International Healthcare Research Journal 2020;4(1):10-14.
INTRODUCTION
Reactive Oxygen Species (ROS) are unstable in nature
as they contain oxygen and that easily reacts with other
molecules of a human cell. A build-up of ROS in cells
can cause extensive damage to DNA, RNA, and
proteins, which may lead to cell death.
1,2
Sources of free
radicals include pollutants, metal ions, high intakes of
polyunsaturated fatty acids, drugs, smoking and
radiation. These may lead to cell damage resulting in
inducement of cancer, neurological diseases, diabetes,
vascular diseases, autoimmune diseases, lung cancer,
aging and eye diseases.
3
The presence of an increased number of free radicals
leads to “oxidative stress” which affects the oral mucosa
in the form of gingivitis and periodontitis. The other
factors which can lead to oxidative stress in an
individual are dental procedures, bleaching agents,
dental cements, exposure to nicotine, alcohol
consumption, composite fillings and metals used in
dentistry.
4
Various studies
5-7
prove the thoery that antioxidants
play major role in the prevention of oral cancer as well
as premalignant lesions (Leukoplakia, OSMF, Lichen
Planus, etc) and can help delay the onset of cancer. A
study showing the effect of Lycopene, a commonly used
antioxidant in oral cancer has proved that high doses of
Lycopene (8mg/day) are useful in improvement of oral
health.
8-9
Despite aiding in the prevention of dental diseases,
antioxidants are seldom prescribed in dental practice.
Therefore, the aim of this study was to assess the
perception of dental practitioners of Northern and
Central India regarding the role of antioxidants in oral
health.
MATERIALS AND METHOD
The present collected data using an online forms
created using google forms and was distributed to
various dental practitioners in Northern and Central
India using both random and chain-link referral
(snowball) sampling from July 2019- November 2019.
Firstly, dentists were selected at random and then they
were asked to further suggest the names of their
colleagues who would like to participate in the study.
Dental Practitioners and their Perceptions Regarding the
Use of Antioxidants in the Promotion of Oral Health
ORIGINAL RESEARCH
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ISSN: 2456-8090 (online)
DOI: https://doi.org/10.26440/IHRJ/0401.04337
NADIA KHAN
1
, ANAM KHAN*
2
, BURSHIDA KHALID
2
, GAURI SHARMA
2
INTRODUCTION: The role of free radicals is well established as a crucial component of the immune system.
AIM: To assess the perception of dental practitioners of Northern and Central India regarding the role of antioxidants in oral health.
MATERIALS AND METHOD: A pre-tested and pre-validated online questionnaire was distributed among various dental
practitioners in Northern and Central India which consisted of dichotomous responses. Descriptive statistics were used to
summarize the data, followed by the Chi square test to check significant differences between the responses. Correlation between
responses were analysed through the Spearman’s rank correlation. Statistical analysis was done using S tatistical Package for Social
Sciences version 20 (SPSS 20).
RESULTS: A statistically significant difference was observed among the genders, with females 126 (43.7%) having lesser knowledge
than males 162(56.3%) regarding the use of antioxidants in their clinical practice. High knowledge scores were observed in 288
(69.2%) dental professionals. Postgraduates were found to have (p=0.05) a higher level of knowledge as compared to graduates.
CONCLUSION: The use of antioxidants in dentistry should be increased through the conduction of various CDE programmes.
workshops and evidence-based practice guidelines.
KEYWORDS: Antioxidants, Free Radicals, Oral Health, Oral Cancer
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© Nadia Khan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY-NC 4.0, which permits
unrestricted use, distribution and reproduction in any medium, provided the use is not commercial and the original author(s) and source are cited.
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