Dental students' knowledge of medication-related osteonecrosis of the jaw

Rosella, Daniele; Papi, Piero; Pompa, Giorgio; Capogreco, Mario; Angelis, Francesca De; Carlo, Stefano Di

doi:10.4103/ejd.ejd_27_17

Cited by 29 publications

(51 citation statements)

References 26 publications

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“…10 The first source of information on BAONJ in our study as well as the study of Rosella et al 18 was university, followed by reading scientific papers, but the authors state that even though ninety-nine percent of dental students in their study declare to know BPs and identified the importance to report the use of BPs, only one fourth of 4-year students and one third of 6-year students knew the correct definition of BAONJ and half of the students did not recognize any active principle or commercial name of BPs, which shows some alarming educational gaps. 18 3. We have noticed a tendency for better knowledge about the problem of doctors with shorter length of service (up to 4 years).…”

Section: Discussionmentioning

confidence: 88%

“…17 Rosella et al reported that dental students' knowledge about how invasive dental treatment might be carried out in patients under therapy was not adequate. 18 These knowledge gaps may lead to situations where patients receiving intravenous BP are treated too invasively and pa-tients receiving low doses of oral bisphosphonates are not treated correctly. 17 4.…”

Section: Discussionmentioning

confidence: 99%

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Bisphosphonate-associated Osteonecrosis of the Jaws: a Survey of the Level of Knowledge of Dentists about the Risks of Bisphosphonate Therapy

et al. 2019

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Introduction: Bisphosphonate-associated osteonecrosis of the jaws (BAONJ) is a side effect of treatment with bisphosphonate (BP). Reports of this complication have increased recently. Aim: To evaluate the level of knowledge of dentists from Plovdiv, Bulgaria, about possible complications of bisphosphonate therapy of patients in dental practice. Materials and methods: Three hundred and twenty-three dental practitioners from Plovdiv, Bulgaria, took part in an anonymous survey containing 25 questions, designed to evaluate the knowledge of dentists about the complications of BP therapy. Results: Oral and maxillofacial surgeons have the best knowledge about the indications and side effects of BP therapy, while dentists with a specialty in Pediatric Dentistry and General Dentistry have insufficient knowledge. Of the respondents, 17.03% are absolutely uninformed about BP and their side effects, and 1/2 declare that they have never had a patient with complications from BP therapy in their practice, probably due to a lack of awareness of the problem. Approximately half of the dentists we surveyed agree to carry out prophylactic examinations of patients receiving BP and know what the prophylactic examination includes. Only 15.48% of the respondents have correctly responded that in order to be treated as clinically healthy, patients should have stopped taking BP for more than 10 years. Conclusion: With the exception of specialists in Oral and Maxillofacial Surgery, dental practitioners in Plovdiv and the region are poorly informed about the complications associated with BP therapy. Therefore, efforts must be made to make these dentists better informed about BAONJ, especially about the methods and means of preventing this condition.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Bisphosphonate-associated Osteonecrosis of the Jaws: a Survey of the Level of Knowledge of Dentists about the Risks of Bisphosphonate Therapy

et al. 2019

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“…14% would perform surgical procedure, 30% would perform surgical procedure only if AM was discontinued, 56% would not perform any surgical procedure and refer the patient. In a similar study, Rosella et al found conflicting results regarding the recognition of AM and insufficient knowledge to provide a safe dental treatment [5]. Although 94% of the participants reported that it is important to recognize patients under treatment, only 39% knew how to treat patients taking oral AM for less than four years and 44% did not know how to treat those taking oral AM for more than four years.…”

Section: Discussionmentioning

confidence: 98%

“…Despite the almost 10 years, an increasing number of cases of BP-related ONJ have been published [16][17][18][19] since the last publication of the AAOMS position paper on BRONJ, which was based on multicentric evidence from specialists and approved by the AAOMS Board of Trustees [7]. According to Rosella et al, a high level of knowledge is needed to reduce the incidence of BP-related ONJ by preventing it and improving its treatment [5]. Saad et al also highlighted that a higher level of knowledge on AM among oral surgeons provides a better quality treatment [20].…”

