{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T20:48:12Z","timestamp":1793047692761,"version":"4.5.0"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["JISPCD"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>bstract<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The bidirectional relationship between type 1 diabetes mellitus (T1DM) and inflammatory periodontal disease (PD) is globally recognized. However, oral health components are often given lower priority, and studies related to knowledge and the bidirectional association are limited. This study assesses the knowledge and perceptions of PD and its associated risk factors among T1DM patients and\/or their parents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Patients under 18 with T1DM at Universiti Teknologi MARA and Universiti Malaya were invited to participate. Structured interviews were conducted to assess participants\u2019 knowledge and perceptions of T1DM, and statistical analysis was performed to examine their associations using Pearson\u2019s chi-squared test and Fisher\u2019s exact test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 113 T1DM patients, with a mean age of 11.4\u2009\u00b1\u20094, completed the interviews. Poor knowledge was observed among parents and T1DM patients (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      -value = 0.007) and those who exercised regularly (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      -value = 0.047). A significant association with good perception was found among individuals with uncontrolled HbA1c levels (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      -value = 0.0018) and those experiencing bleeding symptoms (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      -value = 0.021).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The study highlights the importance of increasing awareness, a key factor in improving oral health knowledge. Interestingly, despite poor control of clinical parameters, the population displayed good perception, suggesting a potential lack of understanding regarding disease control.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jispcd.jispcd_123_23","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T07:00:31Z","timestamp":1698735631000},"page":"416-425","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Knowledge and perception of bidirectional relationship between periodontal disease and type 1 diabetes mellitus: A questionnaire study"],"prefix":"10.4103","volume":"13","author":[{"given":"Zaridah Zainal","family":"Abidin","sequence":"first","affiliation":[{"name":"Centre of Studies for Paediatric Dentistry & Orthodontics, Faculty of Dentistry, Universiti Teknologi MARA (UiTM), Sungai Buloh, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohaida Abdul","family":"Halim","sequence":"additional","affiliation":[{"name":"Centre of Studies for Paediatric Dentistry & Orthodontics, Faculty of Dentistry, Universiti Teknologi MARA (UiTM), Sungai Buloh, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erni","family":"Noor","sequence":"additional","affiliation":[{"name":"Centre of Studies for Periodontology, Faculty of Dentistry, Universiti Teknologi MARA (UiTM), Sungai Buloh, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noor Shafina Mohd","family":"Nor","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Sungai Buloh, Selangor, Malaysia"},{"name":"Institute for Pathology, Laboratory and Forensic Medicine (I-PPerForM), Faculty of Medicine, Universiti Teknologi MARA (UiTM), Sungai Buloh, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nor Shafina Mohamed","family":"Nazari","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry, Faculty of Dentistry, Universiti Malaya, Sungai Buloh, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azriyanti Anuar","family":"Zaini","sequence":"additional","affiliation":[{"name":"Department of Paediatric, Faculty of Medicine, Universiti Malaya, Sungai Buloh, Selangor, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurul Zeety","family":"Azizi","sequence":"additional","affiliation":[{"name":"Department of Paediatric Dentistry & Orthodontics, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahrul Aiman","family":"Soelar","sequence":"additional","affiliation":[{"name":"Clinical Research Centre, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10,30]]},"reference":[{"key":"CIT0001-20240828","doi-asserted-by":"crossref","first-page":"1999","DOI":"10.1016\/S0140-6736(09)60874-6","article-title":"The accelerating epidemic of childhood diabetes","volume":"373","author":"Dabelea","year":"2009","journal-title":"Lancet (London, England)"},{"key":"CIT0002-20240828","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/S0140-6736(13)60591-7","article-title":"Type 1 diabetes","volume":"383","author":"Atkinson","year":"2014","journal-title":"Lancet"},{"key":"CIT0003-20240828","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.atherosclerosis.2012.01.026","article-title":"Periodontitis and diabetes associations with measures of atherosclerosis and CHD","volume":"222","author":"Southerland","year":"2012","journal-title":"Atherosclerosis"},{"key":"CIT0004-20240828","doi-asserted-by":"crossref","first-page":"329","DOI":"10.2337\/diacare.16.1.329","article-title":"Periodontal disease. 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