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牙科从业者对口腔癌前病变和恶性病变的认识、观点及管理方法。

Dental practitioner's knowledge, opinions and methods of management of oral premalignancy and malignancy.

作者信息

Abdullah Jaber Mohamed

机构信息

College of Dentistry, Surgical Sciences Department, Ajman University of Science and Technology, P.O. Box 346, United Arab Emirates.

出版信息

Saudi Dent J. 2011 Jan;23(1):29-36. doi: 10.1016/j.sdentj.2010.10.002. Epub 2010 Oct 12.

Abstract

OBJECTIVES

The present study outlines the results of a pilot study to determine the knowledge and awareness of a cohort of dentists in United Arab Emirates (UAE) regarding aetiology, clinical features and appropriate early management of oral premalignant and malignant lesions.

MATERIALS AND METHODS

A self-administered questionnaire was constructed and posted to 300 UAE Dental Practitoners (DPs), selected randomly from the register of Emirates Dental Association. The present report details the responses of this cohort.

RESULTS

182 questionnaires were completed and returned (response rate 60.6%). One hundred and twenty-seven (69.8%) of the responding dentists were male and the median age of the DPs was 40 years (range 24-75 years). The majority (84%) practised or had practised in or around Dubai and Sharjah, 75% had graduated from a dental school after 1980. Eighty-two respondents (45.0%) had attended specific courses on premalignant or malignant oral lesions. During their undergraduate training 70% of DPs had witnessed more than 10 patients with oral SCC. Only 60.4% of respondents indicated that the tobacco and alcohol use were the principle causes of oral SCC while 19.7% suggested that HIV disease was a risk factor for oral SCC. 29% of DPs routinely recorded the tobacco or alcohol use of their patients and only 3.8% offered advice to patients regarding modification of these habits. Eight-three percent of the respondents suggested that clinical screening was an effective means of reducing the frequency of premalignant and malignant oral lesions.

CONCLUSIONS

In view of the gradual rise in oral malignancy worldwide there is an increased need for DPs to be able to recognize the signs and symptoms of oral malignancy and premalignancy, provide appropriate preventive advice and be aware of the appropriate early management of patients with such oral lesions.

摘要

目的

本研究概述了一项试点研究的结果,以确定阿拉伯联合酋长国(阿联酋)一组牙医关于口腔癌前病变和恶性病变的病因、临床特征及适当早期管理的知识和认识。

材料与方法

编制了一份自填式问卷,并寄给从阿联酋牙科协会登记册中随机挑选的300名阿联酋牙科从业者(DPs)。本报告详细介绍了该队列的回复情况。

结果

182份问卷被填写并返回(回复率60.6%)。127名(69.8%)回复的牙医为男性,DPs的中位年龄为40岁(范围24 - 75岁)。大多数(84%)在迪拜和沙迦及其周边地区执业或曾执业,75%于1980年后从牙科学院毕业。82名受访者(45.0%)参加过关于口腔癌前或恶性病变的特定课程。在本科培训期间,70%的DPs目睹过10例以上口腔鳞状细胞癌患者。只有60.4%的受访者指出烟草和酒精使用是口腔鳞状细胞癌的主要病因,而19.7%的人认为艾滋病毒疾病是口腔鳞状细胞癌的一个危险因素。29%的DPs常规记录患者的烟草或酒精使用情况,只有3.8%向患者提供关于改变这些习惯的建议。83%的受访者认为临床筛查是降低口腔癌前和恶性病变发生率的有效手段。

结论

鉴于全球口腔恶性肿瘤的逐渐增加,DPs越来越需要能够识别口腔恶性肿瘤和癌前病变的体征和症状,提供适当的预防建议,并了解此类口腔病变患者的适当早期管理。

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