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Awareness of Periodontitis among Undergraduate Students at a Faculty of Medicine in Bosnia and Herzegovina: A Cross-Sectional Study Cover

Awareness of Periodontitis among Undergraduate Students at a Faculty of Medicine in Bosnia and Herzegovina: A Cross-Sectional Study

Open Access
|Jun 2026

Figures & Tables

Figure 1.

Number of students by study yearLegend: M-Medicine students; N-Nursing students; SER- Special education and rehabilitation students

Preferred sources of information about periodontitis among undergraduate students

Source of informationM (n=214)N (n=53)SER (n=66)TOTAL (n=333)P
Lectures67 (31.3%)20 (37.7%)14 (21.2%)101 (30.3%)0.131
Information pack52 (24.3%)a,b19 (35.8%)a9 (13.6%)b80 (24.0%)0.019
Video67 (31.3%)20 (37.7%)29 (43.9%)116 (34.8%)0.151
Web site74 (34.6%)19 (35.8%)16 (24.2%)109 (32.7%)0.256

Knowledge of the most common periodontitis signs and symptoms among undergraduate students

Sign/SymptomM (n=214)N (n=53)SER (n=66)TOTAL (n=333)P
Bad Breath41 (19.2%)12 (22.6%)5 (7.6%)58 (17.4%)0.052
Oral Candidiasis10 (4.7%)a,b7 (13.2%)a0 (0.0%)b17 (5.1%)0.004
Gum Recession86 (40.2%)a19 (35.8%)a,b15 (22.7%)b120 (36.0%)0.036
Tooth Fracture13 (6.1%)4 (7.5%)1 (1.5%)18 (5.4%)0.270
Tooth Decay23 (10.7%)5 (9.4%)3 (4.5%)31 (9.3%)0.317
Bleeding Gums84 (39.3%)a23 (43.4%)a14 (21.2%)b121 (36.3%)0.015
Tooth Loss50 (23.4%)11 (20.8%)8 (12.1%)69 (20.7%)0.144
Loose Tooth55 (25.7%)a23 (43.4%)b6 (9.1%)c84 (25.2%)<0.001

Knowledge of the association between systemic diseases and periodontitis among undergraduate students

Condition/DiseaseM (n=214)N (n=53)SER (n=66)TOTAL (n=333)P
Alzheimer’s Disease9 (4.2%)2 (3.8%)0 (0.0%)11 (3.3%)0.242
Rheumatoid Arthritis17 (7.9%)a,b10 (18.9%)a3 (4.5%)b30 (9.0%)0.017
Systemic Lupus Erythematosus17 (7.9%)a10 (18.9%)a5 (7.6%)a32 (9.6%)0.044
Sarcoidosis10 (4.7%)5 (9.4%)3 (4.5%)18 (5.4%)0.367
Adverse Pregnancy Outcome8 (3.7%)2 (3.8%)2 (3.0%)12 (3.6%)0.962
Osteoarthritis20 (9.3%)6 (11.3%)1 (1.5%)27 (8.1%)0.081
Ectodermal Dysplasia11 (5.1%)3 (5.7%)0 (0.0%)14 (4.2%)0.162
Chronic Kidney Disease10 (4.7%)a8 (15.1%)b3 (4.5%)a,b21 (6.3%)0.016
Diabetes Mellitus73 (34.1%)21 (39.6%)14 (21.2%)108 (32.4%)0.070
Cardiovascular Disease34 (15.9%)a6 (11.3%)a,b2 (3.0%)b42 (12.6%)0.022
Hospital-Acquired Pneumonia6 (2.8%)1 (1.9%)1 (1.5%)8 (2.4%)0.807

Distribution of undergraduate students by age and gender

VariableM (n=214)N (n=53)SER (n=66)TOTAL (n=333)P
Age (mean ±SD)21.70±1.9021.87±1.4221.64±1.5921.71±1.770.765
Gender n (%)
Male60 (28.0%)7 (13.2%)4 (6.1%)71 (21.3%)0.064
Female154 (72.0%)46 (86.8%)62 (93.9%)262 (78.7%)

Knowledge of the term periodontitis among undergraduate students

QuestionResponseM (n=214)N (n=53)SER (n=66)TOTAL (n=333)P
Have you heard of the term Periodontitis?Yes126 (58.9%)36 (67.9%)31 (47.0%)193 (58.0%)0.064
No88 (41.1%)17 (32.1%)35 (53.0%)140 (42.0%)

Knowledge of the most common periodontitis risk factors among undergraduate students

Risk factorsM (n=214)N (n=53)SER (n=66)TOTAL (n=333)P
Oral Candidiasis29 (13.6%)8 (15.1%)5 (7.6%)42 (12.6%)0.370
Socioeconomic Status19 (8.9%)8 (15.1%)4 (6.1%)31 (9.3%)0.226
Ehlers Danlos Syndrome14 (6.5%)3 (5.7%)2 (3.0%)19 (5.7%)0.561
Papillon LeFevre Syndrome9 (4.2%)a,b5 (9.4%)a0 (0.0%)b14 (4.2%)0.039
Smoking74 (34.6%)a,b24 (45.3%)a15 (22.7%)b113 (33.9%)0.034
Sedentary Lifestyle1 (0.5%)a6 (11.3%)b0 (0.0%)a7 (2.1%)<0.001
Pregnancy21 (9.8%)a12 (22.6%)b4 (6.1%)a37 (11.1%)0.010
Tooth Decay61 (28.5%)a17 (32.1%)a8 (12.1%)b86 (25.8%)0.015

Self-evaluation of knowledge about periodontitis among undergraduate students

Knowledge RatingM (n=214)N (n=53)SER (n=66)TOTAL (n=333)P
Poor89 (41.6%)a12 (22.6%)b35 (53.0%)a136 (40.8%)0.002
Fair65 (30.4%)a17 (32.1%)a18 (27.3%)a100 (30.0%)
Neutral51 (23.8%)a15 (28.3%)a11 (16.7%)a77 (23.1%)
Good8 (3.7%)a6 (11.3%)a2 (3.0%)a16 (4.8%)
Excellent1 (0.5%)a3 (5.7%)b0 (0.0%)a4 (1.2%)
DOI: https://doi.org/10.2478/eabr-2026-0008 | Journal eISSN: 2956-2090 | Journal ISSN: 2956-0454
Language: English
Page range: 59 - 66
Submitted on: Nov 27, 2025
Accepted on: Feb 12, 2026
Published on: Jun 1, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Ana Cicmil, Smiljka Cicmil, Olivera Govedarica, Jelena Lecic, Tanja Ivanovic, Marija Lucic, Ilija Joknic, Jelena Krunic, published by University of Kragujevac, Faculty of Medical Sciences
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.