Section: Discussionmentioning

confidence: 99%

“…Initially, those medications were called bisphosphonates (BP) and became effective in preventing and treating bone metabolic diseases (i.e. osteoporosis, bone metastatic neoplasm, Paget's disease, multiple myeloma) [3][4][5]. Despite the efficacy of the treatments used, Marx reported a series of 36 cases of side effects related to the use of these medications, which were termed as osteonecrosis of jaws (ONJ) [6].…”

Section: Introductionmentioning

confidence: 99%

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Knowledge and clinical behavior on antiresorptive medications and osteonecrosis of the jaws: a cross-sectional study

Marlière

Costa²,

Junqueira

et al. 2019

RGO, Rev. Gaúch. Odontol.

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Objective: This present study assessed the knowledge and clinical behaviors of dentists on antiresorptive medications (AM) and osteonecrosis of the jaws (ONJ). Methods: A cross-sectional study was performed by a questionnaire applied to a sample of 101 dentists. It inquired about general information, knowledge on AM and ONJ, behaviors regarding clinical cases of patients, and knowledge acquisition sources. Kappa coefficient (ƙ) checked the questionnaire’s reliability. Descriptive statistics were computed, Fisher’s test assessed the association between behaviors and knowledge. Logistic regression analysis to estimate propensity score. Statistical significance was set at p ≤ 0.05. Results: The reliability showed good agreement (ƙ = 0.8). 59% of the dentists reporting to know AM, 83% believing it is important to know whether patients took AM during anamnesis and 53% indicating that they knew that ONJ was a side effect of AM. However, 5% of the dentists informed that they could fully recognize brand name of AM, and that 50% would not perform any dental invasive treatment, with 73% acquiring knowledge on AM and ONJ from scientific articles. Conclusion: dentists recognized AM, but they would not be comfortable treating patients who had taken AM or developed ONJ. Educational efforts might be made to promote the knowledge of dentists.

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Knowledge and attitude of dental students regarding etiology, diagnosis, and treatment of peri‐implantitis

Madi,

Tabassum,

Attia

et al. 2023

Journal of Dental Education

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ObjectiveThe objective of this study was to assess the level of knowledge and attitude of dental students about the etiology, diagnosis, and management of peri‐implantitis.MethodsAn online cross‐sectional study that targeted senior undergraduate dental students at the College of Dentistry was conducted. A closed‐ended survey consisting of 28 questions was designed. Three sections were created: 1) participants' characteristics; 2) Knowledge of peri‐implantitis etiology, risk factors, diagnosis, and complications; 3) The use of antibiotics in peri‐implantitis, diagnosis, and treatment methods. SPSS version 22 (IBM Corp.) was used for data analysis. Counts and percentages were calculated for correct answers in each section.ResultsA total of 267 dental students responded to the questionnaire. The majority of the participants (81.6%) were knowledgeable about peri‐implantitis being an inflammatory reaction, and a lesser percentage (77.9%) knew that bacterial plaque is an etiologic factor for peri‐implant diseases. 82.0% of the participants identified smoking as a risk factor, followed by periodontitis (80.5%). Regarding implant complications, 57.3% of the participants considered implant mobility as a definitive indication for implant removal. More than half of the participants reported using crater‐like bone defects surrounding implants to diagnose peri‐implantitis. The most commonly used antibiotic was amoxicillin (34.1%), followed by amoxicillin combined with metronidazole (26.9%).ConclusionMost participants had a basic understanding of the etiology and risk factors of peri‐implantitis. On the other hand, more courses addressing peri‐implantitis diagnosis are needed.

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Dental students' knowledge of medication-related osteonecrosis of the jaw

Cited by 29 publications

References 26 publications

Bisphosphonate-associated Osteonecrosis of the Jaws: a Survey of the Level of Knowledge of Dentists about the Risks of Bisphosphonate Therapy

Bisphosphonate-associated Osteonecrosis of the Jaws: a Survey of the Level of Knowledge of Dentists about the Risks of Bisphosphonate Therapy

Knowledge and clinical behavior on antiresorptive medications and osteonecrosis of the jaws: a cross-sectional study

Knowledge and attitude of dental students regarding etiology, diagnosis, and treatment of peri‐implantitis

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