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Watanabe M, Arakawa M, Ishikawa S, Yusa K, Hemmi T, Okuyama N, Kasuya S, Sasahara N, Suzuki N, Sekiguchi M, Maehara K, Iino M. Factors influencing delayed referral of oral cancer patients from family dentists to the core hospital. J Dent Sci 2024; 19:118-123. [PMID: 38303788 PMCID: PMC10829543 DOI: 10.1016/j.jds.2023.05.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 05/16/2023] [Indexed: 02/03/2024] Open
Abstract
Background/purpose Most oral cancer (OC) cases are identified by family dentists in Japan. However, a significant number of patients with OC in Japan are referred to core hospitals at advanced stages. Therefore, identifying the factors that contribute to delayed referrals from family dentists to core hospitals is crucial for detecting OC in its earlier stages. The aim of this retrospective study was to identify the risk factors for referral delays from family dentists to core hospitals. Materials and methods The study included 63 patients with OC who were referred by family dentists to the Yamagata University Hospital between 2010 and 2022. The clinical parameters related to referral delays were retrospectively investigated using letters of reference provided by the family dentists and patient charts. Backward multiple regression analysis was performed to identify the relationships between the length of referral delay and potential risk factors. Additionally, backward multivariate logistic regression analysis was performed to examine the independent association between referral delays of >4 weeks and several clinical parameters. Results Multiple regression analysis revealed that misdiagnosis of malignant lesions by family dentists (P = 0.047) was significantly associated with longer referral delays. Additionally, misdiagnosis of malignant lesions by family dentists was also an independent risk factor for referral delays of >4 weeks (odds ratio, 10.387; P = 0.006). Conclusion Misdiagnosis of malignant lesions by family dentists was a significant risk factor for referral delays from family dentists to core hospitals. Our results will motivate family dentists to improve their ability to diagnose OC.
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Affiliation(s)
| | - Mariko Arakawa
- Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Shigeo Ishikawa
- Department of Dentistry, Oral and Maxillofacial Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Kazuyuki Yusa
- Department of Dentistry, Oral and Maxillofacial Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Tomoharu Hemmi
- Department of Dentistry, Oral and Maxillofacial Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Naoki Okuyama
- Department of Dentistry, Oral and Maxillofacial Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Satoshi Kasuya
- Department of Dentistry, Oral and Maxillofacial Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Nobuyuki Sasahara
- Department of Dentistry, Oral and Maxillofacial Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Nagiko Suzuki
- Department of Dentistry, Oral and Maxillofacial Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Manato Sekiguchi
- Department of Dentistry, Oral and Maxillofacial Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Kaori Maehara
- Department of Dentistry, Oral and Maxillofacial Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
| | - Mitsuyoshi Iino
- Department of Dentistry, Oral and Maxillofacial Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan
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Horvat I, Lončar-Brzak B, Andabak Rogulj A, Cigić L, Pezelj Ribarić S, Sikora M, Vidović-Juras D. How Much Do We Know about Oral Cancer?-An Online Survey. Dent J (Basel) 2023; 11:268. [PMID: 38132406 PMCID: PMC10743054 DOI: 10.3390/dj11120268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 11/09/2023] [Accepted: 11/21/2023] [Indexed: 12/23/2023] Open
Abstract
INTRODUCTION Oral cancer (OC) is a disease with a high mortality rate due to its late recognition. Since the oral cavity is easily accessible for visual inspection, enabling early diagnosis, the education of healthcare workers about preventive oral examinations is critical. This research aimed to assess the level of participants' OC knowledge, as well as to raise awareness about this diagnosis. MATERIALS AND METHODS The research was conducted as an online survey among students of dental medicine, students of medicine, doctors of dental medicine and doctors of medicine. The questionnaire was designed solely for the purpose of this study and consisted of 29 questions. The first part of the questionnaire consisted of general questions about the participants, whereas the questions in the second part addressed their knowledge and attitudes towards OC. RESULTS The surveyed population comprised of 140 dental students, 105 medical students, 159 doctors of dental medicine and 100 medical doctors. The level of knowledge about OC among the participants is not yet satisfactory. The group of dental medicine students scored highest, while medical doctors showed the weakest knowledge. CONCLUSION Additional education about OC for doctors of dental medicine and medical doctors is needed. This step will improve prevention and increase chances for early detection.
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Affiliation(s)
- Iva Horvat
- Private Dental Clinic Zagreb, 10000 Zagreb, Croatia;
| | - Božana Lončar-Brzak
- Department of Oral Medicine, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia; (B.L.-B.)
- Croatian Society for Oral Medicine and Pathology, Croatian Medical Association, 10000 Zagreb, Croatia
- Croatian Association of Hospital Dentistry/Special Care Dentistry, Croatian Medical Association, 10000 Zagreb, Croatia
| | - Ana Andabak Rogulj
- Department of Oral Medicine, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia; (B.L.-B.)
- Croatian Society for Oral Medicine and Pathology, Croatian Medical Association, 10000 Zagreb, Croatia
- Croatian Association of Hospital Dentistry/Special Care Dentistry, Croatian Medical Association, 10000 Zagreb, Croatia
- Department of Oral Diseases, University Dental Clinic, University Hospital Centre Zagreb, 10000 Zagreb, Croatia
| | - Livia Cigić
- Department of Oral Medicine and Periodontology, School of Medicine, University of Split, 21000 Split, Croatia
| | - Sonja Pezelj Ribarić
- Department of Oral Medicine, Faculty of Dental Medicine, University of Rijeka, Krešimirova 40, 51000 Rijeka, Croatia
- Department of Dental Medicine, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Crkvena 21, 31000 Osijek, Croatia
- Clinic of Dental Medicine, Clinical Hospital Center Rijeka, Krešimirova 40, 51000 Rijeka, Croatia
| | - Miroslav Sikora
- School of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia;
| | - Danica Vidović-Juras
- Department of Oral Medicine, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia; (B.L.-B.)
