Comparison of views on the need for continuing education on oral cancer between general dentists and oral medicine experts: A Delphi survey

Leuci, Stefania; Aria, Massimo; Nicolò, Michele; Spagnuolo, Gianrico; Warnakulasuriya, K. A. A. S.; Mignogna,

doi:10.4103/2231-0762.192944

Cited by 9 publications

(7 citation statements)

References 30 publications

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“…Therefore, the VelScope could be an adjunctive device for GDs in the screening of OSCC only when a focused training program is performed. From these data, we confirm the pivotal role of continuing oral medicine education to improve diagnostic skills of GDs for detecting oral "high-risk" lesions, and we highlight the need of free mandatory yearly post-graduate training courses in order to give more and more expertise and clinical skills to use screening system devices [26].…”

Section: Discussionsupporting

confidence: 58%

May VelScope Be Deemed an Opportunistic Oral Cancer Screening by General Dentists? A Pilot Study

Leuci

Coppola

Turkina

et al. 2020

JCM

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Early diagnosis of oral cancer through visual inspection followed by histopathological confirmation is a pivotal step for reducing rates of morbidity and mortality. There are several auxiliary devices used to improve oral examination. The purpose of this cross-sectional pilot study is to evaluate the sensitivity and specificity of the Visually Enhance Lesion Scope (VelScope) system when it is used by the general dentist after a yearly oral medicine training. Thirty-five patients with oral lesions were evaluated with clinical and VelScope examination by two general dentists, one of which trained with a specific course. A comparison of the histopathological results, clinical examination, and VelScope made by both dentists was performed through statistical analysis. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for detecting oral potentially malignant disorders (OPMDs) are 53.3%, 65%, 53.3%, 76.5% for unskilled dentist, 73.3%, 65%, 61.1%, 76.5% for skilled clinician. When both examiners use VelScope the values are 53.3%, 70%, 57.1%, 66.7% for unskilled general dentist (u-GD), 86.7%, 90%, 86.7%, 90% for skilled general dentist (s-GD). Improvement of a skilled general dentist for detecting malignancies is higher than inexperienced examiner when using VelScope. VelScope alone is unable to improve the general dentist’s ability to detect malignancies, but it could be a useful adjunctive device for clinicians when a focused training program is performed.

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Section: Discussionsupporting

confidence: 58%

May VelScope Be Deemed an Opportunistic Oral Cancer Screening by General Dentists? A Pilot Study

Leuci

Coppola

Turkina

et al. 2020

JCM

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“…There is evidence for support from a retrospective cohort analysis in Canada on 2331 incident cases of squamous cell carcinoma of anterior tongue and floor of mouth that the dentists were more likely to have detected the cancer through a screening exam (15% compared to 1.4% referred by a family doctor) [3]. Nonetheless, OCs in its initial stage is not always clinically detectable and requires special skills, including palpation of suspect tissues [11, 71, 72] Continuing education programmes for dentists for early detection of OCs are advocated by many and are practiced in many countries now, frequently managed by national dental, otorhinolaryngeal, or HN oncological associations [71, 73].…”

Section: Discussionmentioning

confidence: 99%

Evidence of past dental visits and incidence of head and neck cancers: a systematic review and meta-analysis

