Schiavo-Di Flaviano V, González-Navarro B, Martín Carreras-Presa C, Jané-Salas E, López-López J
University Campus of Bellvitge Pabellón de Gobierno, 2º planta, Dept. of Dentistry C/Feixa Llarga s/n, L' Hospitalet de Llobregat 08907, Barcelona, Spain
Med Oral Patol Oral Cir Bucal. 2025 Jan 1;30(1):e31-e40. doi: 10.4317/medoral.26804.
Oral biopsy is a fundamental surgical procedure used to obtain a histopathological result that assists clinicians in establishing a definitive diagnosis of oral mucosal lesions. The aim of this study was to asses the knowledge and attitudes of dental students, general dentists, and oral surgery experts regarding the detection of oral lesions and the use of biopsy as a diagnostic tool.
a self-administered questionnaire consisting of 26 questions and 3 clinical cases on oral lesions was distributed to general dentists, oral surgery specialists and final-year dentistry students at the University of Barcelona. A descriptive analysis of all variables included was performed. The chi-square test was used to compare categorical variables, and a multivariate logistic regression model was performed.
A total of 281 questionnaires were included in the study. In terms of diagnosing of oral lesions, 44.7% of students and 32.1% of general dentists were unable to make an accurate diagnosis, compared to 81.7% of specialists. Twelve students (15.8%) and twenty general dentists (14.9%) reported lacking the skills to perform a biopsy. Ninety general dentists (67.2%) reported feeling uncomfortable performing biopsies due to a lack of experience. Oral surgeons are 84.4 times more likely to identify lesions of the oral mucosa compared to students. General dentists experience 9.6 times more difficulty diagnosing oral lesions compared to students. General dentists are 0.43 times less likely to perform sample analysis compared to students.
Oral biopsy is a procedure primarily performed by specialists in oral surgery, with its use among general dentists being limited, likely due to a lack of training in the field. To encourage the use of biopsy among general dentists, clinical training should be a fundamental component of the education of oral healthcare providers.
口腔活检是一种基本的外科手术，用于获取组织病理学结果，以协助临床医生对口腔黏膜病变做出明确诊断。本研究的目的是评估牙科学生、普通牙医和口腔外科专家在口腔病变检测以及将活检作为诊断工具的使用方面的知识和态度。
向巴塞罗那大学的普通牙医、口腔外科专家和牙科专业最后一年的学生发放了一份包含26个问题和3个口腔病变临床病例的自填式问卷。对所有纳入变量进行描述性分析。使用卡方检验比较分类变量，并进行多因素逻辑回归模型分析。
本研究共纳入281份问卷。在口腔病变诊断方面，44.7%的学生和32.1%的普通牙医无法做出准确诊断，而专家的这一比例为81.7%。12名学生（15.8%）和20名普通牙医（14.9%）报告缺乏进行活检的技能。90名普通牙医（67.2%）报告由于缺乏经验，在进行活检时感到不自在。与学生相比，口腔外科医生识别口腔黏膜病变的可能性高84.4倍。与学生相比，普通牙医在诊断口腔病变时遇到的困难多9.6倍。与学生相比，普通牙医进行样本分析的可能性低0.43倍。
口腔活检主要由口腔外科专家进行，普通牙医的使用有限，这可能是由于该领域缺乏培训。为鼓励普通牙医使用活检，临床培训应成为口腔医疗服务提供者教育的基本组成部分。
