Department of Surgicals, Faculty of Dental Medicine, University of Medicine and Pharmacy, "Grigore T. Popa", 700115 Iasi, Romania.
Department of Implantology, Removable Prostheses, Dental Technology, Faculty of Dental Medicine, University of Medicine and Pharmacy, "Grigore T. Popa", 700115 Iasi, Romania.
Medicina (Kaunas). 2022 Jun 15;58(6):806. doi: 10.3390/medicina58060806.
Dentists play a very important part in the early identification of oral cancer lesions. This aspect of dental practice depends on the knowledge acquired during the faculty years. The aim of this study was to assess dental students' and residents' levels of awareness in terms of oral cancer. The cross-sectional study was conducted at the Faculty of Dental Medicine within the "Grigore T. Popa" University of Medicine and Pharmacy in Iasi, on a sample of 197 students in the fourth and the fifth years and first year residents in general dentistry. To assess their knowledge, a questionnaire was created containing 22 questions about the risk factors for oral cancer, with a focus on HPV infection. Most participants correctly identified smoking, alcohol, and the HPV infection as risk factors and leukoplakia and erythroplasia as potentially malignant lesions. At the opposite site, aspects considered as unsatisfactory focused on the palpation of lymphatic nodules, a procedure largely carried out by 41.6% of the fourth year students, the counseling only of the patients at risk performed by 59.7% of residents, the lack of knowledge about the prevention of oral cancer through anti-HPV immunization found in 39.7% of the fifth year students. Other incorrect answers focused on other types of suspicious lesions, such as actinic cheilitis, as well as certain areas in the oral cavity subject to the frequent onset of oral cancer, such as buccal mucosa. Although the fifth year students and residents have better knowledge than the fourth year students, the gaps in terms of knowledge and practice encountered in all three categories of participants require a reevaluation of the academic curriculum and the focus on the building of the skills necessary for the correct screening of oral cancer.
牙医在早期识别口腔癌病变方面起着非常重要的作用。牙科实践的这一方面取决于在教师阶段获得的知识。本研究的目的是评估牙科学生和住院医师对口腔癌的认识水平。这项横断面研究在 Iasi 的“Grigore T. Popa”医科大学牙医学院进行,对四年级和五年级的 197 名学生和普通牙科的第一年住院医师进行了抽样调查。为了评估他们的知识,我们创建了一个包含 22 个问题的问卷,这些问题涉及口腔癌的危险因素,重点是 HPV 感染。大多数参与者正确地将吸烟、饮酒和 HPV 感染识别为危险因素,将白斑和红斑识别为潜在恶性病变。另一方面,考虑到不满意的方面主要集中在淋巴结触诊上,只有 41.6%的四年级学生进行了此操作,只有 59.7%的住院医师对高危患者进行了咨询,只有 39.7%的五年级学生了解通过抗 HPV 免疫预防口腔癌的知识。其他不正确的答案还集中在其他可疑病变类型上,例如光化性唇炎,以及口腔中经常发生口腔癌的某些区域,例如颊粘膜。尽管五年级学生和住院医师的知识比四年级学生更好,但在所有三个类别的参与者中,知识和实践方面的差距都需要重新评估学术课程,并侧重于建立正确筛查口腔癌所需的技能。