Gupta

Kumar²,

Johnson

2019

Syst Rev

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BackgroundRegular/frequent dental visits, at least annually, can aid in reducing the public health burden of head and neck cancers (HNCs) by facilitating earlier detection of the disease. The aim of this study was to conduct a quantitative assessment of any independent association between past dental visits/check-ups and incidence of cancers of HN/upper aerodigestive tract (UADT) and oral cavity worldwide.MethodsPubMed, CINAHL, and Cochrane databases were searched for all observational studies published until August 2017 in any language that assessed an association of past dental visits/dental check-ups among the incident cases of HNC/UADT cancers. Screening and quality assessment of the articles was performed by two independent reviewers. Three different meta-analyses were conducted: two based on the incident cancer reported in the studies (HNCs/cancers of UADT and oral cavity); another included all studies irrespective of the type of cancer reported with the frequency of past dental visits as subgroups.ResultsSearches retrieved 3164 titles: after removing duplicates, 1377 remained. Of these, 62 were reviewed in full, but only 38 were eligible for inclusion. Under the random effects model, odds of past never/irregular/not frequent dental visits were greater in HNC cases and oral cancer cases as compared to the hospital-based/population-based controls [HNCs-unadjusted odds ratio (OR) 2.24; 95% confidence interval (CI) 1.89 to 2.65) and (oral cancers—OR 1.93; 95% CI 1.47 to 2.52]. Similar results were observed for all cancers with frequency of past dental visits as subgroup analysis (OR 2.01; 95% CI 1.76 to 2.30). Meta-regression findings indicate that none of the subgroup influenced the effect estimates for incidence of cancers. There was no publication bias in our study.ConclusionThis systematic review and meta-analysis indicates that individuals with never/irregular/not frequent dental visits are more likely to be incident cases of HNCs/UADT cancers.

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“…A 13-question survey was prepared and distributed to two groups of participants, whose age was over 40 years old, during the whole year 2008; each group consisted of 300 patients who gave their informed consent for the participation at the study. This study is an extension of our previous study,[ 16 ] approved by Review Board, Ethical Committee, Federico II of Naples (ID: 134/14). The participants were randomly enrolled in the study using hospital registries belonging to the outpatient clinic of the Department of Neuroscience, Reproductive, and Odontostomatological Sciences, Federico II University of Naples and the Department of Internal Medicine, Second University of Naples.…”

Section: Aterials and M Ethodsmentioning

confidence: 99%

Screening projects for oral carcinoma in relation to health education and patients' compliance: Study on 600 participants

Leuci¹,

Amato²,

Calabria³

et al. 2017

J Int Soc Prevent Communit Dent

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Aims and Objectives:The lack of information among the population regarding the existence of oral squamous cell carcinoma (OSCC) and the lack of attention and expertise in examining the oral cavity of dentists and clinicians still remain very worrying and could explain the high incidence of OSCC. The aim of this study is to evaluate the level of awareness of OSCC among 600 participants from Southern Italy.Materials and Methods:A 13-question survey was prepared and distributed to 600 participants divided into two subgroups, the first one of 300 patients referring to the Department of Neuroscience, Reproductive, and Odontostomatological Sciences, University Federico II of Naples, for the treatment of dental pathologies, and the second one of 300 patients referring to the Department of Internal Medicine of the Second University of Naples for the diagnosis and treatment of cardiovascular diseases. Statistical analysis consisted in the calculation of percentages related to the answers given by patients. Comparison of percentages was after performed between the two subgroups.Result:Only 175 participants (29.1%) knew about the existence of pathologies which can affect the oral mucosa, and only 46 (7.6%) were aware that carcinoma can arise in the oral cavity; 345 (57,5%) stated that they had periodical dental visits, at least once a year but none of them stated they had a visit for the identification of oral carcinomas.Conclusion:The data acquired must be taken into consideration to outline essential socio-healthcare educational projects on carcinoma and its risk factors, training programs to increase dentists and clinicians’ competences, and to evaluate the feasibility and effectiveness of oral carcinoma screening programs.

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Comparison of views on the need for continuing education on oral cancer between general dentists and oral medicine experts: A Delphi survey

Cited by 9 publications

References 30 publications

May VelScope Be Deemed an Opportunistic Oral Cancer Screening by General Dentists? A Pilot Study

May VelScope Be Deemed an Opportunistic Oral Cancer Screening by General Dentists? A Pilot Study

Evidence of past dental visits and incidence of head and neck cancers: a systematic review and meta-analysis

Screening projects for oral carcinoma in relation to health education and patients' compliance: Study on 600 participants

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