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Published in: Supportive Care in Cancer 10/2013

01-10-2013 | Original Article

Dental students’ knowledge of characteristics and management of oral complications of cancer therapy

Authors: Esin Alpöz, Pelin Güneri, Joel B. Epstein, Hülya Çankaya, Damir Osmic, Hayal Boyacıoğlu

Published in: Supportive Care in Cancer | Issue 10/2013

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Abstract

Objective

The aim of this study is to investigate the level of Turkish senior dental students’ knowledge regarding the orodental complications and their treatment methods of cancer patients.

Study design

A 15-item questionnaire which was obtained from National Institute of Dental and Craniofacial Research that contained information about the orodental complications of the cancer therapy and the dentists’ role to provide their treatment protocols was used. Seventy-seven senior dental students answered the questionnaire and the replies were analyzed with stratified and logistic data analyses.

Results

Overall, correct replies ranged from 5.2 to 98.7 %. The students knew the basic knowledge of the complications of cancer therapy; however, they failed to answer to the questions (ranging between 1.3 and 94.8 %) about the required clinical practices. The respondents preferred not to answer the questions about the prophylactic measures dentist shall take during a precancer treatment oral evaluation (9.1 %), management of pain in cancer treatment (6.5 %), and necessary considerations before a dental procedure in a chemotherapy patient (3.9 %). The multiple logistic regression analysis revealed that gender had no statistically significant effect on the correct or false answers to the questions (p > 0.05).