- Croatian Society for Oral Medicine and Pathology, Croatian Medical Association, 10000 Zagreb, Croatia
- Croatian Association of Hospital Dentistry/Special Care Dentistry, Croatian Medical Association, 10000 Zagreb, Croatia
- Department of Oral Diseases, University Dental Clinic, University Hospital Centre Zagreb, 10000 Zagreb, Croatia
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Antoranz-Pereda A, de Pedro M, Navarrete N, Vizoso-Noval B, Cidoncha-Cabrerizo G, Pérez R, Casañas E, Muñoz-Corcuera M. Evaluation of the diagnostic ability of oral lesions on clinical images among undergraduate dental students. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2023; 27:1109-1116. [PMID: 36970773 DOI: 10.1111/eje.12904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 03/02/2023] [Accepted: 03/11/2023] [Indexed: 06/18/2023]
Abstract
INTRODUCTION The dentist should be able to carry out systematic oral examinations of the mucosa of patients in order to diagnose any alterations at an early stage. MATERIALS AND METHODS An observational, analytical, prospective, and longitudinal study was carried out. 161 students were evaluated at the beginning of their clinical practice in their 4th year of dental school (September 2019), at the beginning and at the end of their 5th year of dental school (June 2021). Thirty oral lesions were projected, and the students were asked to provide an answer; if the lesions were benign, malignant, or potentially malignant, whether they should be biopsied and/or treated and a presumptive diagnosis. RESULTS Significant improvement (p < .001) was obtained between the 2019 and 2021 results, in relation to the classification, need for biopsy and treatment of lesions. For differential diagnosis, no significant difference (p = .985) was obtained between the 2019 and 2021 responses. Malignant lesions and PMD obtained mixed results, with the best results corresponding to OSCC. DISCUSSION In this study, a correct lesion classification by the students was over 50%. As for the OSCC, the results were superior to the rest of the images, reaching more than 95% correct. CONCLUSION Theoretical-practical training from universities and continuing education for graduates in relation to oral mucosal pathologies should be further promoted.
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Affiliation(s)
- Ana Antoranz-Pereda
- Faculty of Biomedical Sciences, Department of Dentistry, Universidad Europea de Madrid, Madrid, Spain
| | - Miguel de Pedro
- Faculty of Biomedical Sciences, Department of Dentistry, Universidad Europea de Madrid, Madrid, Spain
| | - Natalia Navarrete
- Faculty of Biomedical Sciences, Department of Dentistry, Universidad Europea de Madrid, Madrid, Spain
| | - Beatriz Vizoso-Noval
- Faculty of Biomedical Sciences, Department of Dentistry, Universidad Europea de Madrid, Madrid, Spain
| | - Gema Cidoncha-Cabrerizo
- Faculty of Biomedical Sciences, Department of Dentistry, Universidad Europea de Madrid, Madrid, Spain
| | - Ruth Pérez
- Faculty of Biomedical Sciences, Department of Dentistry, Universidad Europea de Madrid, Madrid, Spain
| | - Elisabeth Casañas
- Faculty of Biomedical Sciences, Department of Dentistry, Universidad Europea de Madrid, Madrid, Spain
| | - Marta Muñoz-Corcuera
- Faculty of Biomedical Sciences, Department of Dentistry, Universidad Europea de Madrid, Madrid, Spain
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Sharma P, Wadhwan V. Appraisal of elementary knowledge and awareness of oral cancer among dental and medical undergraduates. Indian J Dent Res 2023; 34:312-316. [PMID: 38197354 DOI: 10.4103/ijdr.ijdr_1070_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2024] Open
Abstract
Background Currently, oral cancer in India ranks among the top three types of cancer affecting mainly the elderly population. However, recent years have witnessed a marked increase in the younger people less than 45 years of age being affected by oral squamous cell carcinoma (OSCC). Thus, its early detection and treatment are of utmost importance and this responsibility lies with the healthcare providers. Therefore, we planned this study to assess the knowledge, attitude and practices of oral cancer among undergraduate dental and medical students. The objective was to suggest strategies to improve awareness on oral cancer. Methods A pretested questionnaire comprising nineteen questions were distributed among 193 undergraduate dental and 218 undergraduate medical students of our university. Fundamental questions were included in the clinical examination, risk factors and need for information lectures on oral cancer. Chi-square and ANOVA tests were used to analyse the data. Results The response rate of the study was good with 91.7% (177/193) of the dental and 88% (191/218) of the medical undergraduates participating in the survey. Though dental students had sufficient knowledge regarding the prevention and detection of oral cancer, however, medical students were less aware of the investigative methods of oral cancer. Conclusion Though the mean knowledge of the dental students was good, they were not confident of diagnosing the early clinical symptoms of oral cancer. Practices on detection of oral cancer have to be reinforced among medical students so that they can contribute to its prevention.
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Affiliation(s)
- Preeti Sharma
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India
| | - Vijay Wadhwan
- Department of Oral and Maxillofacial Pathology and Oral Microbiology, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India
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Braun LW, de Souza Kargwanski P, Corrêa APB, Wagner VP, Martins MAT, Rodrigues YE, Martins MD, Carrard VC. Association between perceived self-confidence and abilities to distinguish oral mucosal lesions amongst dental students. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2022. [PMID: 35997548 DOI: 10.1111/eje.12850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 02/07/2022] [Accepted: 06/13/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Dentists usually refer to difficulties in performing the diagnosis of oral mucosal lesions. This may be attributed to limited access to theoretical lectures and practical training on this subject along the graduation course. The primary aim of this cross-sectional study was to verify if there is an association between the perception of time dedicated to lectures/training and oral diagnosis abilities in oral medicine. The secondary aim was to evaluate the association between self--confidence to perform oral mucosal lesions diagnosis and performance in a diagnostic abilities test. MATERIALS AND METHODS The sample comprised 36 final-year dental students of a South-Brazilian dental school. The participants answered a questionnaire on their perception of time dedicated to lectures on oral medicine along the course (sufficient or insufficient) and their self-confidence to diagnose oral mucosal lesions or oral cancer (yes or not). The students were also submitted to a diagnostic abilities test based on 30 clinical photos of oral lesions, which should be classified as benign, potentially malignant or malignant. Moreover, the participants had to inform their clinical impression for each case. Finally, the participants informed their decision making for the case (refer the patient to a specialist or not). RESULTS Students with higher self-confidence showed a higher percentage of correct answers on classification of the nature of lesions (81.1% vs. 68.5%, p = .03, teste t de Student) and on their clinical impression (66.3% vs. 41.7%, p < .01, Student's t-test). The perception of time dedicated to theoretical lectures on oral medicine as sufficient did not influence the students' diagnostic abilities (p > .05, Student's t-test) CONCLUSION: It may be concluded that self-confidence to diagnose oral lesions is associated with dental students' diagnostic abilities.
