Department of Oral and Maxillofacial Radiology, Ege University Faculty of Dentistry, 35100, Izmir, Turkey,
Support Care Cancer. 2013 Oct;21(10):2793-8. doi: 10.1007/s00520-013-1856-x. Epub 2013 Jun 1.
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.
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.
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).
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.
本研究旨在调查土耳其高年级牙科学生对癌症患者口腔-牙科并发症及其治疗方法的了解程度。
采用了一份由国家牙科和颅面研究所获得的包含癌症治疗相关口腔并发症和牙医提供治疗方案信息的 15 项问卷，对 77 名高年级牙科学生进行了问卷调查，并采用分层和逻辑数据分析对回答进行了分析。
总体而言，正确答案的范围在 5.2%至 98.7%之间。学生们了解癌症治疗并发症的基本知识，但他们无法回答关于所需临床实践的问题（范围在 1.3%至 94.8%之间）。受访者更愿意不回答有关在癌症治疗前口腔评估中牙医应采取的预防措施（9.1%）、癌症治疗期间疼痛管理（6.5%）以及化疗患者牙科程序前必要注意事项（3.9%）的问题。多因素逻辑回归分析显示，性别对问题的正确或错误回答没有统计学意义（p>0.05）。
我们的研究结果表明，牙科学生对癌症治疗相关口腔并发症及其管理方法的了解程度存在差异。重新评估当前的本科课程和毕业生继续教育，可能会解决已确定的差距，并制定和增加关于接受/正在接受/已接受癌症治疗的患者口腔和牙科管理的教育计划，可以将其纳入牙科课程中。
