Experimental intervention study about recognition of erythroplakia by undergraduate dental students

Seoane, J. Dios; Varela‐Centelles, Pablo; Dios, Pedro Diz; Quintanilla, José María Suárez; Aguado, A.

doi:10.1002/j.1875-595x.1999.tb00798.x

Cited by 6 publications

(3 citation statements)

References 10 publications

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“…Red lesions were more likely to be judged as benign and white lesions as malignant. These findings are in accordance with a previous study by Seoane et al The authors found lower sensitivity for malignant red lesion detection by dental students, and the hypothesis of the lower index of suspicion was due to the low prevalence of these malignant lesions (Seoane et al, 1999). Flat lesions were more likely to be judged as benign and endophytic lesions as malignant, while exophytic lesions were often identified correctly as benign or malignant.…”

Section: Discussionsupporting

confidence: 93%

“Diagnostic ability in oral pathology among different population clusters”

et al. 2023

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ObjectivesTo assess the diagnostic ability in detecting oral lesions among dentists, dental hygienists, dentistry students, oral hygiene students, and non‐healthcare subjects.Materials and MethodsParticipants were invited to classify 30 images of oral lesions in “benign” or “suspected malignant” only based on the visual appearance of the lesion. Diagnostic accuracy was assessed by calculating sensitivity and specificity with 95% confidence intervals and stratified by population group and image features (color, shape, and size of the lesions).ResultsA total of 16,590 examinations by 553 subjects were analyzed. Overall sensitivity and specificity were 57% (95% confidence interval 56%–58%) and 64% (95% confidence interval 63%–65%). Diagnostic accuracy varied among population groups, with experienced dentists showing the lowest sensitivity (52%) and the highest specificity (71%). Red lesions, flat lesions, and large lesions had the lowest sensitivity (42%, 36%, 57%) but the highest specificity (70%, 75%, 76%).ConclusionsWe found worrying low ability to detect suspected malignant oral lesions by both healthcare workers and non‐healthcare subjects. Lesion‐specific characteristics may lead to differences in recognition. Specific courses and more adequate teaching methods should be proposed to increase identification of oral lesions.

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Section: Discussionsupporting

confidence: 93%

“Diagnostic ability in oral pathology among different population clusters”

et al. 2023

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“…group that attended a training course performed signiicantly better than the control group. 31 This inding would justify the need to increase the number of practical training credits assigned to this area of study. Another study by the same group concluded that implementation of a clinical referral guideline for patients with potentially malignant disorders at the undergraduate level proved valuable in signiicantly increasing the subjects' diagnostic abilities and thus improved the early detection of oral cancer.…”

Section: Resultsmentioning

confidence: 99%

Ability of Dental Students in Spain to Identify Potentially Malignant Disorders and Oral Cancer

Cerero-Lapiedra

Esparza-Gómez

Cruz

et al. 2015

Journal of Dental Education

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The aim of this study was to assess the ability of students at the School of Dentistry, Complutense University of Madrid, Spain, to diagnose oral cancer and other potentially malignant disorders, as well as to compare their ability at different stages of the learning process and evaluate their knowledge retention. Students were surveyed after they had studied oral medicine and oral pathology at two time points: midway through and near the end of their studies. The survey consisted of questions about 40 photographs of benign oral lesions, malignant oral lesions, and potentially malignant disorders. The response rate for all groups was greater than 70%. The results showed that these students' overall success rate in differentiating benign from malignant lesions averaged 73.9%. When the distinction for potentially malignant disorders was included, their average overall success rate decreased to 42.8% (p<0.001). Furthermore, the students' average success rate was at its lowest at the end of the dental program (p<0.001). Results from this study suggest that, given these students' dificulties in identifying potentially malignant disorders, an increased emphasis on cancer education in the dental curriculum may be needed for future practitioners to master this ability.Dr. Cerero-Lapiedra is Professor,

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“…From the 45 studies selected, we excluded 27 studies (Figure ): 15 studies were not focused on DAES (Graser, ; Schou et al , ; Weitz et al , ; Salonen et al , ; Naert et al , ; Seoane et al , ; Frenkel et al , ; Lo Muzio et al , ; García‐Pola Vallejo et al , ; Simons et al , ; Peroz et al , ; Pearson et al , ; Silva‐Lovato et al , ; Srinivasan and Gulabani, ; Nissan et al , ), one was a protocol of a systematic review (Hugo et al , ), five were in vitro studies (Budtz‐Jörgensen, ; Mähönen et al , ; Ebadian et al , ; Ferreira et al , ; Redding et al , ) and six other studies (Hedegard, ; Felber and Gasser, ; Carlino et al , ; Emami et al , ; Simunović‐Soskić et al , ) including a duplicated one (Cross et al , ,b).…”

Section: Resultsmentioning

confidence: 99%

Urban legends series: oral candidosis

et al. 2012

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Candida species (spp) are commensal yeast that can only instigate oral infection (oral candidosis - OC) when there is an underlying predisposing condition in the host. We investigated four controversial topics on OC: (i) How can a microbiological determination of OC be made as Candida spp. are commensal yeasts and not all of them form hyphae or pseudohyphae during infection? (ii) Is median rhomboid glossitis (MRG) a manifestation of candidal infection? (iii) Can candidal infection cause palate papillary hyperplasia (PPH)? (iv) What is the best therapeutic treatment for denture-associated erythematous stomatitis (DAES)? Results from extensive literature searches, including a systematic review, suggested the following: (i) the diagnosis of OC merely on the basis of the presence of yeasts is an oversimplification of a complex process. No convincing evidence of a single test or method better able to discriminate the transition from candidal saprophytism to pathogenicity has been reported in the literature; (ii-iii) conclusive evidence of a direct aetiopathogenic relationship between MRG and PPH and candidal infection has not been found; and (iv) only limited evidence is available for any DAES treatment, thus making it impossible to make strong therapeutic recommendations.

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Experimental intervention study about recognition of erythroplakia by undergraduate dental students

Cited by 6 publications

References 10 publications

“Diagnostic ability in oral pathology among different population clusters”

“Diagnostic ability in oral pathology among different population clusters”

Ability of Dental Students in Spain to Identify Potentially Malignant Disorders and Oral Cancer

Urban legends series: oral candidosis

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