowledge (β = 0.24, P < 0.001) and research participation (β = -0.79, P = 0.026) directly affected attitude. Both knowledge (β = 0.26, P < 0.001) and attitude (β = 0.19, P = 0.023) directly impacted practice. Additionally, education (β = 0.23, P = 0.021), professional title (β = 0.15, P = 0.001), research participation (β = -0.44, P = 0.001), and number of patients treated (β = 0.34, P < 0.001) indirectly influenced attitude, while indirect effects on practice were noted for knowledge (β = 0.04, P = 0.034), education (β = 0.30, P = 0.023), professional title (β = 0.20, P = 0.001), research participation (β = -0.73, P < 0.001), and number of patients treated (β = 0.44, P < 0.001).

Conclusions: Oral healthcare providers demonstrated limited knowledge, generally positive attitudes, and relatively inactive practices in the treatment of EPLs. To enhance clinical outcomes, targeted educational initiatives and hands-on training should be prioritized to address knowledge gaps and facilitate the translation of positive attitudes into more active and effective clinical practices.

Keywords: Endodontic-periodontal lesions; cross-sectional study; knowledge, attitude and practice; oral healthcare provider.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: All procedures were performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. This study was approved by the Medical Ethics Committee of Shaoxing Stomatological Hospital (Ethics Approval Number: ShaoKouLunShen 2024 1.1), and written informed consent was obtained from all participants. The study was carried out in accordance with the applicable guidelines and regulations. Consent for publication: Not Applicable. Competing interests: The authors declare no competing interests.

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