Vijay Kumar K V, Suresan V
Department of Public Health Dentistry, RIMS Dental College and Hospital, Kadapa, Andhra Pradesh, India.
Indian J Cancer. 2012 Jan-Mar;49(1):33-8. doi: 10.4103/0019-509X.98915.
Oral cancer presents with high mortality rates, and the likelihood of survival is remarkably better when detected early. The dental profession shares an important responsibility toward early screening, prompt referral and treatment.
The aim of the present study was to assess the oral cancer knowledge, attitude and screening practices among dental practitioners in Bangalore city.
This descriptive cross-sectional study was conducted using a 24-item self-administered questionnaire involving private dental practitioners of Bangalore city. A total of 1556 private dental practitioners of Bangalore made up the sampling frame of the study, and a sample of 250 dentists was found to be sufficient. Two hundred and fifty dentists were selected by cluster random sampling. The institutional review committee approved the study. Data were entered using SPSS 13.01.
A total of 250 practicing dentists were approached, of which 240 participated in the study. Among the various risk factors for causing oral cancer, the use of alcohol was identified as a major risk factor by 238 (99%) dentists. The high-risk age group for oral cancer was identified as the fourth and fifth decades by 143 (59%) dentists. Adequate training for providing oral cancer examinations was acquired by 164 (68%) of the dentists. Two hundred and thirty-seven (98%) dentists strongly agreed that patients should be referred to specialists if they suspected oral cancer in any lesion. No more than 37% of the dentists routinely practiced complete oral cavity examination on all patients who attended their practice. A mere 31% of the dentists educated their patients on the adverse effects of these habits and assisted them in cessation programmes.
These findings concerning dentists' knowledge and opinions related to oral and pharyngeal cancer suggest strongly that educational interventions for practitioners and dental students are necessary. We contend that an offering of continuing dental education programs would go a long way to enhance the prevention and early diagnosis of oral cancer.
口腔癌死亡率很高,若能早期发现,存活几率会显著提高。牙科行业在早期筛查、及时转诊和治疗方面负有重要责任。
本研究旨在评估班加罗尔市牙科从业者的口腔癌知识、态度和筛查实践。
本描述性横断面研究采用一份包含24个项目的自填式问卷,对象为班加罗尔市的私人牙科从业者。班加罗尔市共有1556名私人牙科从业者构成研究的抽样框架,发现250名牙医的样本量就足够。通过整群随机抽样选取了250名牙医。该研究获得机构审查委员会批准。数据使用SPSS 13.01录入。
共接触了250名执业牙医,其中240名参与了研究。在导致口腔癌的各种风险因素中,238名(99%)牙医将饮酒确定为主要风险因素。143名(59%)牙医将口腔癌的高危年龄组确定为第四和第五个十年。164名(68%)牙医接受了提供口腔癌检查的充分培训。237名(98%)牙医强烈同意,如果怀疑患者有任何病变患有口腔癌,应将其转诊给专科医生。不超过37%的牙医对所有前来就诊的患者常规进行全口腔检查。只有31%的牙医向患者宣传这些习惯的不良影响,并协助他们参与戒烟计划。
这些关于牙医对口腔和咽癌的知识及看法的研究结果强烈表明,对从业者和牙科学生进行教育干预是必要的。我们认为,提供继续牙科教育项目将大大有助于加强口腔癌的预防和早期诊断。