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Sangoi MGR, Dias YM, Katz N, Visioli F, Rados PV, Martins MD, de Campos Hildebrand L, Carrard VC. Knowledge, Attitudes, Practices, and Perceptions of Brazilian Dentists About Oral Cancer. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2024:10.1007/s13187-024-02500-2. [PMID: 39278891 DOI: 10.1007/s13187-024-02500-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Accepted: 08/29/2024] [Indexed: 09/18/2024]
Abstract
Dentists play a pivotal role in the early detection of oral cancer. Consequently, they are expected to possess the knowledge and the capability to recognize the features of this disease. The objective of the study is to evaluate dentists from different regions of Brazil regarding their level of knowledge and self-confidence regarding oral cancer. An online self-administered questionnaire was completed by dentists across Brazil registered on the TelessaúdeRS-UFRGS platform. This questionnaire encompassed inquiries related to knowledge, attitudes, and practices regarding oral cancer. A total of 1291 dentists from all regions of the country responded to the questionnaire. The majority of participants were females (75.5%), with an average age of 36.3 years, predominantly from the public sector (46.8%). A reasonable level of knowledge regarding oral cancer was observed among dentists, although 48.6% of these professionals felt uncertain about diagnosis procedures. Dentists less than 8 years since graduation perceived themselves as more prepared to perform oral cancer diagnoses than those with more experience. Around 55% of participants had never performed a biopsy. Based on the obtained results, it is concluded that continuous education activities focused on oral cancer and implementing practical training during undergraduate studies are imperative. These strategies can improve professionals' self-confidence and diagnostic accuracy, thereby facilitating early disease diagnosis and, consequently, a more favorable prognosis.
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Affiliation(s)
- Maria Gabriela Rosa Sangoi
- Department of Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande Do Sul (UFRGS), Rua Ramiro Barcelos 2492/503, Bairro: Santana, Porto Alegre, Rio Grande do Sul, 90035-003, Brazil
| | - Yasmin Muniz Dias
- Department of Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande Do Sul (UFRGS), Rua Ramiro Barcelos 2492/503, Bairro: Santana, Porto Alegre, Rio Grande do Sul, 90035-003, Brazil
| | - Natan Katz
- TelessaúdeRS-UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
| | - Fernanda Visioli
- Department of Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande Do Sul (UFRGS), Rua Ramiro Barcelos 2492/503, Bairro: Santana, Porto Alegre, Rio Grande do Sul, 90035-003, Brazil
| | - Pantelis Varvaki Rados
- Department of Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande Do Sul (UFRGS), Rua Ramiro Barcelos 2492/503, Bairro: Santana, Porto Alegre, Rio Grande do Sul, 90035-003, Brazil
| | - Manoela Domingues Martins
- Department of Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande Do Sul (UFRGS), Rua Ramiro Barcelos 2492/503, Bairro: Santana, Porto Alegre, Rio Grande do Sul, 90035-003, Brazil
| | - Laura de Campos Hildebrand
- Department of Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande Do Sul (UFRGS), Rua Ramiro Barcelos 2492/503, Bairro: Santana, Porto Alegre, Rio Grande do Sul, 90035-003, Brazil
| | - Vinicius Coelho Carrard
- Department of Oral Pathology, School of Dentistry, Universidade Federal do Rio Grande Do Sul (UFRGS), Rua Ramiro Barcelos 2492/503, Bairro: Santana, Porto Alegre, Rio Grande do Sul, 90035-003, Brazil.
- TelessaúdeRS-UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil.
- Department of Oral Medicine, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Rio Grande do Sul, Brazil.
