Avaliação do conhecimento e da percepção de cirurgiões-dentistas e estudantes de odontologia acerca de desordens potencialmente malignas
DOI:
https://doi.org/10.34019/1982-8047.2023.v49.39166Keywords:
Diagnóstico, Eritroplasia, Lesões Pré-Cancerosas, Leucoplasia, Neoplasias BucaisAbstract
Background: Potentially malignant disorders (PMD) are conditions of the oral cavity that present a significant risk for the development of cancer. Thus, early diagnosis becomes essential in the prognosis of oral lesions. Therefore, assessing the knowledge profile of these disorders is essential to identify gaps in education and to promote alternatives to improve the quality of their diagnosis. Objective: Evaluate the perception of brazilian dentists and dental students about their knowledge and ability to identify PMD. Methods: A cross-sectional study was carried out using an online questionnaire. Two questionnaires with 24 questions were applied, one for students and other for dentists, divided into three sections: demographic and academic data, training, attitudes and self-perception about potentially malignant disorders and knowledge of potentially malignant disorders. Statistical analysis involved Pearson, Mann-Whitney and Kruskal-Wallis tests. Results: The study consisted of 209 participants, 76 dentists and 133 dentistry students. Most participants never attended a course that involved the diagnosis of potentially malignant disorders. The score of knowledge about potentially malignant disorders ranged from 0 to 10 points, with a mean of 6.29±1.77 among students and 7.01±1.82 among dentists. The highest rate of correct answers was for questions that discussed clinical management and the definition of disorders. The questions with the lowest rate of correct answers were about lesions that are not considered potentially malignant, malignancy potential and the definition of Carcinoma in Situ. Conclusion: There are gaps in the knowledge of dental students and dentists in the identification of potentially malignant disorders. Therefore, more training and investments in education and periodic follow-up of patients with such disorders are needed in order to prevent potential malignant transformations.
Downloads
References
Abati S, Bramati C, Bondi S, Lissoni A, Trimarchi M. Oral Cancer and precancer: a narrative review on the relevance of early diagnosis. Int J Environ Res Public Health. 2020; 8; 17(24):9160. doi: 10.3390/ijerph17249160. PMID: 33302498
Ilhan B, Guneri P, Wilder-Smith P. The contribution of artificial intelligence to reducing the diagnostic delay in oral cancer. Oral Oncol. 2021; 116:105254. doi: 10.1016/j.oraloncology.2021.105254.
Instituto Nacional de Câncer (BR). Estatísticas de câncer [Internet]. c2021. [citado em 2021 ago. 18]. Acesso em: https://www.inca.gov.br/numeros-de-cancer.
Warnakulasuriya S, Johnson NW, Waal I. Nomenclature and classification of potentially malignant disorders of the oral mucosa. J Oral Pathol Med. 2007; 36(10):575-80. doi: 10.1111/j.1600-0714.2007.00582.x.
Warnakulasuriya S. Oral potentially malignant disorders: a comprehensive review on clinical aspects and management. Oral Oncol. 2020; 102:104550. doi: 10.1016/j.oraloncology.2019.104550.
Nadeau C, Kerr AR. Evaluation and management of oral potentially malignant disorders. Dent Clin North Am. 2018; 62(1):1-27. doi: 10.1016/j.cden.2017.08.001.
Parakh MK, Ulaganambi S, Ashifa N, Premkumar R, Jain AL. Oral potentially malignant disorders: clinical diagnosis and current screening aids: a narrative review. Eur J Cancer Prev. 2020; 29(1):65-72. doi: 10.1097/CEJ.0000000000000510.
Wetzel SL, Wollenberg J. Oral potentially malignant disorders. Dent Clin North Am. 2020; 64(1):25-37. doi: 10.1016/j.cden.2019.08.004.
Iocca O, Sollecito TP, Alawi F, Weinstein GS, Newman JG, De Virgilio A et al. Potentially malignant disorders of the oral cavity and oral dysplasia: a systematic review and meta-analysis of malignant transformation rate by subtype. Head Neck. 2020; 42(3):539-55. doi: 10.1002/hed.26006.
Jo VY, Demicco EG. Update from the 5th Edition of the World Health Organization Classification of Head and Neck Tumors: soft tissue tumors. Head Neck Pathol. 2022; 16(1):87-100. doi: 10.1007/s12105-022-01425-w.
