Araştırma Makalesi
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Evaluation of knowledge and attitudes of dentists and dental students about oral cancer

Yıl 2025, Cilt: 35 Sayı: 1, 75 - 82, 20.01.2025
https://doi.org/10.17567/currresdentsci.1442875

Öz

Objective: This study aimed to evaluate the knowledge and negative attitudes of dentists and 4th-grade and 5th-grade students of dentistry towards oral cancer (OC).
Methods: The study was conducted on 417 individuals consisting of 100 dentists, 186 5th-grade, and 131 4th-grade students. The questionnaire included questions on demographic characteristics, 10 questions measuring their knowledge about OC risk factors (knowledge-risk factors), 5 questions measuring their knowledge regarding the diagnosis of OC (knowledge-diagnostic procedures), and 11 questions assessing their attitudes towards OC (negative attitudes).
Results: While there is no significant difference between dentists and 5th-grade students in knowledge-risk factors and knowledge-diagnostic procedures total scores, the total score of the 4th-grade students was statistically significantly different from these groups (P =.001). Looking at the negative attitudes total score, there is no significant difference between 5th and 4th-grade students, while total score of dentists was observed a statistically significant difference (P=.001). While knowledge-risk factors and knowledge-diagnostic procedures total scores were significantly and positively correlated (r=.287, P<.05), negative attitudes total score showed a significant negative correlation with knowledge-risk factors total score (r=.103, P<.05). Deficiencies were observed regarding the clinical characteristics of the prior oral lesion among participants. The group who considered leukoplakia and erythroplakia most likely to become precancerous lesions were 5th-grade students by 81.7%. Most participants indicated their need for further training, especially on OC and screening.
Conclusion: In the study, deficiencies were observed in the groups about OC. Therefore, deficiencies should be assessed comprehensively at regional and national levels, and it should be addressed.
Keywords: Dental student, dentists, knowledge, mouth neoplasms, risk factors, squamous cell carcinoma

Etik Beyan

Ethics committee approval of this study was obtained from Van Yuzuncu Yil University Non-Interventional Clinical Research Ethics Committee with decision number 2023/07-11 (Date: 14/07/2023).

Destekleyen Kurum

No financial support was received for this study.

Teşekkür

The authors of this study would like to thank Prof. Dr. Siddik Keskin for performing the statistical analysis (Van Yuzuncu Yil University, Faculty of Medicine, Department of Biostatistics).