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Klaps L, Verbist M, Bila M, Van Dessel J. Bridging the knowledge-Practice gap: Insights from a survey of Belgian dental professionals on diagnosis and supportive oral cancer treatment in comparison with international guidelines. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2024; 125:101891. [PMID: 38688402 DOI: 10.1016/j.jormas.2024.101891] [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: 03/12/2024] [Revised: 04/21/2024] [Accepted: 04/22/2024] [Indexed: 05/02/2024]
Abstract
OBJECTIVE Early detection significantly improves the prognosis of oral cancer patients, contingent upon the knowledge of dental professionals. This study aimed to assess and compare the knowledge, practices and perceptions regarding oral cancer among dental professionals in Belgium. MATERIALS AND METHODS A cross-sectional survey was distributed via Qualtrics to general dentists, dental specialists, dental hygienists, and oral and maxillofacial surgeons. The self-administered questionnaire comprised three sections: demographics (4 questions), knowledge (9 questions) and clinical practices (19 questions) related to oral cancer detection and treatment. Descriptive statistics were employed for data analysis, with Chi-square tests assessing responses by specialization, gender, years of experience and number of oral cancer patients treated. RESULTS A total of 262 questionnaires were completed, with the majority of respondents being general dentists (61%) followed by dental specialists (25%), oral hygienists (8%) and oral and maxillofacial surgeons (6%). 70% of the respondents reported treating fewer than four oral cancer patients throughout their careers. 5 out of the 9 knowledge questions achieved over 50% correct responses, with an average correct answer rate of 54%. Oral and maxillofacial surgeons and dental professionals who have treated more than four oral cancer patients, demonstrated significantly higher scores on multiple knowledge questions. Responses to clinically oriented questions showed less diversity across professions, and generally aligning with guidelines from professional oncological societies. CONCLUSION This survey highlights the need for enhanced education on oral cancer among Belgian dental professionals. Knowledge levels were notably higher among more experienced respondents. The development and implementation of comprehensive guidelines tailored to dentists and oral hygienists for oral cancer prevention and patient care are warranted to optimize clinical practice standards.
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Affiliation(s)
- Lien Klaps
- Department of Oral Health Sciences, University Hospitals Leuven, Belgium.
| | - Maarten Verbist
- Department of Oral and Maxillofacial Surgery, University Hospitals Leuven and OMFS IMPATH research Group, Department of Imaging & Pathology, Faculty of Medicine, KU Leuven, Leuven, Belgium
| | - Michel Bila
- Department of Oral and Maxillofacial Surgery, University Hospitals Leuven and OMFS IMPATH research Group, Department of Imaging & Pathology, Faculty of Medicine, KU Leuven, Leuven, Belgium
| | - Jeroen Van Dessel
- Department of Oral and Maxillofacial Surgery, University Hospitals Leuven and OMFS IMPATH research Group, Department of Imaging & Pathology, Faculty of Medicine, KU Leuven, Leuven, Belgium
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Idrees M, Halimi R, Gadiraju S, Frydrych AM, Kujan O. Clinical competency of dental health professionals and students in diagnosing oral mucosal lesions. Oral Dis 2024; 30:3108-3116. [PMID: 37727932 DOI: 10.1111/odi.14743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 08/19/2023] [Accepted: 09/01/2023] [Indexed: 09/21/2023]
Abstract
OBJECTIVE Proper identification of oral potentially malignant disorders (OPMDs) provides an opportunity for oral cancer prevention. This study aims to assess the competency of dental health professionals in identifying OPMDs and, in turn, reducing the incidence of oral malignancy by early detection. METHODS A 26-case online questionnaire of oral mucosal lesions was distributed to cohorts of 363 dental health professionals and dental students in Australia. The participants were asked to provide their provisional diagnosis for each case based on the available information. RESULTS The overall accuracy in identifying oral mucosal lesions was 65.9%. There were no significant differences in the overall diagnostic accuracies between dental specialists, general dental practitioners and final-year dental students (p > 0.05). The lowest diagnostic accuracies were associated with normal mucosal variations and OPMDs. The predoctoral dental curriculum showed statistically significant values in terms of improving skills in diagnosing oral mucosal lesions. CONCLUSIONS Lack of adequate knowledge in identifying OPMDs was evident among the participants, highlighting a non-promising figure in reducing the incidence of oral cancers in Australia. Comprehensive modifications of the current continuing professional development system are required to ensure adequate knowledge among dental health providers in Australia.