Mello FW, Miguel AFP, Dutra KL, Porporatti AL, Warnakulasuriya S, Guerra ENS et al. Prevalence of oral potentially malignant disorders: a systematic review and meta-analysis. J Oral Pathol Med. 2018; 47(7):633-40. doi: 10.1111/jop.12726.
Speight PM, Khurram SA, Kujan O. Oral potentially malignant disorders: risk of progression to malignancy. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018; 125(6):612-27. doi: 10.1016/j.oooo.2017.12.011.
Silva LMAC, Diniz MHF, Moura JMBO, Almeida GCM, Pessoa DMV. Câncer de boca: conhecimento e atitudes de acadêmicos de odontologia e cirurgiões-dentistas da atenção primária à saúde. BJDV. 2021; 7(9):94028-43.
Silva AMSM, Silva AC, Filho AVA, Melo BLT, Santos GPH, Silva HKN et al. Compreensão dos acadêmicos de odontologia sobre o câncer bucal: análise do conhecimento dos estudantes do curso de odontologia do Centro Universitário Maurício de Nassau. Research, Society and Development. 2022; 11(10).
Galina GR, Begnini GJ, Baratto Filho F, Souza JF, Gonzaga CC, Araujo MR. Impact of oral medicine training on oral cancer-related knowledge among undergraduate dental students. Braz J Oral Sci. 2019; 18:e191636.
Fanaras N, Warnakulasuriya S. Oral cancer diagnosis in primary care. Prim Dent J. 2016; 5(1):64-8. doi: 10.1177/205016841600500108.
Radman M, Glavina A, Sabol I, Mravak-Stipetić M. Knowledge of oral cancer among the fourth and fifth year dental students. Acta Stomatol Croat. 2018; 52(4):340-7. doi: 10.15644/asc52/4/8.
Jnaneswar A, Goutham BS, Pathi J, Jha K, Suresan V, Kumar G. A Cross-sectional survey assessing knowledge, attitude, and practice regarding oral cancer among private medical and dental practitioners in Bhubaneswar City. Indian J Med Paediatr Oncol. 2017; 38(2):133-9. doi: 10.4103/ijmpo.ijmpo_107_16.
Algudaibi LY, AlMeaigel S, AlQahtani N, Shaheen NA, Aboalela A. Oral and oropharyngeal cancer: Knowledge, attitude and practices among medical and dental practitioners. Cancer Rep (Hoboken). 2021; 4(4):e1349. doi: 10.1002/cnr2.1349.
Macpherson LM, McCann MF, Gibson J, Binnie VI, Stephen KW. The role of primary healthcare professionals in oral cancer prevention and detection. Br Dent J. 2003; 195(5):277-81; discussion 263. doi: 10.1038/sj.bdj.4810481. PMID: 12973333.
Hassona Y, Scully C, Abu Tarboush N, Baqain Z, Ismail F, Hawamdeh S et al. Oral cancer knowledge and diagnostic ability among dental students. J Cancer Educ. 2017; 32(3):566-570. doi: 10.1007/s13187-015-0958-1.
Medeiros YL, Silveira GM, Clemente VB, Leite ICG, Vilela EM, Guimarães LDA. Knowledge about oral cancer among dental students and primary health care dentists: a Brazilian study. J Dent Educ. 2022. doi: 10.1002/jdd.13021. Epub ahead of print.
Kazmi F, Alkait S, Alghamdi H, Alhussain G, Tabassum A. Assessing knowledge, attitude and practices for oral squamous cell carcinoma among health care professionals in Princess Nourah University, Riyadh, KSA. Asian Pac J Cancer Prev. 2020; 21(2):539-45. doi: 10.31557/APJCP.2020.21.2.539.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Pillar Gonçalves Pizziolo, Julia Faria Pizzi, Vitória Batista Clemente, Larissa Pavan de Deus, Isabel Cristina Gonçalves Leite, Letícia Drumond de Abreu Guimarães, Eduardo Machado Vilela
This work is licensed under a Creative Commons Attribution 4.0 International License.
Cessão de Primeira Publicação à HU Revista
Os autores mantém todos os direitos autorais sobre a publicação, sem restrições, e concedem à HU Revista o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento irrestrito do trabalho, com reconhecimento da autoria e crédito pela citação de publicação inicial nesta revista, referenciando inclusive seu DOI.