Kaynakça

  • 1. Gelband H, Jha P, Sankaranarayanan R, Horton S. In: Cancer: Disease Control Priorities, Third Edition (Volume 3) 2015;3. doi: 10.1596/978-1-4648-0349-9.2015.
  • 2. Warnakulasuriya S. Global epidemiology of oral and oropharyngeal cancer. Oral Oncol. 2009;45 (4-5):309-316.
  • 3. Shield KD, Ferlay J, Jemal A, et al. The global incidence of lip, oral cavity, and pharyngeal cancers by subsite in 2012. CA Cancer J Clin. 2017;67(1):51-64.
  • 4. Shrestha AD, Vedsted P, Kallestrup P, Neupane D. Prevalence and incidence of oral cancer in low- and middle-income countries: A scoping review. Eur J Cancer Care (Engl). 2020;29(2):e13207.
  • 5. Chamoli A, Gosavi AS, Shirwadkar UP, et al. Overview of oral cavity squamous cell carcinoma: Risk factors, mechanisms, and diagnostics. Oral Oncol. 2021;121:105451.
  • 6. Warnakulasuriya S, Kujan O, Aguirre-Urizar JM, et al. Oral potentially malignant disorders: A consensus report from an international seminar on nomenclature and classification, convened by the WHO Collaborating Centre for Oral Cancer. Oral Dis. 2021;27(8):1862-1880.
  • 7. Gomez I, Seoane J, Varela-Centelles P, Diz P, Takkouche B. Is diagnostic delay related to advanced-stage oral cancer? A meta-analysis. Eur J Oral Sci. 2009;117(5):541-546.
  • 8. Hassona Y, Scully C, Shahin A, Maayta W, Sawair F. Factors Influencing Early Detection of Oral Cancer by Primary Health-Care Professionals. J Cancer Educ. 2016;31(2):285-291.
  • 9. Lim K, Moles DR, Downer MC, Speight PM. Opportunistic screening for oral cancer and precancer in general dental practice: results of a demonstration study. Br Dent J. 2003;194(9):497-502; discussion 493.
  • 10. Kebabcioglu O, Pekiner FN. Assessing Oral Cancer Awareness Among Dentists. J Cancer Educ. 2018;33(5):1020-1026.
  • 11. Ahmed NHM, Naidoo S. Oral Cancer Knowledge, Attitudes, and Practices among Dentists in Khartoum State, Sudan. J Cancer Educ. 2019;34(2):291-296.
  • 12. Coppola N, Rivieccio I, Blasi A, et al. Current knowledge, attitude and practice among dental hygienists in oral cancer awareness: Systematic review. Int J Dent Hyg. 2022;20(2):249-261.
  • 13. Sallam M, Al-Fraihat E, Dababseh D, et al. Dental students' awareness and attitudes toward HPV-related oral cancer: a cross sectional study at the University of Jordan. BMC Oral Health. 2019;19(1):171.
  • 14. Shadid RM, Abu Ali MA, Kujan O. Knowledge, attitudes, and practices of oral cancer prevention among dental students and interns: an online cross‑sectional questionnaire in Palestine. BMC Oral Health. 2022;22(1):381.
  • 15. Tarakji B. Knowledge, awareness, and attitude among dental students regarding oral cancer in Saudi Arabia. Ann Afr Med. 2022;21(4):444-450.
  • 16. Leuci S, Coppola N, Viglione AP, et al. Knowledge, attitude, and practice in oral cancer: A national survey on 150 dental hygienists. Oral Dis. 2023;29(8):3205-3213.
  • 17. Alaizari NA, Al-Maweri SA. Oral cancer: knowledge, practices and opinions of dentists in yemen. Asian Pac J Cancer Prev. 2014;15(14):5627-5631.
  • 18. Keser G, Pekiner FN. Assessing Oral Cancer Awareness Among Dental Students. J Cancer Educ. 2019;34(3):512-518.
  • 19. Kujan O, Alzoghaibi I, Azzeghaiby S, et al. Knowledge and attitudes of Saudi dental undergraduates on oral cancer. J Cancer Educ. 2014;29(4):735-738.
  • 20. Joseph BK, Sundaram DB, Sharma P. Oral cancer awareness among dentists in Kuwait. Med Princ Pract. 2012;21(2):164-170.
  • 21. Hertrampf K, Wiltfang J, Koller M, Klosa K, Wenz HJ. Dentists' perspectives on oral cancer: a survey in Northern Germany and a comparison with international data. Eur J Cancer Prev. 2010; 19(2):144-152.
  • 22. Shadid RM, Habash G. Knowledge, Opinions, and Practices of Oral Cancer Prevention among Palestinian Practicing Dentists: An Online Cross-Sectional Questionnaire. Healthcare (Basel). 2023;11(7):1005.
  • 23. Abati S, Bramati C, Bondi S, Lissoni A, Trimarchi M. Oral Cancer and Precancer: A Narrative Review on the Relevance of Early Diagnosis. Int J Environ Res Public Health. 2020;17(24):9160.
  • 24. Pillai A, Adilbay D, Matsoukas K, Ganly I, Patel SG. Autoimmune disease and oral squamous cell carcinoma: A systematic review. J Oral Pathol Med. 2021;50(9):855-863.
  • 25. Kumar M, Nanavati R, Modi TG, Dobariya C. Oral cancer: Etiology and risk factors: A review. J Cancer Res Ther. 2016;12(2):458-463.
  • 26. Colella G, Gaeta GM, Moscariello A, Angelillo IF. Oral cancer and dentists: knowledge, attitudes, and practices in Italy. Oral Oncol. 2008;44(4):393-399.
  • 27. Clovis JB, Horowitz AM, Poel DH. Oral and pharyngeal cancer: knowledge and opinions of dentists in British Columbia and Nova Scotia. J Can Dent Assoc. 2002;68(7):415-420.
  • 28. Taneja P, Marya CM, Jain S, Nagpal R, Kataria S. Assessment of Knowledge, Attitude, and Practice Regarding Oral Cancer among Dental Graduates-A Web-Based Survey. J Cancer Educ. 2022;37(4):1194-1200.
  • 29. Badri P, Ganatra S, Baracos V, Lai H, Amin MS. Oral Cavity and Oropharyngeal Cancer Surveillance and Control in Alberta: A Scoping Review. J Can Dent Assoc. 2021;87:l4.
  • 30. Erbasar H, Neda G, Alpaslan C. Oral cancer prevention and early detection awareness of Ankara dentists. Acta Oncologica Turcica. 2017;50(2):139-147.
  • 31. Tercanlı Alkıs H, Gunen Yılmaz S. Evaluating Oral Cancer Awareness Among Dental Students. OJM. 2020;42(5):71-75.
  • 32. Nazar HS, Ariga J, Shyama M. Oral Cancer Knowledge, Attitudes, and Practices among Newly Graduated Dentists in Kuwait. Asian Pac J Cancer Prev. 2022;23(2):459-465.

