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孟买牙科从业者对药物性颌骨坏死的认知与了解:一项基于问卷调查的研究

Knowledge and Awareness of Medication-Related Osteonecrosis of the Jaw Among Dental Practitioners in Mumbai: A Questionnaire-Based Survey.

作者信息

Shapurwala Murtaza A, Kharkar Viraj, More Saudamini, Kalsi Harjit, Sachdev Sanpreet S

机构信息

Oral and Maxillofacial Surgery, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, IND.

Public Health Dentistry, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, IND.

出版信息

Cureus. 2024 Dec 26;16(12):e76448. doi: 10.7759/cureus.76448. eCollection 2024 Dec.

Abstract

INTRODUCTION

Osteonecrosis of the jaw resulting from the adverse effects of medical treatments is known as medication-related osteonecrosis of the jaws (MRONJ). The knowledge of dental professionals about this condition is crucial in addressing it on a regional and global scale. This study aims to assess the knowledge and awareness of MRONJ among dental practitioners in Mumbai.

MATERIALS AND METHODS

This descriptive cross-sectional study utilized a web-based questionnaire comprising 21 questions distributed to dental professionals and postgraduate students at dental colleges, hospitals, and private practices in Mumbai.

RESULTS

A total of 403 dentists participated in the survey, with 85% familiar with the condition. A significantly (p < 0.05) higher proportion of clinicians with over 20 years of experience and those specializing in oral and maxillofacial surgery were aware of the indications for bisphosphonate drugs. About 53% of oral surgeons and 57.7% of participants with more than 20 years of experience were aware that antiangiogenic drugs are used in breast cancer treatment. However, awareness of their use in lung cancer was only about 21%.

CONCLUSIONS

Although practitioners were familiar with the term MRONJ, their knowledge of the drugs affecting the disease, as well as its clinical and radiographic presentations, was inadequate. Awareness of treatment strategies and recent advances was particularly lacking among general dentists and other specialists apart from oral and maxillofacial surgeons (OMFS). Practitioners also identified a lack of an interdisciplinary approach. There is a clear need for enhanced education and awareness on this subject, which can be achieved by conducting interdisciplinary surveys, conferences, and seminars.

摘要

引言

由医学治疗的不良反应导致的颌骨坏死被称为药物相关性颌骨坏死(MRONJ)。牙科专业人员对这种情况的了解对于在区域和全球范围内应对它至关重要。本研究旨在评估孟买牙科从业者对MRONJ的知识和认识。

材料与方法

这项描述性横断面研究使用了一份基于网络的问卷,该问卷包含21个问题,分发给孟买的牙科学院、医院和私人诊所的牙科专业人员和研究生。

结果

共有403名牙医参与了调查,其中85%对这种情况有所了解。经验超过20年的临床医生以及专门从事口腔颌面外科的医生中,知晓双膦酸盐药物适应证的比例显著更高(p<0.05)。约53%的口腔外科医生和57.7%经验超过20年的参与者知晓抗血管生成药物用于乳腺癌治疗。然而,知晓其用于肺癌治疗的比例仅约为21%。

结论

尽管从业者熟悉MRONJ这个术语,但他们对影响该疾病的药物以及其临床和影像学表现的了解并不充分。除口腔颌面外科医生(OMFS)外,普通牙医和其他专科医生尤其缺乏对治疗策略和最新进展的认识。从业者还指出缺乏跨学科方法。显然需要加强关于这个主题的教育和认识,这可以通过开展跨学科调查、会议和研讨会来实现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/651f/11769707/a9157ddeef7f/cureus-0016-00000076448-i01.jpg

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