Conclusion

Our results disclosed that dental students’ knowledge about oral complications of cancer therapy and the modalities to manage these complications vary. Reevaluation of current undergraduate curricula and continuing education for graduates might address the gaps identified and an educational program about oral and dental management of patients who are to receive/receiving/have received cancer therapy can be prepared and augmented into dental curriculum.
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Literature
1.
go back to reference Hong CH, Napeñas JJ, Hodgson BD, Stokman MA, Mathers-Stauffer V, Elting LS, Spijkervet FK, Brennan MT, Dental Disease Section, Oral Care Study Group, Multi-National Association of Supportive Care in Cancer (MASCC)/International Society of Oral Oncology (ISOO) (2010) A systematic review of dental disease in patients undergoing cancer therapy. Support Care Cancer 18:1007–1021CrossRefPubMed Hong CH, Napeñas JJ, Hodgson BD, Stokman MA, Mathers-Stauffer V, Elting LS, Spijkervet FK, Brennan MT, Dental Disease Section, Oral Care Study Group, Multi-National Association of Supportive Care in Cancer (MASCC)/International Society of Oral Oncology (ISOO) (2010) A systematic review of dental disease in patients undergoing cancer therapy. Support Care Cancer 18:1007–1021CrossRefPubMed
2.
go back to reference Barker GJ, Epstein JB, Williams KB, Gorsky M, Raber-Durlacher JE (2005) Current practice and knowledge of oral care for cancer patients: a survey of supportive health care providers. Support Care Cancer 13:32–41CrossRefPubMed Barker GJ, Epstein JB, Williams KB, Gorsky M, Raber-Durlacher JE (2005) Current practice and knowledge of oral care for cancer patients: a survey of supportive health care providers. Support Care Cancer 13:32–41CrossRefPubMed
3.
go back to reference Epstein JB, Parker IR, Epstein MS, Gupta A, Kutis S, Witkowski DM (2007) A survey of National Cancer Institute-designated comprehensive cancer centers’ oral health supportive care practices and resources in the USA. Support Care Cancer 15:357–362CrossRefPubMed Epstein JB, Parker IR, Epstein MS, Gupta A, Kutis S, Witkowski DM (2007) A survey of National Cancer Institute-designated comprehensive cancer centers’ oral health supportive care practices and resources in the USA. Support Care Cancer 15:357–362CrossRefPubMed
4.
go back to reference Epstein JB, Thariat J, Bensadoun RJ, Barasch A, Murphy BA, Kolnick L, Popplewell L, Maghami E (2012) Oral complications of cancer and cancer therapy: from cancer treatment to survivorship. CA Cancer J Clin 62:400–422CrossRefPubMed Epstein JB, Thariat J, Bensadoun RJ, Barasch A, Murphy BA, Kolnick L, Popplewell L, Maghami E (2012) Oral complications of cancer and cancer therapy: from cancer treatment to survivorship. CA Cancer J Clin 62:400–422CrossRefPubMed
5.
go back to reference Roe JW, Carding PN, Rhys-Evans PH, Newbold KL, Harrington KJ, Nutting CM (2012) Assessment and management of dysphagia in patients with head and neck cancer who receive radiotherapy in the United Kingdom—a web-based survey. Oral Oncol 48:343–348CrossRefPubMed Roe JW, Carding PN, Rhys-Evans PH, Newbold KL, Harrington KJ, Nutting CM (2012) Assessment and management of dysphagia in patients with head and neck cancer who receive radiotherapy in the United Kingdom—a web-based survey. Oral Oncol 48:343–348CrossRefPubMed
6.
go back to reference Brennan MT, Elting LS, Spijkervet FK (2010) Systematic reviews of oral complications from cancer therapies, Oral Care Study Group, MASCC/ISOO: methodology and quality of the literature. Support Care Cancer 18:979–984CrossRefPubMed Brennan MT, Elting LS, Spijkervet FK (2010) Systematic reviews of oral complications from cancer therapies, Oral Care Study Group, MASCC/ISOO: methodology and quality of the literature. Support Care Cancer 18:979–984CrossRefPubMed
7.
go back to reference Barasch A, Epstein JB (2011) Management of cancer therapy-induced oral mucositis. Dermatol Ther 24:424–431CrossRefPubMed Barasch A, Epstein JB (2011) Management of cancer therapy-induced oral mucositis. Dermatol Ther 24:424–431CrossRefPubMed
8.