Diş hekimi ve diş hekimliği öğrencilerinin ağız kanserine ilişkin bilgi ve tutumlarının değerlendirilmesi

Yıl 2025, Cilt: 35 Sayı: 1, 75 - 82, 20.01.2025
https://doi.org/10.17567/currresdentsci.1442875

Öz

Amaç: Bu çalışmada diş hekimleri ile diş hekimliği 4. ve 5. sınıf öğrencilerinin ağız kanserine (AK) yönelik bilgi ve olumsuz tutumlarının değerlendirilmesi amaçlandı.
Yöntemler: Araştırma 100'ü diş hekimi, 186'sı 5. sınıf ve 131'i 4. sınıf öğrencisi olmak üzere 417 kişi üzerinde gerçekleştirildi. Ankette demografik özelliklere ilişkin sorular, AK risk faktörleri (bilgi-risk faktörleri) hakkındaki bilgilerini ölçen 10 soru, AK tanısına ilişkin bilgilerini ölçen 5 soru (bilgi-tanısal işlemler) ve AK'ye yönelik tutumlarını değerlendiren 11 soru (olumsuz tutumlar) yer aldı.
Bulgular: Diş hekimleri ve 5. sınıf öğrencileri arasında bilgi-risk faktörleri ve bilgi-teşhis prosedürleri toplam puanları arasında anlamlı bir fark bulunmazken, 4. sınıf öğrencilerinin toplam puanları bu gruplardan istatistiksel olarak anlamlı derecede farklıydı (P=.001). Olumsuz tutumlar toplam puanına bakıldığında 5. ve 4. sınıf öğrencileri arasında anlamlı bir fark bulunmazken, diş hekimlerinin toplam puanları istatistiksel olarak anlamlı farklı idi (P=.001). Bilgi-risk faktörleri ve bilgi-tanısal prosedürler toplam puanları anlamlı ve pozitif yönde korelasyon gösterirken (r=.287, P<.05), olumsuz tutumlar toplam puanı ile bilgi-risk faktörleri toplam puanı arasında anlamlı ve negatif korelasyon bulundu (r=.103, P< .05). Eski oral lezyonun klinik özelliklerine ilişkin eksiklikler gözlendi. Lökoplaki ve eritroplaki'nin kanser öncesi lezyonlara dönüşme olasılığını en fazla düşünen grup %81,7 ile 5. sınıf öğrencileri oldu. Katılımcıların çoğu, özellikle AK ve tarama konusunda daha fazla eğitime ihtiyaçları olduğunu belirtti.
Sonuç: Araştırmada gruplarda AK konusunda eksiklikler gözlendi. Bu nedenle eksiklikler bölgesel ve ulusal düzeyde kapsamlı bir şekilde değerlendirilmeli ve giderilmelidir.