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Affiliation(s)
- Liliana Wolf Braun
- Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Pâmela de Souza Kargwanski
- Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Vivian Petersen Wagner
- Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Marco Antonio Trevizani Martins
- Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Department of Oral Medicine, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
| | | | - Manoela Domingues Martins
- Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Department of Oral Medicine, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
| | - Vinicius Coelho Carrard
- Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- TelessaudeRS-UFRGS, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Department of Oral Medicine, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
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Gaballah K, Faden A, Fakih FJ, Alsaadi AY, Noshi NF, Kujan O. Diagnostic Accuracy of Oral Cancer and Suspicious Malignant Mucosal Changes among Future Dentists. Healthcare (Basel) 2021; 9:healthcare9030263. [PMID: 33801278 PMCID: PMC7998164 DOI: 10.3390/healthcare9030263] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 02/25/2021] [Accepted: 02/27/2021] [Indexed: 01/14/2023] Open
Abstract
This study aimed to assess the ability of dental students and recent graduates to detect and recognize mucosal changes that are suggestive of oral cancer and potentially malignant disorders. In this cross-sectional study, a questionnaire was administered to dental students and recent graduates of Ajman University (n = 132). Completed questionnaires were received from 84 (63.6%) females and 48 (36.4%) males which included fifth-year students (n = 80), interns (n = 39), and dental practitioners (n = 13). This questionnaire was designed to assess the respondent’s ability to detect and recognize different types of oral lesions, as well as their knowledge of oral cancer appearance and malignancy potential. The overall accuracy of diagnosis was 46%. The participants correctly identified normal variations, benign tumors, malignant tumors, and premalignant lesions at rates of 60.3%, 31.0%, 55.7%, and 33.4%, respectively. There was no significant difference between the two genders in their ability to recognize and detect correct answers (females, 48.3%; males, 47.2%). According to education level, interns provided the highest percentage of correct answers (52.5%), followed by newly dental practitioners (51.9%) and fifth-year students (44.1%). Conclusion: The respondents of this survey did not exhibit a satisfactory diagnostic capability in recognizing mucosal changes consistent with the clinical presentation of oral cancer. Thus, a need exists for improved and updated educational methods for undergraduate students regarding oral cancer and potentially malignant disorders. Meanwhile, practitioners should look for oral abnormalities to provide better diagnosis and management. Practitioners should also stay up to date on the oral malignancy topic by attending workshops and clinicopathological conferences.
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Affiliation(s)
- Kamis Gaballah
- Department of Clinical Sciences, College of Dental Sciences, Ajman University, P.O. Box 346 Ajman, United Arab Emirates; (K.G.); (F.J.F.); (A.Y.A.); (N.F.N.)
| | - Asmaa Faden
- Department of Oral Medicine and Diagnostic Science, College of Dentistry, King Saud University, Riyadh 4545, Saudi Arabia;
| | - Fatima Jassem Fakih
- Department of Clinical Sciences, College of Dental Sciences, Ajman University, P.O. Box 346 Ajman, United Arab Emirates; (K.G.); (F.J.F.); (A.Y.A.); (N.F.N.)
| | - Anfal Yousuf Alsaadi
- Department of Clinical Sciences, College of Dental Sciences, Ajman University, P.O. Box 346 Ajman, United Arab Emirates; (K.G.); (F.J.F.); (A.Y.A.); (N.F.N.)
| | - Nadeen Faiz Noshi
- Department of Clinical Sciences, College of Dental Sciences, Ajman University, P.O. Box 346 Ajman, United Arab Emirates; (K.G.); (F.J.F.); (A.Y.A.); (N.F.N.)
| | - Omar Kujan
- Oral Diagnostic and Surgical Sciences, UWA Dental School, The University of Western Australia, Nedlands, WA 6009, Australia
- Correspondence: ; Tel.: +61-8-6457-7649
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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. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2021; 25:28-34. [PMID: 32767592 DOI: 10.1111/eje.12574] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Revised: 07/16/2020] [Accepted: 07/28/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVES This cross-sectional study aims to evaluate whether Continuing Education Activities (CEA) influence dentists' behaviour in relation to oral lesions. The secondary aim is to assess the association between dentists' perception of learning adequacy and self-efficacy for oral mucosal lesion management. METHODS A self-administered online questionnaire was conducted on dentists working at the public health system of Rio Grande do Sul State, Brazil. The questionnaire included questions pertaining to perception of adequacy for oral diagnosis classes upon graduation, participation in oral cancer CEA and self-efficacy in managing oral mucosal lesions. RESULTS 221 dentists from 91 municipalities answered the questionnaire. Most participants were female (71.5%) with a mean age of 38.3 years. Perception of learning as adequate during undergraduate coursework was associated with self-efficacy to diagnose, biopsy, and treat oral mucosal lesions (P < .05, Chi-squared test). However, 83.3% of dentists considered the time devoted to these topics prior to graduation insufficient. The frequency of oral lesion detection was related to self-efficacy to treat oral lesions and detecting oral cancer (P < .05, Chi-squared test). Among dentists who detected oral lesions frequently, 88.9% had attended CEA, whereas 11.1% of them had never attended these activities. CONCLUSIONS CEA may improve awareness and efficacy of primary healthcare professional's detection of oral cancer.