go back to reference Watters AL, Epstein JB, Agulnik M (2011) Oral complications of targeted cancer therapies: a narrative literature review. Oral Oncol 47:441–448CrossRefPubMed Watters AL, Epstein JB, Agulnik M (2011) Oral complications of targeted cancer therapies: a narrative literature review. Oral Oncol 47:441–448CrossRefPubMed
9.
go back to reference Cooperstein E, Gilbert J, Epstein JB, Dietrich MS, Bond SM, Ridner SH, Wells N, Cmelak A, Murphy BA (2012) Vanderbilt Head and Neck Symptom Survey version 2.0: report of the development and initial testing of a subscale for assessment of oral health. Head Neck 34:797–804CrossRefPubMed Cooperstein E, Gilbert J, Epstein JB, Dietrich MS, Bond SM, Ridner SH, Wells N, Cmelak A, Murphy BA (2012) Vanderbilt Head and Neck Symptom Survey version 2.0: report of the development and initial testing of a subscale for assessment of oral health. Head Neck 34:797–804CrossRefPubMed
10.
go back to reference Andrews N, Griffiths C (2001) Dental complications of head and neck radiotherapy: part 1. Aust Dent J 46:88–94, ReviewCrossRefPubMed Andrews N, Griffiths C (2001) Dental complications of head and neck radiotherapy: part 1. Aust Dent J 46:88–94, ReviewCrossRefPubMed
11.
go back to reference Mealey BL, Semba SE, Hallmon WW (1994) The head and neck radiotherapy patient: Part 2—Management of oral complications. Compendium 15:442, 444, 446–452 passim; quiz 458 Mealey BL, Semba SE, Hallmon WW (1994) The head and neck radiotherapy patient: Part 2—Management of oral complications. Compendium 15:442, 444, 446–452 passim; quiz 458
12.
go back to reference Shieh SH, Wang ST, Tsai ST, Tseng CC (1997) Mouth care for nasopharyngeal cancer patients undergoing radiotherapy. Oral Oncol 33:36–41CrossRefPubMed Shieh SH, Wang ST, Tsai ST, Tseng CC (1997) Mouth care for nasopharyngeal cancer patients undergoing radiotherapy. Oral Oncol 33:36–41CrossRefPubMed
13.
go back to reference Miller M, Kearney N (2001) Oral care for patients with cancer: a review of the literature. Cancer Nurs 24:241–254, ReviewCrossRefPubMed Miller M, Kearney N (2001) Oral care for patients with cancer: a review of the literature. Cancer Nurs 24:241–254, ReviewCrossRefPubMed
14.
go back to reference Rautemaa R, Lauhio A, Cullinan MP, Seymour GJ (2007) Oral infections and systemic disease—an emerging problem in medicine. Clin Microbiol Infect 13:1041–1047CrossRefPubMed Rautemaa R, Lauhio A, Cullinan MP, Seymour GJ (2007) Oral infections and systemic disease—an emerging problem in medicine. Clin Microbiol Infect 13:1041–1047CrossRefPubMed
15.
go back to reference Rogers SN (2009) Quality of life for head and neck cancer patients—has treatment planning altered? Oral Oncol 45:435–439CrossRefPubMed Rogers SN (2009) Quality of life for head and neck cancer patients—has treatment planning altered? Oral Oncol 45:435–439CrossRefPubMed
16.
go back to reference Rogers SN (2010) Quality of life perspectives in patients with oral cancer. Oral Oncol 46:445–447CrossRefPubMed Rogers SN (2010) Quality of life perspectives in patients with oral cancer. Oral Oncol 46:445–447CrossRefPubMed
17.
go back to reference Bensadoun RJ, Patton LL, Lalla RV, Epstein JB (2011) Oropharyngeal candidiasis in head and neck cancer patients treated with radiation: update 2011. Support Care Cancer 19:737–744CrossRefPubMed Bensadoun RJ, Patton LL, Lalla RV, Epstein JB (2011) Oropharyngeal candidiasis in head and neck cancer patients treated with radiation: update 2011. Support Care Cancer 19:737–744CrossRefPubMed
18.
go back to reference Mosel DD, Bauer RL, Lynch DP, Hwang ST (2011) Oral complications in the treatment of cancer patients. Oral Dis 17:550–559CrossRefPubMed Mosel DD, Bauer RL, Lynch DP, Hwang ST (2011) Oral complications in the treatment of cancer patients. Oral Dis 17:550–559CrossRefPubMed
19.