Kaynakça

  • 1. Gelband H, Jha P, Sankaranarayanan R, Horton S. In: Cancer: Disease Control Priorities, Third Edition (Volume 3) 2015;3. doi: 10.1596/978-1-4648-0349-9.2015.
  • 2. Warnakulasuriya S. Global epidemiology of oral and oropharyngeal cancer. Oral Oncol. 2009;45 (4-5):309-316.
  • 3. Shield KD, Ferlay J, Jemal A, et al. The global incidence of lip, oral cavity, and pharyngeal cancers by subsite in 2012. CA Cancer J Clin. 2017;67(1):51-64.
  • 4. Shrestha AD, Vedsted P, Kallestrup P, Neupane D. Prevalence and incidence of oral cancer in low- and middle-income countries: A scoping review. Eur J Cancer Care (Engl). 2020;29(2):e13207.
  • 5. Chamoli A, Gosavi AS, Shirwadkar UP, et al. Overview of oral cavity squamous cell carcinoma: Risk factors, mechanisms, and diagnostics. Oral Oncol. 2021;121:105451.
  • 6. Warnakulasuriya S, Kujan O, Aguirre-Urizar JM, et al. Oral potentially malignant disorders: A consensus report from an international seminar on nomenclature and classification, convened by the WHO Collaborating Centre for Oral Cancer. Oral Dis. 2021;27(8):1862-1880.
  • 7. Gomez I, Seoane J, Varela-Centelles P, Diz P, Takkouche B. Is diagnostic delay related to advanced-stage oral cancer? A meta-analysis. Eur J Oral Sci. 2009;117(5):541-546.
  • 8. Hassona Y, Scully C, Shahin A, Maayta W, Sawair F. Factors Influencing Early Detection of Oral Cancer by Primary Health-Care Professionals. J Cancer Educ. 2016;31(2):285-291.
  • 9. Lim K, Moles DR, Downer MC, Speight PM. Opportunistic screening for oral cancer and precancer in general dental practice: results of a demonstration study. Br Dent J. 2003;194(9):497-502; discussion 493.
  • 10. Kebabcioglu O, Pekiner FN. Assessing Oral Cancer Awareness Among Dentists. J Cancer Educ. 2018;33(5):1020-1026.
  • 11. Ahmed NHM, Naidoo S. Oral Cancer Knowledge, Attitudes, and Practices among Dentists in Khartoum State, Sudan. J Cancer Educ. 2019;34(2):291-296.
  • 12. Coppola N, Rivieccio I, Blasi A, et al. Current knowledge, attitude and practice among dental hygienists in oral cancer awareness: Systematic review. Int J Dent Hyg. 2022;20(2):249-261.
  • 13. Sallam M, Al-Fraihat E, Dababseh D, et al. Dental students' awareness and attitudes toward HPV-related oral cancer: a cross sectional study at the University of Jordan. BMC Oral Health. 2019;19(1):171.
  • 14. Shadid RM, Abu Ali MA, Kujan O. Knowledge, attitudes, and practices of oral cancer prevention among dental students and interns: an online cross‑sectional questionnaire in Palestine. BMC Oral Health. 2022;22(1):381.
  • 15. Tarakji B. Knowledge, awareness, and attitude among dental students regarding oral cancer in Saudi Arabia. Ann Afr Med. 2022;21(4):444-450.
  • 16. Leuci S, Coppola N, Viglione AP, et al. Knowledge, attitude, and practice in oral cancer: A national survey on 150 dental hygienists. Oral Dis. 2023;29(8):3205-3213.
  • 17. Alaizari NA, Al-Maweri SA. Oral cancer: knowledge, practices and opinions of dentists in yemen. Asian Pac J Cancer Prev. 2014;15(14):5627-5631.
  • 18. Keser G, Pekiner FN. Assessing Oral Cancer Awareness Among Dental Students. J Cancer Educ. 2019;34(3):512-518.