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Affiliation(s)
- Majdy Idrees
- UWA Dental School, The University of Western Australia, Perth, Western Australia, Australia
| | - Rodwan Halimi
- UWA Dental School, The University of Western Australia, Perth, Western Australia, Australia
| | - Shashank Gadiraju
- UWA Dental School, The University of Western Australia, Perth, Western Australia, Australia
| | - Agnieszka M Frydrych
- UWA Dental School, The University of Western Australia, Perth, Western Australia, Australia
| | - Omar Kujan
- UWA Dental School, The University of Western Australia, Perth, Western Australia, Australia
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Sari EF, Hidayat W, Dewi TS, Rezeki S, Krimadi R, McCullough MJ, Cirillo N. General dentists' knowledge, perceptions, and practices regarding oral potentially malignant disorders and oral cancer in Indonesia. Clin Exp Dent Res 2024; 10:e807. [PMID: 38009492 PMCID: PMC10860440 DOI: 10.1002/cre2.807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 10/12/2023] [Accepted: 10/17/2023] [Indexed: 11/29/2023] Open
Abstract
INTRODUCTION The most effective means for reducing oral cancer (OC) mortality is by preventing late-stage disease. Early diagnosis can be improved by increasing awareness among healthcare providers, specifically general dental practitioners (GDP). Therefore, our study aimed to assess GDPs' knowledge of OC risk factors and perceived competence in performing conventional oral examination (COE) in routine dental practice. MATERIAL AND METHODS This was a cross-sectional study conducted in five provinces of Indonesia, namely: Aceh, Banda Aceh (BA); Bandung, West Java (WJ); special district Jakarta (JKT), JKT; Pontianak, West Kalimantan (WK); and Sorong, West Papua (WP). The local Dental Association or Faculty of Dentistry invited the GDPs to attend an education program and complete the survey. RESULTS One hundred seventy-seven GDPs completed the survey (WJ, n = 63; BA, n = 44, JKT, n = 27; WP, n = 23; and WP, n = 20). A large proportion (164 out of 177, 92.66%) of GDPs felt they had received insufficient training to equip them to diagnose OC and as many as 22.6% (n = 40) did not refer to specialists when they found suspicious mucosal lesions. Notwithstanding the significant regional variations, the majority of Indonesian GDPs self-reported inadequate knowledge and awareness of OC and scarce confidence in performing COE. CONCLUSION GDP knowledge of OC risk factors and COE is key to improving early diagnosis of OC at a community level. Therefore, it is suggested that the lack of knowledge and confidence of GDPs reported here should be addressed through the national dental curriculum in Indonesia.
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Affiliation(s)
- Elizabeth Fitriana Sari
- Melbourne Dental SchoolThe University of MelbourneCarltonVictoriaAustralia
- Dentistry Discipline, Department of Rural Clinical ScienceLa Trobe Rural Health SchoolBendigoAustralia
- Faculty of DentistryUniversitas PadjadjaranBandungIndonesia
| | - Wahyu Hidayat
- Faculty of DentistryUniversitas PadjadjaranBandungIndonesia
| | | | - Sri Rezeki
- Faculty of DentistryUniversitas Syiah KualaBanda AcehIndonesia
| | | | | | - Nicola Cirillo
- Melbourne Dental SchoolThe University of MelbourneCarltonVictoriaAustralia
- School of DentistryUniversity of JordanAmmanJordan
