Student Evaluation of Tangible and Intangible Components of Oral Medicine Education: A Cross-Sectional Survey

Authors

  • Ahmad Fliah Hassan Oral Medicine Department, College of Dentistry, Mustansiriyah University, Baghdad-Iraq.
  • Noor Hashem Mohammad Department of Orofacial Surgery and Oral Diagnosis, College of Dentistry, Ibn Sina University of Medical and Pharmaceutical Sciences, Baghdad, Iraq.
  • Zena Kamel Kadhem Oral Medicine Department, College of Dentistry, Mustansiriyah University, Baghdad, Iraq.
  • Faaiz Yaqub Alhamdani Department of Orofacial Surgery and Oral Diagnosis, College of Dentistry, Ibn Sina University of Medical and Pharmaceutical Sciences, Baghdad, Iraq.

DOI:

https://doi.org/10.22317/jcms.v12i3.2186

Keywords:

Oral Medicine, Education, Dental, Curriculum, Students, Dental

Abstract

Objective: To evaluate the oral medicine knowledge, readiness, and attitudes of final-year undergraduate dental students at the Faculty of Dental Sciences.

Methods: A questionnaire-based cross-sectional study was conducted using Google Forms and included 261 fifth-year dental students. The questionnaire items were based on a Likert scale. The student-based assessment of their level of knowledge regarding different oral medicine topics was validated for internal consistency. For further assessment, oral medicine topics were categorized as tangible and intangible.

Results: Almost 78% of respondents considered oral medicine essential to the undergraduate dental curriculum. Nearly half of the participants (47.9%) concluded that oral medicine knowledge is extremely important to their professional expertise. Low to moderate ratings regarding the importance of oral medicine were reported by less than 22% of the respondents. A significant relationship was found between the perceived importance of oral medicine in undergraduate education and its clinical usefulness (P < 0.001). The vast majority of students (229; 87.7%) believed that oral medicine is primarily related to oral pathology, whereas only 32 (12.3%) believed that it is related to other clinical specialties. Students considered ulcerative vesiculobullous lesions to be the most difficult topic, followed by the oral manifestations of systemic disease. Their self-assessment of learning in ulcerative vesiculobullous lesions and orofacial pain reflected poor knowledge of these topics.

Conclusions: From an educational perspective, although ulcerative vesiculobullous lesions and oral manifestations of systemic disease are practically tangible topics, students evaluated them as complex issues comparable to intangible disorders such as orofacial pain. These topics require greater emphasis during undergraduate clinical training through a multifaceted educational approach. In addition, integration of the educational and clinical aspects of the dental curriculum appears to be a crucial factor in enhancing students' knowledge.

References

Sollecito TP, Rogers H, Prescott-Clements L, Felix DH, Kerr AR, Wray D, Shirlaw P, Brennan MT, Greenberg MS, Stoopler ET. Oral medicine: defining an emerging specialty in the United States. J Dent Educ. 2013 Apr;77(4):392-4. PMID: 23576584.

Stoopler ET, Shirlaw P, Arvind M, Lo Russo L, Bez C, De Rossi S, Garfunkel AA, Gibson J, Liu H, Liu Q, Thongprasom K, Wang Q, Greenberg MS, Brennan MT. An international survey of oral medicine practice: proceedings from the 5th World Workshop in Oral Medicine. Oral Dis. 2011 Apr;17 Suppl 1:99-104. Doi: 10.1111/j.1601-0825.2011.01795.x. PMID: 21382143.

Mendez M, Haas AN, Rados PV, Sant’ana M Filho, Carrard VC. Agreement between clinical and histopathologic diagnoses and completeness of oral biopsy forms. Braz Oral Res. 2016 Aug 22;30(1):e94. Doi: 10.1590/1807-3107BOR-2016.vol30.0094. PMID: 27556681.

Patel KJ, De Silva HL, Tong DC, Love RM. Concordance between clinical and histopathologic diagnoses of oral mucosal lesions. J Oral Maxillofac Surg. 2011 Jan;69(1):125-33. Doi: 10.1016/j.joms.2010.07.075. Epub 2010 Oct 25. PMID: 20971541.

Suarez P, Clark G. Oral conditions of 1,049 patients referred to a university-based oral medicine and orofacial pain center. Spec Care Dentist. 2007 Sep-Oct;27(5):191-5. Doi: 10.1111/j.1754-4505.2007.tb00345.x. PMID: 17990478.

