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韩国牙医对颌骨双膦酸盐相关骨坏死认知情况的调查

Survey of Korean dentists on the awareness on bisphosphonate-related osteonecrosis of the jaws.

作者信息

Yoo Ji-Yeon, Park Yong-Duk, Kwon Yong-Dae, Kim Deog-Yoon, Ohe Joo-Young

机构信息

Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry, Seoul, Korea.

出版信息

J Investig Clin Dent. 2010 Nov;1(2):90-5. doi: 10.1111/j.2041-1626.2010.00024.x.

DOI:10.1111/j.2041-1626.2010.00024.x
PMID:25427263
Abstract

AIM

This survey evaluates the awareness of bisphosphonate-related osteonecrosis of the jaws among Korean dentists.

METHODS

We prepared a questionnaire based on bisphosphonate-related osteonecrosis of the jaw guidelines, suggested by The American Association of Oral Maxillofacial Surgeons. Among 13,405 dentists, we randomly selected 264 (2%) practitioners.

RESULTS

A total of 56.5% of respondents had heard of bisphosphonates as medication related to osteonecrosis, but only 31.4% routinely recorded bisphosphonate medication history. The cross-sectional analysis demonstrated that most dentists were unaware of The American Association of Oral Maxillofacial Surgeons' guidelines. Dentists with <5 years' clinical experience were significantly more aware than those with >5 years' experience. Experience with treating osteonecrosis of the jaw patients and recording medication histories were significantly greater in dental hospitals with >300 beds or university hospitals. Awareness of the severity of bisphosphonate-related osteonecrosis of the jaws was greatest among oral surgeons.

CONCLUSION

Dentists should thoroughly check patients' medical histories, including bisphosphonate intake. With the exception of oral surgeons, most Korean dentists were not adequately aware of bisphosphonate-related osteonecrosis of the jaws and its seriousness, making it a potential risk in Korean dentistry. Therefore, it is important to educate clinicians regarding the potential risk of bisphosphonate medication in dentistry through education programs.

摘要

目的

本调查评估韩国牙医对双膦酸盐相关颌骨坏死的认知情况。

方法

我们根据美国口腔颌面外科医师协会建议的双膦酸盐相关颌骨坏死指南编制了一份问卷。在13405名牙医中,我们随机抽取了264名(2%)从业者。

结果

共有56.5%的受访者听说过双膦酸盐类药物与骨坏死有关,但只有31.4%的人常规记录双膦酸盐用药史。横断面分析表明,大多数牙医并不知晓美国口腔颌面外科医师协会的指南。临床经验不足5年的牙医比经验超过5年的牙医认知度显著更高。在拥有超过300张床位的牙科医院或大学医院中,治疗颌骨坏死患者的经验和记录用药史的情况明显更多。口腔外科医生对双膦酸盐相关颌骨坏死严重程度的认知度最高。

结论

牙医应彻底检查患者的病史,包括双膦酸盐的摄入情况。除口腔外科医生外,大多数韩国牙医对双膦酸盐相关颌骨坏死及其严重性认识不足,这在韩国牙科领域构成了潜在风险。因此,通过教育项目让临床医生了解双膦酸盐药物在牙科中的潜在风险非常重要。

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