go back to reference Nicolatou-Galitis O, Sarri T, Bowen J, Di Palma M, Kouloulias VE, Niscola P, Riesenbeck D, Stokman M, Tissing W, Yeoh E, Elad S, Lalla RV, For The Mucositis Study Group of the Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISOO) (2013) Systematic review of amifostine for the management of oral mucositis in cancer patients. Support Care Cancer 21:357–364CrossRefPubMed Nicolatou-Galitis O, Sarri T, Bowen J, Di Palma M, Kouloulias VE, Niscola P, Riesenbeck D, Stokman M, Tissing W, Yeoh E, Elad S, Lalla RV, For The Mucositis Study Group of the Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology (MASCC/ISOO) (2013) Systematic review of amifostine for the management of oral mucositis in cancer patients. Support Care Cancer 21:357–364CrossRefPubMed
20.
go back to reference Keefe DM, Schubert MM, Elting LS, Sonis ST, Epstein JB, Raber-Durlacher JE, Migliorati CA, McGuire DB, Hutchins RD, Peterson DE, Mucositis Study Section of the Multinational Association of Supportive Care in Cancer and the International Society for Oral Oncology (2007) Updated clinical practice guidelines for the prevention and treatment of mucositis. Cancer 1(109):820–831CrossRef Keefe DM, Schubert MM, Elting LS, Sonis ST, Epstein JB, Raber-Durlacher JE, Migliorati CA, McGuire DB, Hutchins RD, Peterson DE, Mucositis Study Section of the Multinational Association of Supportive Care in Cancer and the International Society for Oral Oncology (2007) Updated clinical practice guidelines for the prevention and treatment of mucositis. Cancer 1(109):820–831CrossRef
22.
go back to reference Jacobson JJ, Epstein JB, Eichmiller FC, Gibson TB, Carls GS, Vogtmann E, Wang S, Murphy B (2012) The cost burden of oral, oral pharyngeal, and salivary gland cancers in three groups: commercial insurance, Medicare, and Medicaid. Head Neck Oncol 4:15CrossRefPubMed Jacobson JJ, Epstein JB, Eichmiller FC, Gibson TB, Carls GS, Vogtmann E, Wang S, Murphy B (2012) The cost burden of oral, oral pharyngeal, and salivary gland cancers in three groups: commercial insurance, Medicare, and Medicaid. Head Neck Oncol 4:15CrossRefPubMed
23.
go back to reference Epstein JB, Robertson M, Emerton S, Phillips N, Stevenson-Moore P (2001) Quality of life and oral function in patients treated with radiation therapy for head and neck cancer. Head Neck 23:389–398CrossRefPubMed Epstein JB, Robertson M, Emerton S, Phillips N, Stevenson-Moore P (2001) Quality of life and oral function in patients treated with radiation therapy for head and neck cancer. Head Neck 23:389–398CrossRefPubMed
24.
go back to reference Jones DL, Rankin KV (2012) Management of the oral sequelae of cancer therapy. Tex Dent J 129:461–468PubMed Jones DL, Rankin KV (2012) Management of the oral sequelae of cancer therapy. Tex Dent J 129:461–468PubMed
26.
go back to reference Monteiro LS, Salazar F, Pacheco J, Warnakulasuriya S (2012) Oral cancer awareness and knowledge in the city of Valongo, Portugal. Int J Dent 2012:376838. doi:10.1155/2012/376838. Epub 2012 7PubMed Monteiro LS, Salazar F, Pacheco J, Warnakulasuriya S (2012) Oral cancer awareness and knowledge in the city of Valongo, Portugal. Int J Dent 2012:376838. doi:10.​1155/​2012/​376838. Epub 2012 7PubMed
27.
go back to reference Güneri P, Cankaya H, Kaya A, Boyacioğlu H (2008) Turkish dentists’ knowledge of head and neck cancer therapy-related complications: implications for the future. Eur J Cancer Care 17:84–92 Güneri P, Cankaya H, Kaya A, Boyacioğlu H (2008) Turkish dentists’ knowledge of head and neck cancer therapy-related complications: implications for the future. Eur J Cancer Care 17:84–92
28.
go back to reference Raber-Durlacher JE, Epstein JB, Raber J, van Dissel JT, van Winkelhoff AJ, Guiot HF, van der Velden U (2002) Periodontal infection in cancer patients treated with high-dose chemotherapy. Support Care Cancer 10:466–473CrossRefPubMed Raber-Durlacher JE, Epstein JB, Raber J, van Dissel JT, van Winkelhoff AJ, Guiot HF, van der Velden U (2002) Periodontal infection in cancer patients treated with high-dose chemotherapy. Support Care Cancer 10:466–473CrossRefPubMed
29.
go back to reference Patel Y, Bahlhorn H, Zafar S, Zwetchkenbaum S, Eisbruch A, Murdoch-Kinch CA (2012) Survey of Michigan dentists and radiation oncologists on oral care of patients undergoing head and neck radiation therapy. J Mich Dent Assoc 94:34–45PubMed Patel Y, Bahlhorn H, Zafar S, Zwetchkenbaum S, Eisbruch A, Murdoch-Kinch CA (2012) Survey of Michigan dentists and radiation oncologists on oral care of patients undergoing head and neck radiation therapy. J Mich Dent Assoc 94:34–45PubMed