Sato M, Camino J, Oyakawa HR, Rodriguez L, Tong L, Ahn C, Bird WF, Komabayashi T. Effect of dental education on Peruvian dental students’ oral health-related attitudes and behavior. J Dent Educ. 2013 Sep;77(9):1179-84. PMID: 24002856; PMCID: PMC4090930.

Jafer M, Crutzen R, Moafa I, van den Borne B. What Do Dentists and Dental Students Think of Oral Cancer and Its Control and Prevention Strategies? A Qualitative Study in Jazan Dental School. J Cancer Educ. 2021 Feb;36(1):134-142. Doi: 10.1007/s13187-019-01609-z. PMID: 31506768; PMCID: PMC7835163.

Cerero-Lapiedra R, Esparza-Gómez GC, Casado-de la Cruz L, Domínguez-Gordillo AA, Corral-Linaza C, Seoane-Romero JM. Ability of Dental Students in Spain to Identify Potentially Malignant Disorders and Oral Cancer. J Dent Educ. 2015 Aug;79(8):959-64. PMID: 26246535.

Joseph BK, Sundaram DB, Ellepola AN. Assessing Oral Cancer Knowledge Among Undergraduate Dental Students in Kuwait University. J Cancer Educ. 2015 Sep;30(3):415-20. Doi: 10.1007/s13187-014-0734-7. PMID: 25238788.

Friesen R, McGaw T, Peters E, Lai H. A retrospective analysis of referral patterns to a university oral medicine clinic. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019 Oct;128(4):381-385. Doi: 10.1016/j.oooo.2019.04.007. Epub 2019 Apr 16. PMID: 31103528.

Alrashdan MS, et al. Perception and Attitude of Dental Students and Interns Regarding the Diagnosis and Management of Oral Mucosal Lesions and Salivary Glands Hypofunction. Open Dent J. 2021;15:680–688.

Kasarla RR, Neupane G, Anand P, Wagle A, Kandel S, Pathak L. Why are More Women Choosing a Career in Dentistry in Nepal?. Journal of Universal College of Medical Sciences. 2023 Dec 31;11(03):58-60. https://doi.org/10.3126/jucms.v11i03.61615.

Surdu S, Mertz E, Langelier M, Moore J. Dental workforce trends: a national study of gender diversity and practice patterns. Med Care Res Rev 2021;78(Suppl 1):S30–9. doi: 10.1177/ 1077558720952667.

Khan S, Ibrahim S, Butt R, Ahmed B, White D. The influence of gender on career aspirations of University of Birmingham dental students and junior trainees in the West Midlands. British Dental Journal. 2020 Jun;228(12):933-7. https://doi.org/10.1038/s41415-020-1704-6

Odell EW. Cawson’s Essentials of Oral Pathology and Oral Medicine-E-Book: Cawson’s Essentials of Oral Pathology and Oral Medicine-E-Book. Elsevier Health Sciences; 2024. ISBN:0323935745, 9780323935746.

Pentapati KC, Yeturu SK, Siddiq H. Global and regional estimates of dental pain among children and adolescents-systematic review and meta-analysis. Eur Arch Paediatr Dent. 2021 Feb;22(1):1-12. Doi: 10.1007/s40368-020-00545-7. Epub 2020 Jun 16. PMID: 32557184; PMCID: PMC7943429.

Mobin T, Khan TZ, Mobin A, Tahir MR, Imran Q. The Association Between Seeking Urgent Dental Care and the Prevalence of Root Caries Among Patients in the United States, National Health And Nutrition Examination Survey 2017-2020: A Cross-Sectional Study. Cureus. 2023 Jul 12;15(7):e41797. Doi: 10.7759/cureus.41797. PMID: 37575787; PMCID: PMC10421965.

World Health Organization. World Health Assembly Resolution paves the way for better oral health care. Published May 27, 2021. Accessed November 5, 2021. https://www.who.int/news/item/27-05-2021-world-health-assembly-resolution-paves-the-way-for-better-oral-health-care.

Minhas S, Sajjad A, Kashif M, Taj F, Al Waddani H, Khurshid Z. Oral Ulcers Presentation in Systemic Diseases: An Update. Open Access Maced J Med Sci. 2019 Oct 15; 7(19):3341-3347. https://doi.org/10.3889/oamjms.2019.689 .

Alramadhan SA, Islam MN. Vesiculobullous Lesions of the Oral Cavity. Oral Maxillofac Surg Clin North Am. 2023 May;35(2):203-217. Doi: 10.1016/j.coms.2022.10.006. PMID: 37019505.

