A survey of the knowledge, attitude, and practice of using probiotics for oral health among dental students in Kerala
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20240888Keywords:
Probiotics, Oral health, Dental students, Knowledge, Attitude, PracticeAbstract
Background: Widespread prevalence of dental caries, particularly in developing countries, poses a major public health challenge. Traditional approaches using fillings and remineralizing agents have limitations. Probiotics offer a potentially self-administered, multifaceted alternative for both preventing and managing caries, with additional health benefits beyond oral health.
Methods: A cross-sectional study with a validated questionnaire was conducted among 308 final-year students and 292 interns from dental colleges in Kerala. Data were analyzed using descriptive and inferential statistics.
Results: Over 74% of interns and final-year students recognized probiotic benefits. Awareness about prebiotics was limited in both groups (59.7% and 62.3%, respectively). Notably, 65.6% of students and 72.6% of interns demonstrated knowledge about the probiotic potential of streptococcus strains. Almost 43% of students and 55% of interns reported current or past probiotic use and recommendations. A substantial majority in both groups (over 87%) expressed willingness to try recommended probiotic products. Notably, 47.4% of final-year students and 44.5% of interns had not used probiotics therapeutically, with gastrointestinal issues being the primary indication for those who did.
Conclusions: High awareness of probiotics with knowledge gaps in certain areas (e.g., prebiotics) was observed. The majority showed a willingness to utilize probiotics in their practice. Educational interventions focused on these areas could equip dental professionals to provide informed advice and recommendations about probiotics to their patients.
Metrics
References
Krishnan L, Poorni S, Nivedhitha MS, Srinivasan MR. Knowledge, attitude, and practice of probiotics for oral health among dental students: A cross-sectional study. J Indian Assoc Public Health Dent. 2022;20(3):230.
Labba IC, Andlid T, Lindgren Å, Sandberg AS, Sjöberg F. Isolation, identification, and selection of strains as candidate probiotics and starters for fermentation of Swedish legumes. Food Nutr Res. 2020;64.
Widyarman AS, Yunita ST, Prasetyadi T. Consumption of yogurt containing probiotic Bifidobacterium lactis reduces Streptococcus mutans in orthodontic patients. Scientific Dent J. 2018;2(1):19-25.
Lee ES, Song EJ, Nam YD, Lee SY. Probiotics in human health and disease: from nutribiotics to pharmabiotics. J Microbiol. 2018;56:773-82.
Cagetti MG, Mastroberardino S, Milia E, Cocco F, Lingström P, Campus G. The use of probiotic strains in caries prevention: a systematic review. Nutrients. 2013;5(7):2530-50.
Kumar VN, Krishnamurthy M. Probiotics in caries prevention. J Contemp Dent Pract. 2012;19(2):123-4.
Lemos JA, Palmer SR, Zeng L, Wen ZT, Kajfasz JK, Freires IA, et al. The biology of Streptococcus mutans. Microbiol Spectrum. 2019;7(1):108-28.
Chugh P, Dutt R, Sharma A, Bhagat N, Dhar MS. A critical appraisal of the effects of probiotics on oral health. J Func Foods. 2020;70:103985.
Sudhakara P, Gupta A, Bhardwaj A, Wilson A. Oral dysbiotic communities and their implications in systemic diseases. Dentistry J. 2018;6(2):10.
Haukioja A. Probiotics and oral health. Eur J Dentistry. 2010;4(03):348-55.
Allaker RP, Stephen AS. Use of probiotics and oral health. Curr Oral Health Rep. 2017;4:309-18.
Poorni S, Nivedhitha RP, Srinivasan MR. Knowledge, Attitude And Practices Onuse Of Probiotics For Oral Health Among Indian Population-A Cross Sectional Study. Int J Dentistry Oral Sci. 2021;8(03):1889-92.
Muchhal M, Patthi B, Rajeev A, Kumari M, Singh R, Pandey G. Assessment of knowledge, attitude, and awareness of dental students toward probiotics–A cross-sectional study. J Res Adv Dent. 2021;12(5):46-8.
Devi SK, Balaji GS, Smiline GAS. Awareness of Probiotics among Dental Students-A Survey. Int J Pharm Res. 2020;12(2):2547-57.
Philip C, Sreedhar G, Muhammed A, Majid SA. Knowledge and awareness of probiotics among the dental students in Thodupuzha-A questionnaire study. Indian J Appl Res. 2019;09(03):13.
Patait MR, Saraf KV, Wakchaure PM. Assessment of knowledge and awareness of probiotics among the dental post-graduate students-A questionnaire study. J Indian Acad Oral Med Radiol. 2022;34(1):68.
Babina K, Salikhova D, Polyakova M, Zaytsev A, Egiazaryan A, Novozhilova N. Knowledge and Attitude towards Probiotics among Dental Students and Teachers: A Cross-Sectional Survey. Dentistry J. 2023;11(5):119.
Bridgman SL, Azad MB, Field CJ, Letourneau N, Johnston DW, Kaplan BJ, et al. Maternal perspectives on the use of probiotics in infants: a cross-sectional survey. BMC Complement Alternat Med. 2014;14:1-9.
Gowdar IM, Aljuma A, Alenazi N, Alqahtani O, Altayyar T, Almiqren A. Knowledge and Attitude of Dental Practitioners about Probiotics in Alkharj, Kingdom of Saudi Arabia. J Pharm Bioall Sci. 2023;15(Suppl 1):S350-3.
Fijan S, Frauwallner A, Varga L, Langerholc T, Rogelj I, Lorber M, et al. Health professionals' knowledge of probiotics: an International survey. Int J Environ Res Public Health. 2019;16(17):3128.
Sahib KP, Kr PR, Pal SS, Apoorva S, Nidhi G. Awareness and knowledge of people towards probiotics products in Punjab region. Int J Appl Biol Pharm Technol. 2016;07(01):154.