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Addressing Osteonecrosis: A preventable catastrophe - A multi-center study
Mafaza Alam1, Zahid Mehmood Khan2, Laima Alam3
1Mafaza Alam, Registrar Operative Dentistry and Endodontics, Armed Forces Institute of Dentistry (AFID), Rawalpindi, Pakistan.
Pakistan Journal of Medical Sciences
|January 25, 2023
Summary
Physicians and dentists show inadequate knowledge regarding osteonecrosis of the jaw, a condition linked to bisphosphonate and radiotherapy use. Patient education and proactive referrals are insufficient, highlighting a critical need for improved awareness and training in managing this risk.
Area of Science:
- Oncology
- Dentistry
- Pharmacology
Background:
- Osteonecrosis of the jaw (ONJ) is a significant risk associated with bisphosphonate therapy and radiotherapy.
- Effective management and prevention of ONJ rely on the collaborative knowledge of both prescribing physicians and treating dentists.
Purpose of the Study:
- To evaluate the awareness and knowledge levels of medical doctors and dentists concerning osteonecrosis of the jaw.
- To identify gaps in patient education and referral practices related to bisphosphonate and radiotherapy-induced ONJ.
Main Methods:
- A cross-sectional, multicenter study conducted in Pakistan from October to November 2021.
- A validated questionnaire was distributed via email to dental and non-dental doctors.
- Data from 400 completed responses were analyzed using SPSS, with a significance level of p < 0.05.
Main Results:
- Only 58% (bisphosphonate) and 67% (radiotherapy) of participants educated patients on hazards.
- 45% of medical doctors referred patients to dentists before prescribing these treatments.
- Both physician and dental groups demonstrated poor knowledge of ONJ definition, clinical features, and risk factors.
Conclusions:
- There is an alarming deficit in the awareness and knowledge of dentists and physicians regarding ONJ prevention and management.
- Targeted educational interventions are crucial to enhance the understanding and clinical practice of healthcare professionals dealing with ONJ risks.
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