Capodiferro S, Limongelli L, Favia G. Oral and Maxillo-Facial Manifestations of Systemic Diseases: An Overview. Medicina (Kaunas). 2021 Mar 16;57(3):271. Doi: 10.3390/medicina57030271. PMID: 33809659; PMCID: PMC8002330.

Pourabbas R. Competency assessment of the last year students of Tabriz Dentistry School in the major skills needed for a new dentist. JME. 2009; 13(3): 95-100.

Ryding HA, Murphy HJ. Assessing outcomes of curricular change: A view from program graduates. J Dent Educ. 2001; 65(5): 422-426.

Kulasegaram KM, Martimianakis MA, Mylopoulos M, Whitehead CR, Woods NN. Cognition before curriculum: rethinking the integration of basic science and clinical learning. Acad Med. (2013) 88(10):1578–85. Doi: 10.1097/ACM. 0b013e3182a45def.

Klement BJ, Paulsen DF, Wineski LE. Clinical correlations as a tool in basic science medical education. J Med Educ Curric Dev. (2016) 3. Doi: 10.4137/JMECD. S18919.

Abali EE, Rashid H, Copeland HL, Calt M, DeMaio R, Patel J, et al. Shaping perceptions of basic science education by utilizing real patient encounters. Med Sci Educ. (2020) 30(2):791–800. Doi: 10.1007/s40670-020-00951-y

Braun LW, de Souza Kargwanski P, Corrˆea APB, et al. Association between perceived self-confidence and abilities to distinguish oral mucosal lesions amongst dental students. Eur J Dent Educ. 2022. https://doi.org/10.1111/eje.12850. Published online August 23.

Ergun S, Ozel S, Koray M, Kürklü E, Ak G, Tanyeri H. Dentists’ knowledge and opinions about oral mucosal lesions. Int J Oral Maxillofac Surg. 2009;38(12): 1283–1288. https://doi.org/10.1016/j.ijom.2009.07.004.

Alharbi S, Aboalela A. Knowledge and awareness of oral mucosal diseases among saudi dentists. Open Dent J. 2022;16(1). https://doi.org/10.2174/18742106-v16- e2206270.

Alrizqi AH, Aleissa BM. Prevalence of Temporomandibular Disorders Between 2015-2021: A Literature Review. Cureus. 2023 Apr 2;15(4):e37028. Doi: 10.7759/cureus.37028. PMID: 37143640; PMCID: PMC10152905.

Hasan RM, Diajil AR, Ali NM, Aswad F, Tariq LZ. Clinical characteristics of temporomandibular disorders in a sample of Iraqi patients. Wiadomości Lekarskie . 2025;78(1):143-147. Doi: 10.36740/Wlek/197186 .

Poelman MR, Brand HS, Asadi M, Remmelzwaal S, Jager DHJ, de de Visscher JG. Knowledge of diagnosis and management of selected oral mucosal lesions among dentists in the Netherlands. Med Oral Patol Oral Cir Bucal. 2023;28(4):e362–e370. https://doi.org/10.4317/medoral.25774.

Taheri JB, Namazi Z, Azimi S, Mehdipour M, Behrovan R, Rezaei Far K. Knowledge of oral precancerous lesions considering years since graduation among dentists in the capital City of Iran: a pathway to early oral cancer diagnosis and referral? Asian Pac J Cancer Prev APJCP. 2018;19(8):2103–2108. https://doi.org/10.22034/ APJCP.2018.19.8.2103.

Braun LW, Martins MAT, Romanini J, Rados PV, Martins MD, Carrard VC. Continuing education activities improve dentists’ self-efficacy to manage oral mucosal lesions and oral cancer. Eur J Dent Educ. 2021;25(1):28–34.

Aljohani, S., Alhamed, S., Farag, A.M. et al. Improving diagnostic and management competencies for common orofacial conditions among new dental graduates: the effect of an educational intervention. BMC Oral Health (2026) 26:261 https://doi.org/10.1186/s12903-026-07662-7PMID: 41526874 PMCID: PMC12888301.

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Published

2026-06-26

How to Cite

Fliah Hassan, A., Hashem Mohammad , N., Kamel Kadhem, Z., & Alhamdani, F. Y. (2026). Student Evaluation of Tangible and Intangible Components of Oral Medicine Education: A Cross-Sectional Survey. Journal of Contemporary Medical Sciences, 12(3). https://doi.org/10.22317/jcms.v12i3.2186

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