Influence of the teaching program on the learning in knowledge and practice of osteonecrosis of the jaws produced by antireasorptives in dental students of the Principality of Asturias (Spain).

Influence of the teaching program on the learning in knowledge and practice of osteonecrosis of the jaws produced by antireasorptives in dental students of the Principality of Asturias (Spain).
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DOI:
10.4317/jced.54129
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发表时间:
2017-12
影响因子:
--
通讯作者:
Junquera L
Junquera L
中科院分区:
其他
文献类型:
--
作者:
Escobedo MF;García-Consuegra L;Gay S;Álvarez L;Olay S;Ascani G;Junquera L

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本研究旨在评估药物相关性颌骨坏死症教学内容的改变对患者对本病的认识和实际病例处理能力的影响。采用横断面描述性研究方法,将调查分为知识获取手段程度、习惯做法和解决临床病例能力四个部分。受访者总数(n=225)分为两组:A组(2015-2016年)和B组(2016-2017年)。B组接受的教学内容多于A组,共收集了175份调查问卷。在这两个群体中,互联网是继续教育的首选工具。最知名的双磷酸盐(BPS)是阿仑磷酸钠(福沙美®:56.9%,A组,67.5%)和唑来膦酸(Zometa®:56.9%,A组,51.8%)。有37.9%的学生(A组)和43.4%的学生(B组)承认存在其他也可能导致颌骨坏死的药物。在实际案例的正确解决方面,B组被调查者得分(5.67分)显著高于A组(4.04分)。牙科学生中与药物相关的骨坏死的培训很容易得到改善。在教义中引入细微的改变,可以成功地实现这一目标。关键词:颌骨坏死(ONJ)、双磷酸盐相关性颌骨坏死(BRONJ)、药物相关性颌骨坏死(MRONJ)、牙科教育。
This study aims to evaluate the influence of changes in the teaching contents on medication-related osteonecrosis of the jaw may have on the knowledge and the capacity for practical case resolution about this pathology. A cross-sectional descriptive study was conducted through a survey divided into four sections: degree of means of knowledge acquisition, habitual practice and ability to solve clinical cases. The total number of respondents (n = 225) was divided into two groups: Group A (Year 2015-2016) and Group B (Year 2016-2017). The students in Group B received more teaching content on the subject than group A. A total of 175 survey responses were collected. The internet was the preferred tool for continuing education in both groups. The best known bisphosphonates (BPs) were Alendronate (Fosamax®: 56.9% Group A, 67.5% Group B) and Zoledronic Acid (Zometa®: 56.9% Group A, 51.8% Group B). A low percentage of students (37.9% Group A, 43.4% Group B) acknowledged the existence of other drugs that could also cause osteonecrosis of the jaws. Regarding the correct resolution of practical cases, the respondents of Group B reached a significantly higher score (5.67) than the score observed in Group A (4.04). Training on medication-related osteonecrosis among dental students is susceptible to improvement. Introducing minor changes in the teachings allows this goal to be successfully achieved. Key words:Osteonecrosis of the jaw (ONJ), bisphosphonate-related osteonecrosis of the jaws (BRONJ), medication-related osteonecrosis of the jaw (MRONJ), dental education.