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Gijón-Soriano AL, Argueta-Figueroa L, Pérez-Cervera Y, Acevedo-Mascarúa AE, González-Arratia-López-Fuentes NI, Torres-Muñoz MA, Moyaho-Bernal MDLA, Torres-Rosas R. Association between sociodemographic characteristics and level of knowledge about oral cancer among Mexican dental health professionals: a cross-sectional online survey. BMC MEDICAL EDUCATION 2022; 22:874. [PMID: 36527021 PMCID: PMC9756605 DOI: 10.1186/s12909-022-03952-0] [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: 08/04/2022] [Accepted: 12/09/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND A good level of knowledge in dentists is crucial for an early diagnosis of oral cancer (OC). In Latin America there are a few studies of OC knowledge among dentist, those has been performed in Brazil, Colombia, and Chile, and their results showed low level of OC knowledge. On the other hand, there is no publication in which the level of knowledge of dentists in Mexico has been addressed. Therefore, this study aimed to assess knowledge of OC and to determine the association of the level of knowledge with sociodemographic characteristics among dentists in Mexico. METHODS A cross-sectional online survey was designed to obtain information via questionnaire. The questionnaire was developed in the Spanish language, and the content validity was determined. The study was conducted among Mexican dentists with a 23-item questionnaire that was designed to be anonymous. The sample size was calculated using the finite population formula. Based on the responses, the level of knowledge of OC was categorized as very low, low, regular, good, or excellent. Additionally, the association between sociodemographic characteristics and the level of knowledge about OC was evaluated. RESULTS This research was conducted on a sample of 387 dentists. Most of the respondents were general dentists and worked in urban zones. The majority of dentists lacked a specialty (76.7%). Additionally, most of the respondents were students (44.2%). The level of knowledge of the participants was between regular and good (77.8%). On the other hand, concerning self-evaluation, most of the participants considered their knowledge of OC to be regular (50.6%). In addition, there was no association between sociodemographic characteristics and knowledge about OC. CONCLUSIONS This research identified some weaknesses in most Mexican dentists' knowledge of OC.
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Affiliation(s)
- Ana Lilia Gijón-Soriano
- División de posgrado, Facultad de Odontología, Universidad Autónoma "Benito Juárez" de Oaxaca, Av. Universidad S/N, Ex-Hacienda 5 Señores, 68120, Oaxaca de Juárez, Mexico
| | - Liliana Argueta-Figueroa
- CONACyT - Facultad de Odontología, Universidad Autónoma "Benito Juárez" de Oaxaca, Av. Universidad S/N, Ex-Hacienda 5 Señores, 68120, Oaxaca de Juárez, Mexico.
| | - Yobana Pérez-Cervera
- Laboratorio de Inmunología asociado al Centro de Estudios en Ciencias de la Salud y la Enfermedad, División de Posgrado, Facultad de Odontología, Universidad Autónoma "Benito Juárez" de Oaxaca, Av. Universidad S/N, Ex-Hacienda 5 Señores, 68120, Oaxaca de Juárez, Mexico
| | - Alfonso Enrique Acevedo-Mascarúa
- División de posgrado, Facultad de Odontología, Universidad Autónoma "Benito Juárez" de Oaxaca, Av. Universidad S/N, Ex-Hacienda 5 Señores, 68120, Oaxaca de Juárez, Mexico
| | | | - Martha Adelina Torres-Muñoz
- Facultad de Ciencias de la Conducta Universidad Autónoma del Estado de México, Filiberto Gómez s/n, Barrio de Tlacopa, 50010, Toluca de Lerdo, Mexico
| | - María de Los Angeles Moyaho-Bernal
- Facultad de Estomatología, Benemérita Universidad Autónoma de Puebla, calle 31 Poniente #1304, Col. Los Volcanes, C. P. 72410, Puebla, Mexico
| | - Rafael Torres-Rosas
- Laboratorio de Inmunología asociado al Centro de Estudios en Ciencias de la Salud y la Enfermedad, División de Posgrado, Facultad de Odontología, Universidad Autónoma "Benito Juárez" de Oaxaca, Av. Universidad S/N, Ex-Hacienda 5 Señores, 68120, Oaxaca de Juárez, Mexico.
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Dentists’ Perception of Oral Potentially Malignant Disorders. Int Dent J 2022; 72:414-419. [PMID: 35227496 PMCID: PMC9275301 DOI: 10.1016/j.identj.2022.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Revised: 12/25/2021] [Accepted: 01/25/2022] [Indexed: 11/22/2022] Open
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