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Affiliation(s)
- Liliana W Braun
- Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Marco A T Martins
- Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Department of Oral Medicine, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
| | - Juliana Romanini
- Department of Oral Medicine, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
- Dental Specialty /Stomatology Center, Porto Alegre, Brazil
| | - Pantelis V Rados
- Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Manoela D Martins
- Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Vinicius C Carrard
- Oral Pathology Department, School of Dentistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Department of Oral Medicine, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
- Telessaude RS-UFRGS, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
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Srivastava R, Wazir SS, Jyoti B, Kushwah S, Pradhan D, Priyadarshi P. Perception and outcome of oral cancer awareness among clinical undergraduate dental students of Tertiary health care centre at Kanpur city: A cross-sectional study. Natl J Maxillofac Surg 2020; 11:89-93. [PMID: 33041583 PMCID: PMC7518484 DOI: 10.4103/njms.njms_6_19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2019] [Revised: 09/19/2019] [Accepted: 12/26/2019] [Indexed: 12/14/2022] Open
Abstract
Background: The International Agency for Research on Cancer has predicted that India's incidence of cancer will increase from 1 million in 2012 to more than 1.7 million in 2035. Lack of knowledge about oral cancer among general dental practitioners leads to delay in the diagnosis and treatment of such lesions. The aim of the present study was to investigate the awareness and knowledge of prevention and early diagnosis of oral cancer among dental undergraduate students. Materials and Methods: A cross-sectional questionnaire study was conducted. A total of 139 undergraduate students who received teaching on oral diseases including oral cancer in their clinical postings in the department of oral medicine and radiology were included in the study. All the students were subjected to evaluation using structured questionnaires with multiple choices. Data collected were subjected to statistical analysis using the Statistical Package for the Social Sciences (SPSS) software version 18. Chi-square test was done to evaluate the statistical significance. Results: The present study showed that the participants had average awareness and knowledge of oral cancer and its clinical presentations. The awareness and knowledge toward oral cancer protocols revealed a decreasing trend from final-year students to 3rd-year and interns. Nearly 66.2% of the undergraduates felt less well informed regarding oral cancer. All the undergraduates (100%) requested further information about oral cancer. Conclusion: The present study concluded that knowledge and awareness of undergraduate dental students with respect to early detection and prevention of oral cancer was satisfactory. It is recommended that the syllabus of dental courses should be expanded to provide knowledge regarding the prevention and early diagnosis of oral cancer.
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Affiliation(s)
- Rahul Srivastava
- Department of Oral Medicine and Radiology, Rama Dental College, Hospital and Research Centre, Kanpur, Uttar Pradesh, India
| | - Sartaj S Wazir
- Department of Oral Medicine and Radiology, M B Kedia Dental College, Birgunj, Nepal
| | - Bhuvan Jyoti
- Department of Dental Surgery, Ranchi Institute of Neuro-Psychiatry and Allied Sciences, Ranchi, Jharkhand, India
| | - Sachin Kushwah
- Department of Oral Medicine and Radiology, Rama Dental College, Hospital and Research Centre, Kanpur, Uttar Pradesh, India
| | - Devina Pradhan
- Department of Public Health Dentistry, Rama Dental College, Hospital and Research Centre, Kanpur, Uttar Pradesh, India.,Department of Oral Medicine and Radiology, Rama Dental College, Hospital and Research Centre, Kanpur, Uttar Pradesh, India
| | - Pankaj Priyadarshi
- Department of Conservative Dentistry and Endodontics, Rama Dental College, Hospital and Research Centre, Kanpur, Uttar Pradesh, India
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Knowledge assessment among the fourth and fifth year students on the potentially malignant lesions of oral cavity. BALKAN JOURNAL OF DENTAL MEDICINE 2020. [DOI: 10.2478/bjdm-2020-0003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Background/Aim: Potentially malignant oral lesions (PMOL) are lesions that have an increased risk of malignant transformation concerning healthy oral mucosa. This research aimed to assess the knowledge of students of final years of study on the potentially malignant lesions of the oral cavity. Material and Methods: 120 students of the fourth and fifth years of study participated in this research,60 respondents were fourth-year students, 60 respondents were fifth-year students. All of the respondents signed informed consent.According to the type of research, this is a cross-sectional study which was conducted by completing a 15-item questionnaire. The results were statistically analyzed and processed in the SPSS Statistics 21.0 program. Results: The results indicate that during the clinical examination the fourth and fifth-year students examine the oral mucosa as well. 61% of the students find themselves poorly informed on the PMOL. In the fourth year of study, only 5,5% of students responded that they were well informed, while in the fifth year that number totaled 28,5%. When knowledge self-assessment is concerned the difference has shown itself to be statistically significant between the fourth and fifth-year students. When asked what knowledge on the prevention of oral cancer they expect to receive during their studies, 78% of the students expected more knowledge than at that moment - 36% of which were fifth-year students, and 42% were fourth-year students. Conclusions: Even though the oral cavity is easily accessible to examination, the discovery of oral cancer occurs quite late. Ours, as well as results of other studies, impose the need for better theoretical and practical education of the students.
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Gunjal S, Pateel DGS, Lim RZS, Yong LL, Wong HZ. Assessing oral cancer awareness among dental and medical students of a Malaysian private university. Int Dent J 2019; 70:62-69. [PMID: 31691268 DOI: 10.1111/idj.12524] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
OBJECTIVE Dental and medical practitioners play a pivotal role in detecting early stages of oral cancers. Hence, future dental and medical practitioners need to have adequate knowledge of oral cancer. This study was conducted to assess the current level of knowledge, attitude and practices regarding oral cancer among dental and medical students of a Malaysian private university. METHODS A cross-sectional study was conducted on third-, fourth- and final-year students of the dental and medical courses of MAHSA University, Malaysia. A total of 557 students participated in the survey. Oral cancer awareness, knowledge about risk factors, signs and symptoms of oral cancer, attitude and practices towards oral cancer were assessed using 43 questions. The questionnaire was pretested, and internal consistency, assessed using Cronbach's alpha, was acceptable (α > 0.7). The data were analysed using IBM SPSS version 21. The chi-square test was used to analyse the difference in oral cancer awareness between medical and dental students. RESULTS Among 557 participants, there were 351 (63%) medical students and 206 (37%) dental students. Based on the results obtained, dental students had a higher level of knowledge than medical students regarding oral cancer (P < 0.05). More than 90% of the dental students were able to identify smoking, alcohol consumption, betel quid chewing, human papilloma virus infection and exposure to radiation as risk factors associated with oral cancer compared to more than 50% of medical students (P < 0.05). CONCLUSIONS Through education and training, awareness amongst medical students can be reinforced, which will promote early detection of precancerous lesions and oral cancers.
