Comparison of Knowledge and Awareness Status of Senior Dental and Medical Students About MRONJ: A Cross-Sectional Study

Öz

Objective: Medication-related osteonecrosis of the jaw (MRONJ), a condition that can be managed and prevented through effective collaboration between dental and medical professionals, is a rare yet potentially serious disease. This study aimed to assess the knowledge and awareness of Turkish dental and medical school students regarding MRONJ. Methods: A cross-sectional study was conducted among 254 dental and 234 medical students. Data were collected using an electronic and paper-based self-administered structured modified questionnaire consisting of five sections. SPSS Version 23 (IBM Corporation, Armonk, NY, USA) was utilized, with a significance level set at p<0.05. Results: Both dental and medical students indicated that their curricula included courses on antiresorptive, antiangiogenic drugs, and the development of MRONJ associated with the use of these drugs. However, the level of knowledge and awareness among students in both groups regarding MRONJ was low. When comparing the awareness of MRONJ between medical and dental students, dental students (%88.6) exhibited a higher level than medical students (%52.1). Dental students also demonstrated greater awareness of the appropriate imaging techniques for diagnosing MRONJ compared to their medical counterparts (p<0.05). However, medical students' knowledge about dental approaches during bisphosphonate therapy was not as comprehensive as that of dental students. Conclusion: Despite both dental and medical students having courses on MRONJ in their curriculum, their awareness and knowledge appear insufficient. This inadequacy may lead to misdiagnosis and inappropriate treatment modalities. Enhancing the quality and quantity of courses, with a focus on drugs inducing MRONJ and updated treatment protocols, could be proposed to address these issues.

Anahtar Kelimeler

• MRONJ
• Dental Students
• Medical Students
• Knowledge
• Awareness

DİŞ HEKİMLİĞİ VE TIP FAKÜLTESİ SON SINIF ÖĞRENCİLERİNİN İLAÇLA İLİŞKİLİ ÇENE OSTEONEKROZU (MRONJ) HAKKINDA BİLGİ VE FARKINDALIK DURUMUNUN DEĞERLENDİRİLMESİ: KESİTSEL BİR ÇALIŞMA

Öz

Amaç: Antiresorptif, anti-anjiojenik ilaçların kullanımına bağlı gelişen çene kemik ölümü (MRONJ), diş ve tıp profesyonelleri arasındaki etkili işbirliği ile yönetilebilen ve önlenebilen nadir ancak potansiyel olarak ciddi bir durumdur. Bu çalışmanın amacı, Türk diş ve tıp fakültesi öğrencilerinin MRONJ hakkındaki bilgi düzeyini ve farkındalığını değerlendirmektir. Yöntemler: 254 diş ve 234 tıp öğrencisi arasında kesitsel bir çalışma gerçekleştirildi. Veriler, beş bölümden oluşan bir elektronik ve kağıt tabanlı yapılandırılmış modifiye anket kullanılarak toplandı. Analizlerde SPSS Sürüm 23 (IBM Corporation, Armonk, NY, ABD) kullanıldı ve anlamlılık düzeyi p<0.05 olarak belirlendi. Bulgular: Hem diş hem de tıp öğrencileri, müfredatlarının antiresorptif, anti-anjiojenik ilaçlar ve bu ilaçların kullanımına bağlı olarak gelişen MRONJ konulu dersleri içerdiğini belirtmişlerdir. Ancak, her iki grup öğrenci arasında MRONJ hakkındaki bilgi ve farkındalık düzeyi düşük bulunmuştur. Tıp ve diş hekimliği öğrencileri arasında MRONJ farkındalığı karşılaştırıldığında, diş hekimliği öğrencilerinin (%88.6), tıp öğrencilerine (%52.1) göre daha yüksek bir farkındalık düzeyine sahip olduğu gözlemlenmiştir. Diş hekimliği öğrencileri ayrıca, MRONJ teşhisi için uygun görüntüleme teknikleri konusunda tıp öğrencilerine göre daha fazla farkındalık göstermiştir (p<0.05). Tıp öğrencilerinin bifosfonat tedavisi almış veya almakta olan hastalarda diş tedavisi yaklaşımları konusundaki bilgisi, diş hekimliği öğrencilerinin bilgisi kadar kapsamlı bulunmamıştır. Sonuç: Hem diş hem de tıp öğrencilerinin müfredatlarında MRONJ dersleri olmasına rağmen, farkındalık ve bilgilerinin yetersiz olduğu görülmektedir. Bu yetersizlik, yanlış teşhise ve uygun olmayan tedavi yöntemlerine yol açabilir. Bu sorunları ele almak için, MRONJ'a neden olan ilaçlar ve güncellenmiş tedavi protokollerine odaklanan derslerin kalitesini ve miktarını artırmak önerilebilir.

Anahtar Kelimeler

• MRONJ
• Diş Öğrencileri
• Tıp Öğrencileri
• Bilgi
• Farkındalık

Kaynakça

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