口腔颌面部药物相关性骨坏死知识和意识的横断面调查：在牙科协会样本中的调查。
Across-sectional survey on medication-related osteonecrosis of the jaws' knowledge and awareness in a sample of dental society.
机构信息
Department of the Oral Surgery, The Left Specialized Dental Centre, Ninavah Health Directorate, Ministry of Health, Iraq.
Department of the Oral Diagnosis and Radiology, College of Dentistry, Ishik University, Erbil, Iraq.
出版信息
J Craniomaxillofac Surg. 2019 Jun;47(6):926-931. doi: 10.1016/j.jcms.2019.02.006. Epub 2019 Mar 19.
BACKGROUND
Medication-related osteonecrosis of the jaws (MRONJ) is a prominent complication and growing problem related to the oral and maxillofacial region due to antiresorptive and antiangiogenic agents. Awareness about MRONJ is crucial for all dental practitioners identify 'at risk' patients for appropriate advice and management. This cross-sectional survey aimed to appraise MRONJ awareness and knowledge among dentists.
MATERIALS AND METHODS
A questionnaire-based survey was carried out through one hundred and seventy eight dentist who recruited in three groups; the first group comprised 113 general dental practitioners (GDP), 33 dental radiologist (DR) included in the second, and 32 oral and maxillofacial surgeon (OMS) in the third group. MRONJ awareness was evaluated by asking all respondents a question of "Did you heard about MRONJ? In addition, the detailed knowledge on the subject in question were addressed through fourteen, nine, and three questions for OMSs, DRs, and GDPs respectively.
RESULTS
A significant difference were existed among groups with a rate of MRONJ's awareness of 33.6%, 48.5%, and 84.4% for GDPs, DRs, and OMSs respectively. Concerning MRONJ knowledge, significantly highest rates seen in OMSs set with 48.55%. In contrast, the average scores of DRs were 30.64%, and the GDPs group recorded the least value with 16.67%.
CONCLUSIONS
Strengthen the MRONJ awareness and knowledge among general dentists and dental specialists are essential to identify 'at risk' patients for appropriate advice and management.
背景
由于抗吸收和抗血管生成药物的应用，颌骨药物相关性坏死（MRONJ）是口腔颌面区域一个突出的并发症和日益严重的问题。所有牙医都必须了解 MRONJ，以便识别“高危”患者并提供适当的建议和管理。本横断面调查旨在评估牙医对 MRONJ 的认识和知识。
材料和方法
通过 178 名牙医进行了一项基于问卷的调查，这些牙医分为三组；第一组包括 113 名普通牙医（GDP），第二组包括 33 名牙科放射科医生（DR），第三组包括 32 名口腔颌面外科医生（OMS）。通过向所有受访者提出一个问题“您听说过 MRONJ 吗？”来评估 MRONJ 的认识。此外，通过分别为 OMS、DR 和 GDP 提出 14、9 和 3 个问题来解决有关该主题的详细知识。
结果
各组之间存在显著差异，GDP、DR 和 OMS 对 MRONJ 意识的比率分别为 33.6%、48.5%和 84.4%。关于 MRONJ 知识，OMS 组的得分最高，为 48.55%。相比之下，DR 组的平均得分为 30.64%，而 GDP 组的得分最低，为 16.67%。
结论
加强普通牙医和牙科专家对 MRONJ 的认识和知识对于识别“高危”患者并提供适当的建议和管理至关重要。
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