  • 19. Kujan O, Alzoghaibi I, Azzeghaiby S, et al. Knowledge and attitudes of Saudi dental undergraduates on oral cancer. J Cancer Educ. 2014;29(4):735-738.
  • 20. Joseph BK, Sundaram DB, Sharma P. Oral cancer awareness among dentists in Kuwait. Med Princ Pract. 2012;21(2):164-170.
  • 21. Hertrampf K, Wiltfang J, Koller M, Klosa K, Wenz HJ. Dentists' perspectives on oral cancer: a survey in Northern Germany and a comparison with international data. Eur J Cancer Prev. 2010; 19(2):144-152.
  • 22. Shadid RM, Habash G. Knowledge, Opinions, and Practices of Oral Cancer Prevention among Palestinian Practicing Dentists: An Online Cross-Sectional Questionnaire. Healthcare (Basel). 2023;11(7):1005.
  • 23. Abati S, Bramati C, Bondi S, Lissoni A, Trimarchi M. Oral Cancer and Precancer: A Narrative Review on the Relevance of Early Diagnosis. Int J Environ Res Public Health. 2020;17(24):9160.
  • 24. Pillai A, Adilbay D, Matsoukas K, Ganly I, Patel SG. Autoimmune disease and oral squamous cell carcinoma: A systematic review. J Oral Pathol Med. 2021;50(9):855-863.
  • 25. Kumar M, Nanavati R, Modi TG, Dobariya C. Oral cancer: Etiology and risk factors: A review. J Cancer Res Ther. 2016;12(2):458-463.
  • 26. Colella G, Gaeta GM, Moscariello A, Angelillo IF. Oral cancer and dentists: knowledge, attitudes, and practices in Italy. Oral Oncol. 2008;44(4):393-399.
  • 27. Clovis JB, Horowitz AM, Poel DH. Oral and pharyngeal cancer: knowledge and opinions of dentists in British Columbia and Nova Scotia. J Can Dent Assoc. 2002;68(7):415-420.
  • 28. Taneja P, Marya CM, Jain S, Nagpal R, Kataria S. Assessment of Knowledge, Attitude, and Practice Regarding Oral Cancer among Dental Graduates-A Web-Based Survey. J Cancer Educ. 2022;37(4):1194-1200.
  • 29. Badri P, Ganatra S, Baracos V, Lai H, Amin MS. Oral Cavity and Oropharyngeal Cancer Surveillance and Control in Alberta: A Scoping Review. J Can Dent Assoc. 2021;87:l4.
  • 30. Erbasar H, Neda G, Alpaslan C. Oral cancer prevention and early detection awareness of Ankara dentists. Acta Oncologica Turcica. 2017;50(2):139-147.
  • 31. Tercanlı Alkıs H, Gunen Yılmaz S. Evaluating Oral Cancer Awareness Among Dental Students. OJM. 2020;42(5):71-75.
  • 32. Nazar HS, Ariga J, Shyama M. Oral Cancer Knowledge, Attitudes, and Practices among Newly Graduated Dentists in Kuwait. Asian Pac J Cancer Prev. 2022;23(2):459-465.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Periodontoloji
Bölüm Araştırma Makalesi
Yazarlar

Dicle Altındal 0000-0001-6127-373X

Filiz Acun Kaya 0000-0001-8334-9301

Yayımlanma Tarihi 20 Ocak 2025
Gönderilme Tarihi 25 Şubat 2024
Kabul Tarihi 30 Nisan 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 35 Sayı: 1

Kaynak Göster

AMA Altındal D, Acun Kaya F. Evaluation of knowledge and attitudes of dentists and dental students about oral cancer. Curr Res Dent Sci. Ocak 2025;35(1):75-82. doi:10.17567/currresdentsci.1442875

Current Research in Dental Sciences is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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