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Affiliation(s)
- Shilpa Gunjal
- Department of Dental Public Health, Faculty of Dentistry, MAHSA University, Jenjarom, Selangor, Malaysia
| | | | | | - Lee Lyn Yong
- Faculty of Dentistry, MAHSA University, Jenjarom, Selangor, Malaysia
| | - Hong Zhang Wong
- Faculty of Dentistry, MAHSA University, Jenjarom, Selangor, Malaysia
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Keser G, Pekiner FN. Assessing Oral Cancer Awareness Among Dental Students. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2019; 34:512-518. [PMID: 29446005 DOI: 10.1007/s13187-018-1332-x] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The aim of this study was to assess oral cancer awareness among undergraduate dental students in Marmara University Faculty of Dentistry. A validated questionnaire which tested oral cancer awareness was given to third- and fifth-year students of the dental faculty of Marmara University. A total of 198 students participated in this survey. Knowledge of oral cancer risk factors and diagnosis procedures, dentistry student's attitude towards oral cancers, management practice regarding oral cancer, and oral cancer information sources were assessed using 25 questions. The data were analyzed with IBM SPSS Statistics 22.0 program. Among 198 participant dentistry students, there were 99 (50%) third-grade and 99 (50%) fifth-grade students. The largest number of the third- and last-grade students identified tobacco (98%) and alcohol usage (87.4%), prior oral cancer lesions (94.9%), viral infections (91.9%), UV exposure (94.4%), betel quid chewing (84.8%), older age (62.1%), and low consumption of fruit and vegetables (85.4%). Both groups showed higher scores in indicating squamous cell carcinoma as the most common form of oral cancer (p < 0.05); yet, third-grade students performed significantly higher scores in indicating erythroplakia and leukoplakia for most likely to be precancerous (p = 0.001; p < 0.05). This study highlighted the importance of improved educational methods for dentistry on oral cancer detection and prevention.
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Affiliation(s)
- Gaye Keser
- Faculty of Dentistry, Department of Oral Diagnosis and Maxillofacial Radiology, Marmara University, Başıbüyük Sağlık Yerleşkesi Başıbüyük Yolu 9/3 Maltepe, 34854, Istanbul, Turkey.
| | - Filiz Namdar Pekiner
- Faculty of Dentistry, Department of Oral Diagnosis and Maxillofacial Radiology, Marmara University, Başıbüyük Sağlık Yerleşkesi Başıbüyük Yolu 9/3 Maltepe, 34854, Istanbul, Turkey
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Radman M, Glavina A, Sabol I, Mravak-Stipetić M. Knowledge of Oral Cancer among the Fourth and Fifth Year Dental Students. Acta Stomatol Croat 2019; 52:340-347. [PMID: 30666065 PMCID: PMC6336452 DOI: 10.15644/asc52/4/8] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Background The literature data show insufficient knowledge and awareness about oral cancer among dental and medical students. Objective To assess the knowledge of graduating dental students regarding oral cancer and to assess their awareness regarding the prevention and early detection of oral cancer. Also student’s smoking status was examined aimed to investigate their attitude towards smoking as a risk factor for development of oral cancer and to assess the prevalence of smoking among dental students. Subjects and Methods The study group consisted of 83 students of the fourth and fifth years of dental medicine study who answered the questions written in the original 16-item questionnaire. Results More than half of the students considered their knowledge to be good, a quarter of them regarded their knowledge as being poor. Almost 16% of students considered their knowledge to be very good, whereas only two students rated their knowledge as ‘excellent’. Students of the fifth year were more likely to be smokers compared to fourth year students (39.5% vs. 22.5%). Higher percentage of non-smokers than smokers had marked 'stop smoking' as an important preventive measure (non-smokers 91.2%, smokers 84.3%, p = 0.01). Conclusion Majority of the students of fourth and fifth year of study rate their knowledge about oral cancer as good. A large number of students of both years considered hairy leukoplakia a potentially malignant disorder. Students non smokers recognize “stop smoking” as an important preventive measure unlike students smokers who show a more realistic attitude towards smoking as a risk factor for oral cancer.
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Affiliation(s)
- Maria Radman
- Department of Oral Medicine, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Ana Glavina
- Department of Oral Medicine, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Ivan Sabol
- Ruđer Bošković Institute, Zagreb, Croatia
| | - Marinka Mravak-Stipetić
- Department of Oral Medicine, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
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Self Awareness of Oral Potentially Malignant Disorders and Oral Cancer Among High-Risk Patients. INTERNATIONAL JOURNAL OF CANCER MANAGEMENT 2017. [DOI: 10.5812/ijcm.5973] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Akbari N, Raeesi V, Khazaei T, Ramezanzadeh K, Ebrahimipour S. Evaluation of General Dentists' and Dental Specialists' Knowledge about Oral Cancer in South Khorasan-Iran 2014. Asian Pac J Cancer Prev 2016; 16:6987-90. [PMID: 26514479 DOI: 10.7314/apjcp.2015.16.16.6987] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Oral cancer is one of the most prevalent cancers and one of the top ten causes of death in the whole world. Most oral cancers are diagnosed at late stages. Since dentists play a critical role in early detection of oral cancer, they should be knowledgeable and skillful in oral cancer diagnosis. The aim of this study was to survey dentist knowledge about oral cancer in Southern Khorasan Province. MATERIALS AND METHODS This descriptive, cross-sectional study was conducted with dentists who participated in an in-service educational program at the Faculty of Dentistry of Birjand University of Medical Sciences in spring 2014. A questionnaire including demographic information with 11 questions regarding oral cancer was prepared. The participants were required to be complete the questionnaires within a specific time span. The data were analyzed using SPSS 15 software by t-test and one-way ANOVA at 0.05 confidence level. RESULTS A total of 73 dentists out of 80 answered the questionnaires - 36 (49.3%) were females and 37 (50.7%) were males. Total mean score of knowledge was 7.91 ± 1 of 11. Mean scores of knowledge of male and female participants were 7.70 ± 1.83 and 8.13 ± 1.94 respectively. Mean knowledge score of general dentists was 7.41 ± 1.79 and of dental specialists was 9.44 ± 1.0 In spite of higher knowledge score of women compared to men and general dentists compared to dental specialists, these differences were not statistically significant (p=0.09). Tukey testing showed a significant difference between groups with 1-4 years of experience (8.74) and over twenty years of experience (6.50) ( p=0.001). CONCLUSIONS Considering the good knowledge level of young dentists and the specialists and the importance of early diagnosis of oral cancer, it seems necessary to pay more attention to academic education for dentistry students, as well as holding retraining courses for experienced dentists, so that their knowledge not be reduced over time.
