Medication-related osteonecrosis of the jaw: A survey of knowledge, attitudes, and practices among dentists in the principality of Asturias (Spain)
Medication-related osteonecrosis of the jaw: A survey of knowledge, attitudes, and practices among dentists in the principality of Asturias (Spain)
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DOI：
10.1016/j.jormas.2018.04.008
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发表时间：
2018-11-01
影响因子：
2.2
通讯作者：
Junquera, L.
中科院分区：
文献类型：
--
作者：
Escobedo, M.;Garcia-Consuegra, L.;Junquera, L.
前言：本研究的目的是调查西班牙牙医和牙科学生对药物相关性颌骨坏死(MRONJ)危险因素的知识和能力。材料和方法：我们在西班牙的阿斯图里亚斯进行了一项横断面研究，包括问卷调查。这项研究分为三组：为公共牙科保健系统工作的牙医(n=32)，专门作为私人保健从业者工作的牙医(n=136)，以及最后一年(五年级)的牙科学生(n=38)。评估学生和牙医在解决临床病例方面得分的量化差异。牙医之间的差异是根据执业年限、活动(私人或公共护理)和专业领域进行评估的。本研究追踪了牙科医生和学生在MRONJ常识方面可能存在的差异，以及参与者对有关MRONJ的牙科诊所指南的遵守情况。结果：五年级学生的得分高于那些从事私人执业活动的牙医(P=0.01)。学生和公共卫生保健牙医之间以及后者与私人保健牙医之间的显著差异未被认识到。参与者中正确答案百分比最低的与口服氨基二膦酸盐治疗的患者的种植手术有关。具有20年以上从业经验的牙医在临床病例分解方面的得分显著低于平均水平(P=0.01)。我们没有观察到牙医根据他们的专业领域而获得的平均测试分数的任何差异。结论：随着专业实践年限的增加，对抗吸收药物副作用的了解逐渐减少。关于MRONJ的培训工作应该特别侧重于那些私人执业、拥有20年以上专业经验的牙医，以及为有MRONJ风险的患者进行种植手术的人。(C)2018年爱思唯尔·马森SAS。版权所有。
Introduction: The objective of this study was to investigate the knowledge and capabilities of dentists and dental students in their last year of study in regard to risk factors of medication-related osteonecrosis of the jaw (MRONJ) in Spain.Material and method: We conducted a cross-sectional study consisting of a questionnaire survey in Asturias, Spain. The study was divided into three groups: dentists who worked for the public dental health care system (n = 32), dentists who worked exclusively as private health care practitioners (n = 136), and dental students in their last year (year five) of study (n = 38). The quantitative differences in the scores obtained in the resolution of clinical cases between students and dentists were evaluated. Differences between dentists were evaluated depending on number of years in practice, activity (private or public care), and area of specialty. The study tracked the possible differences in the general knowledge of MRONJ among dentists and students and the participants' adherence to the dental clinic guidelines regarding the MRONJ.Results: Students from year five reached a higher score than those dentists with private practice activity (P = 0.01). Significant differences between the students and the public health care dentists were not recognized, nor between the latter and the private health care dentists. The lowest percentage of correct answers among participants was related to implant surgery in patients treated with oral aminobisphosphonates. The dentists with more than 20 years of professional experience obtained significantly lower-than-average scores in the resolution of the clinical cases based on clinical guidelines (P = 0.01). We did not observe any differences in the average test scores obtained by dentists dependent on their area of expertise.Conclusions: Knowledge of side effects of antiresorptive drugs decreases with years of professional practice. Training efforts on MRONJ should focus especially on those dentists who practice privately, who have over 20 years of professional experience, and who perform implant surgery on patients at risk of MRONJ. (C) 2018 Elsevier Masson SAS. All rights reserved.