Background: Grafting materials and biological agents deriving from animal (xenografts), human (allografts) and synthetic sources (alloplasts), are being widely used in dentistry, including surgical endodontics, as fillers or bone substitutes and as biological promoters. Currently, little has been published to guide practitioners to formulate informed consents for grafting pertaining to patients’ cultural, ethical, religious or personal preferences. Different religious belief systems and traditions may have an influence on the decision-making process of individuals. Thus, it is important to inform patients about the origin of the grafting materials. The aim of this study was to survey the religious community on the acceptability of grafting materials from various sources for surgical dental procedures. Methods: Religious organizations were identified based on information from the previously published American Religious Identification Survey (ARIS) and a survey utilizing a standardized questionnaire on their views on acceptability of using products derived from allogenic, xenogenic and synthetic sources in surgical procedures in dentistry and medicine was performed. Representatives from 12 religious communities responded to the survey. Various religious communities provided guidelines based on their specific religious doctrines. Results: Overall, using grafting materials from various sources for surgical purposes was generally considered acceptable or acceptable with conditions, even among religious communities with certain dietary restrictions. This study highlights the importance of obtaining informed consent for the use of grafting materials in dentistry.
Conclusion: Religion beliefs of patients may influence the choice of grafting material, making informed consent a priority.
University of Texas at Houston
Dr. Sarmast earned his DDS from the University of Gothenburg in Sweden. He practiced general dentistry before completing a three–year Advanced Specialty Education Program in Periodontology & Implant Dentistry at SUNY Stony Brook University, School of Dental Medicine in New York where he concurrently earned a Master in Public Health with a concentration in Public Health Practice. Dr. Sarmast has served as Assistant Professor of Periodontics and is a the former Director of Predoctoral Periodontics at the UTHealth School of Dentistry at Houston. He also holds an appointment as Clinical Assistant Professor at SUNY Stony Book University in New York. He is currently enrolled in the Advanced Education Program in Endodontics at UTHealth School of Dentistry at Houston. Dr. Sarmast is a fellow of the ADEA/AAL Institute for Teaching and Learning and involved in clinical and didactic teaching and research. Dr. Sarmast’s scholarly interest encompasses periodontal and endodontic treatment modalities, diseases of the periodontium, implant complications and perio-endo relationship. His work has been presented at several meetings such as the AAP and AADR as well as published in several peer-reviewed journals. He is also an invited speaker at Continuing Education courses and the winner of the 2017 AAP Educator Award.
Clinical Assistant Professor
University of Texas at Houston
Dr. Gutierrez is a graduate from the University of Pacific Arthur A. Dugoni School of Dentistry in San Francisco, California and currently serves as Clinical Assistant Professor at the UTHealth School of Dentistry. She is a practicing general dentist in Houston, Texas.
Professor and Chair of the Department of Periodontics and Dental Hygiene
Dr. Angelov earned his DDS and MS degrees and Certificate of Specialty in Oral Pathology and Periodontology from the University “St. Cyril and Methodius” and has been teaching for the Department of Oral Pathology and Periodontology in Macedonia from 1993-2001. In 2001, he received a postdoctoral fellowship at the National Institutes of Health, National Institute for Dental and Craniofacial Research (NIH/NIDCR). At NIH/NIDCR. Dr. Angelov earned his PhD degree on the subject of “Role of Secretory Leukocyte Inhibitor (SLPI) in the healing of Oral Mucosal Wounds”. Same year, he joined the faculty at Loma Linda University School of Dentistry, Department of Periodontics where he achieved full Professorship and served as Section Chief and a Director of the Undergraduate Program in Periodontics. His research area includes oral infection and immunity, mucosal wound healing, periodontal microbiology, as well as dental implants. Dr. Angelov has extensively published in peer review journals, has been invited speaker to prominent professional and research meetings. He is active in service to the community. He is a member of numerous professional societies in the U.S. and abroad, and serves on editorial and advisory boards of several professional journals.