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Affiliation(s)
- Narjes Akbari
- Department of Oral Medicin, School of Dentistry and Dental Research Center, Birjand University of Medical Scinces, Birjand, Iran E-mail :
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Knowledge and risk perception of oral cavity and oropharyngeal cancer among non-medical university students. J Otolaryngol Head Neck Surg 2016; 45:5. [PMID: 26818939 PMCID: PMC4730637 DOI: 10.1186/s40463-016-0120-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2015] [Accepted: 01/24/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To assess non-medical university students' knowledge and perceived risk of developing oral cavity and oropharyngeal cancer. METHODS A cross-sectional survey was conducted among non-medical students of a private Midwestern university in the United States in May 2012. Questionnaire assessed demographic information and contained 21 previously validated questions regarding knowledge and perceived risk of developing oral cavity and oropharyngeal cancer. Knowledge scale was categorized into low and high. Risk level was estimated based on smoking, drinking, and sexual habits. Bivariate associations between continuous and categorical variables were assessed using Pearson correlation and Chi-square tests, respectively. RESULTS The response rate was 87% (100 out of 115 students approached). Eighty-one percent (81%) had low oral cavity and oropharyngeal cancer knowledge; and only 2% perceived that their oral cavity and oropharyngeal cancer risk was high. Risk perception was negatively correlated with age at sexual debut, r (64) = -0.26, p = 0.037; one-way ANOVA showed a marginally significant association between risk perception and number of sexual partners, F(4, 60) = 2.48, p = 0.05. There was no significant association between knowledge and perception of risk; however, oral cavity and oropharyngeal cancer knowledge was significantly associated with frequency of prevention of STDs (p < 0.05). Although 86% had heard about oral cavity and oropharyngeal cancer, only 18% had heard of oral mouth examination, and 7% of these reported ever having an oral cavity and oropharyngeal cancer exam. CONCLUSIONS Oral cavity and oropharyngeal cancer knowledge and risk perception is low among this student population. Since oral cavity and oropharyngeal cancer incidence is increasingly shifting towards younger adults, interventions must be tailored to this group in order to improve prevention and control.
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Al-Maweri SA, Abbas A, Tarakji B, Al-Jamaei AS, Alaizari NA, Al-Shamiri HM. Knowledge and opinions regarding oral cancer among Yemeni dental students. Asian Pac J Cancer Prev 2016; 16:1765-70. [PMID: 25773823 DOI: 10.7314/apjcp.2015.16.5.1765] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Oral cancer presents with high mortality rates, and the likelihood of survival is remarkably superior when detected early. Health care providers, particularly dentists, play a critical role in early detection of oral cancers and should be knowledgeable and skillful in oral cancer diagnosis. PURPOSE The aim of the present study was to assess the current knowledge of future Yemeni dentists and their opinions on oral cancer. MATERIALS AND METHODS A pretested self-administered questionnaire was distributed to fourth and fifth year dental students. Questions relating to knowledge of oral cancer, risk factors, and opinions on oral cancer prevention and practices were posed. RESULTS The response rate was 80%. The vast majority of students identified smoking and smokeless tobacco as the major risk factors for oral cancer. Most of the students (92.6%) knew that squamous cell carcinoma is the most common form of oral cancer, and 85.3% were aware that tongue and floor of the mouth are the most likely sites. While the majority showed willingness to advise their patients on risk factors, only 40% felt adequately trained to provide such advice. More than 85% of students admitted that they need further information regarding oral cancer. As expected, students of the final year appeared slightly more knowledgeable regarding risk factors and clinical features of the disease. CONCLUSIONS The findings of the present study suggest that here is a need to reinforce the undergraduate dental curriculum with regards to oral cancer education, particularly in its prevention and early detection.
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Affiliation(s)
- Sadeq Ali Al-Maweri
- Department of Oral and Maxillofacial Sciences, Al-Farabi Colleges of Dentistry and Nursing, Saudi Arabia E-mail :
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Bhagavathula AS, Bin Zakaria N, Jamshed SQ. Knowledge of Future Dental Practitioners towards Oral Cancer: Exploratory Findings from a Public University in Malaysia. Int J Dent 2015; 2015:218065. [PMID: 26839548 PMCID: PMC4709628 DOI: 10.1155/2015/218065] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2015] [Revised: 12/01/2015] [Accepted: 12/10/2015] [Indexed: 01/07/2023] Open
Abstract
Objective. To assess knowledge and awareness of oral cancer in the early identification of risk factors among undergraduate dental students. Methods. A total of 162 undergraduate (third, fourth, and fifth year) dental students at International Islamic University, Malaysia, were approached to participate in the study, and those who agreed were administered. A 9-item pretested questionnaire contains questions on oral examination, oral cancer risk factors, and requests for further information. Descriptive statistics were conducted using chi-square testing. Results. The response rate of the study was 70.3% (114/162), with 26 (22.8%) males and 88 (77.2%) females. All undergraduate dental students were familiar with examining the oral mucosa of their patients and most were likely to advise patients about the risk factors for developing oral cancer (98.2%). Nearly one-third (32.4%) of students reported examining patients with oral lesions as early signs for oral cancer (P < 0.001) and nearly 70% agreed that they did not have sufficient knowledge regarding the prevention and detection of oral cancer (P < 0.001). In addition, more than 95.6% agreed that there is a need for additional information/teaching regarding oral cancer. Further, 61.3% and 14.1% identified tobacco smoking and drinking alcohol as major risk factors for developing oral cancer. Conclusion. This study demonstrated lack of awareness about risk factors among undergraduate dental students regarding oral cancer. Reinforcing awareness and enhancing the benefits of early detection on prevention of oral cancer should be done through training and/or educational intervention.
