Assessment of Knowledge and Practice of Kerman General Dentists in Relation to Oral and Dental Care of Patients Undergoing Radiotherapy and Chemotherapy in 2016

Authors

Abstract

Background: Treatment of head and neck cancers is associated with serious complications in patients. Since oral cavity and teeth are affected during these treatments, dentists should be aware of the orodental complications of cancer therapy.
 
Methods: This cross-sectional study was performed on 120 general dentists in Kerman. Data were collected using a researcher- made questionnaire, containing demographic information and questions about knowledge and practice (15 and 10 questions respectively) on oral and dental care of cancer patients. Data were analyzed through SPSS18 and using t-test, ANOVA and linear regression.
 
Results: In whole, 65% of the participants were male and more than half of them were graduated from Kerman University of Medical Sciences. The older dentists had lower levels of knowledge. Dentists with experience of dental treatment of cancer patients, had significantly higher scores of knowledge and practice (P=0.007). Those who worked only in the private offices had a higher practice score (P=0.036). The level of dentist’s knowledge and practice did not have a significant relation with their gender or the university that they graduated from.
 
Conclusion: General dentists in Kerman appeared to have a moderate level of knowledge and a moderate to low practice level regarding oral and dental care of cancer patients. It seems there is a need for including related educational courses in continuing education programs for dentists to improve the level of dental services given to cancer patients. 

Keywords

References

1. Lyons AJ, West CM, Risk JM, Slevin NJ, Chan C, Crichton S, et al. Osteoradionecrosis in head-and-neck cancer has a distinct genotype-dependent cause. Int J Radiat Oncol Biol Phys 2012;82(4):1479-84 2. Rothenberg SM, Ellisen LW. The molecular pathogenesis of head and neck squamous cell carcinoma. J Clin Invest 2012;122(6):1951-7. 3. Wyss A, Hashibe M, Chuang SC, Lee YC, Zhang ZF, Yu GP, et al. Cigarette, cigar, and pipe smoking and the risk of head and neck cancers: pooled analysis in the International Head and Neck Cancer Epidemiology Consortium. Am J Epidemiol 2013;178(5):679-90. 4. Weeks JC, Catalano PJ, Cronin A, Finkelman MD, Mack JW, Keating NL, et al. Patients' expectations about effects of chemotherapy for advanced cancer. N Engl J Med 2012;367(17):1616-25. 5. Licitra L, Felip E. Squamous cell carcinoma of the head and neck: ESMO clinical recommendations for diagnosis, treatment and follow-up. Ann Oncol 2009;20 Suppl 4:121-2. 6. Gregoire V, Lefebvre JL, Licitra L, Felip E. Squamous cell carcinoma of the head and neck: EHNS-ESMO-ESTRO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 2010;21 Suppl 5:v184-6. 7. Smith TJ, Dow LA, Virago EA, Khatcheressian J, Matsuyama R, Lyckholm LJ. A pilot trial of decision aids to give truthful prognostic and treatment information to chemotherapy patients with advanced cancer. J Support Oncol 2011;9(2):79-86. 8. Joshi VK. Dental treatment planning and management for the mouth cancer patient. Oral Oncol 2010;46(6):475-9. 9. Nabil S, Samman N. Incidence and prevention of osteoradionecrosis after dental extraction in irradiated patients: a systematic review. Int J Oral Maxillofac Surg 2011;40(3):229-43. 10. Fischer DJ, Epstein JB. Management of patients who have undergone head and neck cancer therapy. Dent Clin North Am 2008;52(1):39-60 11. Guneri P, Cankaya H, Kaya A, Boyacioglu H. Turkish dentists' knowledge of head and neck cancer therapy-related complications: implications for the future. Eur J Cancer Care (Engl) 2008;17(1):84-92. 12. Patel Y, Bahlhorn H, Zafar S, Zwetchkenbaum S, Eisbruch A, Murdoch-Kinch CA. Survey of Michigan dentists and radiation oncologists on oral care of patients undergoing head and neck radiation therapy. J Mich Dent Assoc 2012;94(7):34-45. 13. Barker GJ, Epstein JB, Williams KB, Gorsky M, Raber-Durlacher JE. Current practice and knowledge of oral care for cancer patients: a survey of supportive health care providers. Support Care Cancer 2005;13(1):32-41. 14. Frydrych A, Slack-Smith L, Park J, Smith A. Expertise regarding dental management of oral cancer patients receiving radiation therapy among Western Australian dentists. Open Dent J 2012; 6: 197–207. 15. Meurman JH, Gronroos L. Oral and dental health care of oral cancer patients: hyposalivation, caries and infections. Oral Oncol 2010;46(6):464-7. 16. Silvestre-Rangil J, Silvestre FJ. Clinico-therapeutic management of osteoradionecrosis: a literature review and update. Med Oral Patol Oral Cir Bucal 2011;16(7):e900-4. 17. Epstein JB, Barker IR, Epstein MS, Stevenson-Moore P. Cancer related oral health services and resources: a survey of oral/dental care in provincial cancer centers. Journal of Canadian Dental Association 2004; 70(5):302-4. 18. Clovis JB, Horowitz AM, Poel DH. Oral and pharyngeal cancer: knowledge and opinions of dentists in British Columbia and Nova Scotia. J Can Dent Assoc 2002;68(7):415-20.
Health and Development Journal
Volume 7, Issue 1
May 2018
Pages 60-69

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History

  • Receive Date: 24 August 2020
  • Revise Date: 18 May 2024
  • Accept Date: 24 August 2020

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