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Affiliation(s)
- Akshaya Srikanth Bhagavathula
- Department of Clinical Pharmacy, University of Gondar, College of Medicine and Health Sciences, School of Pharmacy, Gondar, Ethiopia
| | - Nazrin Bin Zakaria
- Department of Pharmacy Practice, Kulliyyah of Pharmacy, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
| | - Shazia Qasim Jamshed
- Department of Pharmacy Practice, Kulliyyah of Pharmacy, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
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Joseph BK, Sundaram DB, Ellepola ANB. Assessing Oral Cancer Knowledge Among Undergraduate Dental Students in Kuwait University. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2015; 30:415-420. [PMID: 25238788 DOI: 10.1007/s13187-014-0734-7] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Lack of general dental practitioner oral cancer knowledge has been shown to be a major factor to delays in referral and treatment. Dentists' competence and confidence in detecting oral cancer may be strongly influenced by their dental school training. Therefore, the aim of this study was to assess dental student's awareness and knowledge of prevention and early detection of oral cancer. Through the use of questionnaires, the students' knowledge of oral cancer risk factors, diagnostic concepts, and clinical care of patients was assessed. An excellent response rate (97.3 %) was observed in this study. Overall, the students' knowledge of diagnostic items was significantly higher (p ≤ 0.001) than their knowledge of risk factors. A high percentage of students identified tobacco (98.6 %) and alcohol (76.7 %) as the principal risk factors and would offer advice regarding modification of these habits (75.3 %). Also, their knowledge of non-risk factors was significantly lower than their knowledge of proven risk factors (p ≤ 0.001). Only one fifth of the students regarded visual inspection to be an effective screening method. Only 32.9 % stated that all suspicious lesions should be biopsied, and as low as 2.7 % had assisted in taking a biopsy. This study highlights the need for a more structured teaching program with greater emphasis on the early signs and risk factors of oral cancer, performing routine oral examination, referral for biopsy, and appropriate early management of suspicious oral lesions.
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Affiliation(s)
- Bobby K Joseph
- Department of Diagnostic Sciences, Faculty of Dentistry, Kuwait University, P.O. Box: 24923, Safat, 13110, Kuwait,
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Fotedar V, Fotedar S, Gupta M, Manchanda K, Sharma M. Oral Cancer Knowledge, Attitudes and Practices: A Survey of Undergraduate Medical Students in Himachal Pradesh, India. J Clin Diagn Res 2015; 9:XC05-XC08. [PMID: 26436029 DOI: 10.7860/jcdr/2015/12752.6406] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2015] [Accepted: 06/24/2015] [Indexed: 11/24/2022]
Abstract
BACKGROUND Oral cancer is the sixth most common cancer among Indian males and the third most common cancer among Indian females. Early detection of oral cancers makes them more amenable to treatment and allows the greatest chance of cure. Lack of awareness among the health care providers is the most significant factor in delaying diagnosis and treatment of oral cancer. So the aim of the study was to assess the knowledge, attitude and practices of oral cancer among undergraduate medical students in Indira Gandhi Medical College, Shimla, India. MATERIALS AND METHODS A cross-sectional questionnaire study was conducted among 186 undergraduate medical students between the third to fifth years in Indira Gandhi Medical College, Shimla. The questionnaire consisted of 15 questions, five each on knowledge, attitudes and practices. The data were analysed by Statistical Package for the Social Sciences version 16. Test used were t-test, Chi-square and ANOVA. RESULTS The response rate of the study was 96.5%. The mean knowledge percent of the sample was good. Mean knowledge percent was higher in females than males. Higher percentage of students in 5(th) year (internship) had excellent knowledge. The knowledge and practices about risk factors was not satisfactory. One hundred and twenty four (66.6%) of the subjects disagreed/strongly disagreed that their knowledge regarding the prevention and detection of oral cancer is current adequate. One hundred and seventy six and (94.6%) agreed/strongly agreed that there is need for additional training/information regarding oral cancer. CONCLUSION It can be concluded that though the mean knowledge of the population was good but the knowledge and practices about risk factors had to be reinforced among these students so that they can help the patients in tobacco and alcohol cessation and contribute in prevention of oral cancers.
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Affiliation(s)
- Vikas Fotedar
- Assistant Professor, Department of Radiation Oncology, Regional Cancer Center, Indira Gandhi Medical College , Shimla, India
| | - Shailee Fotedar
- Assistant Professor, Department of Public Health Dentistry, H.P Government Dental College , Shimla, India
| | - Manish Gupta
- Associate Professor, Department of Radiation Oncology, Regional Cancer Center, Indira Gandhi Medical College , Shimla, India
| | - Kavita Manchanda
- Lecturer, Department of Public Health Dentistry, H.P Government Dental College , Shimla, India
| | - Mukesh Sharma
- Senior Resident, Department of Radiation Oncology, Regional Cancer Center, Indira Gandhi Medical College , Shimla, India
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McCready ZR, Kanjirath P, Jham BC. Oral cancer knowledge, behavior, and attitude among osteopathic medical students. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2015; 30:231-236. [PMID: 24882439 DOI: 10.1007/s13187-014-0675-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Approximately 21,000 osteopathic medical students were enrolled in the USA in 2012-2013. These future physicians are being educated with an emphasis on a holistic or patient-centered approach, with a focus on preventive care. Considering the importance of preventive care and early diagnosis in the outcomes of oral malignancies, our goal in this study was to assess the knowledge, behavior, and attitude of osteopathic medical students in relation to oral cancer. To this end, 204 second-year (Y2) and 194 fourth-year (Y4) medical students were invited to participate in an electronic survey. Forty-one Y2 and 44 Y4 students agreed to participate (20 and 22% response rate, respectively). The results showed that most Y2 and Y4 students were knowledgeable in certain areas (demographic features, important risk factors, and histologic feature), but deficient in others (clinical presentation, association of human papillomavirus (HPV) with oropharyngeal cancers, and screening recommendations). Head, neck, and oral examination habits were reported as being performed occasionally. Overall, students reported feeling uninformed about oral cancer and showed an interest in receiving further education on the subject. Our findings confirm that an overall improvement in oral cancer education in the medical curriculum is needed. Interprofessional collaboration between dental and medical schools may prove to be a valid approach to achieve this goal, which may possibly lead to increased detection of early oral cancerous lesions and, ultimately, improved mortality rates.
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Affiliation(s)
- Zachary R McCready
- College of Dental Medicine-Illinois, Midwestern University, 555 31st Street, Downers Grove, IL, 60515, USA
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Kujan O, Alzoghaibi I, Azzeghaiby S, Altamimi MA, Tarakji B, Hanouneh S, Idress M, Alenzi FQ, Iqbal M, Taifour S. Knowledge and attitudes of Saudi dental undergraduates on oral cancer. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2014; 29:735-8. [PMID: 24699922 DOI: 10.1007/s13187-014-0647-5] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
Oral cancer awareness among future dental practitioners may have an impact on the early detection and prevention of oral cancer. A cross-sectional survey was undertaken to assess the current knowledge of future Saudi dentists on oral cancer and their opinions on oral cancer prevention. A pretested questionnaire was sent to 550 undergraduate dental students in the fourth, fifth, and sixth year of the Al-Farabi College for Dentistry and Nursing, Riyadh, Saudi Arabia. Questions relating to knowledge of oral cancer, risk factors, and opinions on oral cancer prevention and practices were posed. Four hundred seventy-nine students returned the questionnaire (87.1 %). Eighty-one percent of respondents correctly answered questions relating to oral cancer awareness. Eighty-seven percent of respondents felt confident in performing a systematic oral examination to detect changes consistent with oral malignancy. Interestingly, 57 % of respondents had seen the use of oral cancer diagnostics aids. Thirty-seven percent of respondents felt inadequately trained to provide tobacco and alcohol cessation advice. There is a need to reinforce the undergraduate dental curriculum with regards to oral cancer education; particularly in its prevention and early detection. Incorporating the use of oral cancer diagnostic aids should be made mandatory.
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Affiliation(s)
- Omar Kujan
- Department of Oral and Maxillofacial Sciences, School of Dentistry, Al-Farabi College, Riyadh, Kingdom of Saudi Arabia,
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Halawany HS, Jacob V, Abraham NB, Al-Maflehi N. Oral Cancer Awareness and Perception of Tobacco Use Cessation Counseling among Dental Students in Four Asian Countries. Asian Pac J Cancer Prev 2013; 14:3619-23. [DOI: 10.7314/apjcp.2013.14.6.3619] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Alpöz E, Güneri P, Epstein JB, Cankaya H, Osmic D, Boyacıoğlu H. Dental students' knowledge of characteristics and management of oral complications of cancer therapy. Support Care Cancer 2013; 21:2793-8. [PMID: 23729227 DOI: 10.1007/s00520-013-1856-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2013] [Accepted: 05/16/2013] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The aim of this study is to investigate the level of Turkish senior dental students' knowledge regarding the orodental complications and their treatment methods of cancer patients. STUDY DESIGN A 15-item questionnaire which was obtained from National Institute of Dental and Craniofacial Research that contained information about the orodental complications of the cancer therapy and the dentists' role to provide their treatment protocols was used. Seventy-seven senior dental students answered the questionnaire and the replies were analyzed with stratified and logistic data analyses. RESULTS Overall, correct replies ranged from 5.2 to 98.7 %. The students knew the basic knowledge of the complications of cancer therapy; however, they failed to answer to the questions (ranging between 1.3 and 94.8 %) about the required clinical practices. The respondents preferred not to answer the questions about the prophylactic measures dentist shall take during a precancer treatment oral evaluation (9.1 %), management of pain in cancer treatment (6.5 %), and necessary considerations before a dental procedure in a chemotherapy patient (3.9 %). The multiple logistic regression analysis revealed that gender had no statistically significant effect on the correct or false answers to the questions (p > 0.05). CONCLUSION Our results disclosed that dental students' knowledge about oral complications of cancer therapy and the modalities to manage these complications vary. Reevaluation of current undergraduate curricula and continuing education for graduates might address the gaps identified and an educational program about oral and dental management of patients who are to receive/receiving/have received cancer therapy can be prepared and augmented into dental curriculum.
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Affiliation(s)
- Esin Alpöz
- Department of Oral and Maxillofacial Radiology, Ege University Faculty of Dentistry, 35100, Izmir, Turkey,
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Alavian SM, Mahboobi N, Mahboobi N, Karayiannis P. Oral conditions associated with hepatitis C virus infection. Saudi J Gastroenterol 2013; 19:245-51. [PMID: 24195977 PMCID: PMC3958971 DOI: 10.4103/1319-3767.121032] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Hepatitis C virus (HCV) infection in more than 170 million chronically infected patients with no developed preventive vaccine is a globally important issue. In addition to expected hepatic manifestations, a number of extrahepatic manifestations, such as mixed cryoglobulinemia, glomerulonephritis, polyarteritis nodosa, rashes, renal disease, neuropathy, and lymphoma, have been reported following HCV infection, which are believed to be influenced by the virus or the host immune response. HCV combination therapy with pegylated interferon and ribavirin might be associated with side effects as well. The association of HCV with special oral conditions has also been reported recurrently; the mechanism of most of which remains unclear. This article reviews the association of HCV infection with some of the oral conditions such as oral health, Sjogren's syndrome, lichen planus and oral cancer.
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Affiliation(s)
- Seyed-Moayed Alavian
- Department of Gastroenterology and Hepatology, Baqiyatallah University of Medical Sciences, Research Center for Gastroenterology and Liver Disease, Tehran, Iran,Address for correspondence: Prof. Seyed-Moayed Alavian, Professor of Gastroenterology and Hepatology, Baqiyatallah Research Center for Gastroenterology and Liver Diseases, Ground Floor of Baqiyatallah Hospital, Mollasadra Avenue, Vanak Square, Tehran, Iran. E-mail:
| | - Nastaran Mahboobi
- Department of Neurology, Marien Hospital Euskirchen, Lehrkrankenhaus der Uni-Bonn, Germany
| | - Nima Mahboobi
- Department of Oral and Maxillofacial Surgery, Tehran University of Medical Sciences, Tehran, Iran
| | - Peter Karayiannis
- Department of Medicine, Imperial College, Variety Wing Floor D, St Mary's Campus, Norfolk Place, London, England
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