30.
go back to reference Mainali A, Sumanth KN, Ongole R, Denny C (2011) Dental consultation in patients planned for/undergoing/post radiation therapy for head and neck cancers: a questionnaire-based survey. Indian J Dent Res 22:669–672CrossRefPubMed Mainali A, Sumanth KN, Ongole R, Denny C (2011) Dental consultation in patients planned for/undergoing/post radiation therapy for head and neck cancers: a questionnaire-based survey. Indian J Dent Res 22:669–672CrossRefPubMed
31.
go back to reference Jaber MA, Diz Dios P, Vázquez García E, Cutando Soriano A, Porter SR (1997) Spanish dental students knowledge of oral malignancy and premalignancy. Eur J Dent Educ 1:167–171PubMed Jaber MA, Diz Dios P, Vázquez García E, Cutando Soriano A, Porter SR (1997) Spanish dental students knowledge of oral malignancy and premalignancy. Eur J Dent Educ 1:167–171PubMed
32.
go back to reference Uti OG, Fashina AA (2006) Oral cancer education in dental schools: knowledge and experience of Nigerian undergraduate students. J Dent Educ 70:676–680PubMed Uti OG, Fashina AA (2006) Oral cancer education in dental schools: knowledge and experience of Nigerian undergraduate students. J Dent Educ 70:676–680PubMed
33.
go back to reference Boroumand S, Garcia AI, Selwitz RH, Goodman HS (2008) Knowledge and opinions regarding oral cancer among Maryland dental students. J Cancer Educ 23:85–91CrossRefPubMed Boroumand S, Garcia AI, Selwitz RH, Goodman HS (2008) Knowledge and opinions regarding oral cancer among Maryland dental students. J Cancer Educ 23:85–91CrossRefPubMed
34.
go back to reference Chowdhury MT, Pau A, Croucher R (2010) Bangladeshi dental students' knowledge, attitudes and behaviour regarding tobacco control and oral cancer. J Cancer Educ 25:391–395CrossRefPubMed Chowdhury MT, Pau A, Croucher R (2010) Bangladeshi dental students' knowledge, attitudes and behaviour regarding tobacco control and oral cancer. J Cancer Educ 25:391–395CrossRefPubMed
35.
go back to reference Ogden GR, Mahboobi N (2011) Oral cancer awareness among undergraduate dental students in Iran. J Cancer Educ 26:380–385CrossRefPubMed Ogden GR, Mahboobi N (2011) Oral cancer awareness among undergraduate dental students in Iran. J Cancer Educ 26:380–385CrossRefPubMed
36.
go back to reference LeHew CW, Epstein JB, Kaste LM, Choi YK (2010) Assessing oral cancer early detection: clarifying dentists' practices. J Public Health Dent 70:93–100PubMed LeHew CW, Epstein JB, Kaste LM, Choi YK (2010) Assessing oral cancer early detection: clarifying dentists' practices. J Public Health Dent 70:93–100PubMed
37.
go back to reference Odell EW, Farthing PM, High A, Potts J, Soames J, Thakker N, Toner M, Williams HK (2004) British Society for Oral and Maxillofacial Pathology, UK: minimum curriculum in oral pathology. Eur J Dent Educ 8:177–184CrossRefPubMed Odell EW, Farthing PM, High A, Potts J, Soames J, Thakker N, Toner M, Williams HK (2004) British Society for Oral and Maxillofacial Pathology, UK: minimum curriculum in oral pathology. Eur J Dent Educ 8:177–184CrossRefPubMed
38.
go back to reference Rich JP 3rd, Straffon L, Inglehart MR (2006) General dentists and pediatric dental patients: the role of dental education. J Dent Educ 70:1308–1315PubMed Rich JP 3rd, Straffon L, Inglehart MR (2006) General dentists and pediatric dental patients: the role of dental education. J Dent Educ 70:1308–1315PubMed
39.
go back to reference Cannick GF, Horowitz AM, Garr DR, Reed SG, Neville BW, Day TA, Woolson RF, Lackland DT (2007) Oral cancer prevention and early detection: using the PRECEDE-PROCEED framework to guide the training of health professional students. J Cancer Educ 22:250–253CrossRefPubMed Cannick GF, Horowitz AM, Garr DR, Reed SG, Neville BW, Day TA, Woolson RF, Lackland DT (2007) Oral cancer prevention and early detection: using the PRECEDE-PROCEED framework to guide the training of health professional students. J Cancer Educ 22:250–253CrossRefPubMed
40.
go back to reference Canto MT, Horowitz AM, Drury TF, Goodman HS (2002) Maryland family physicians’ knowledge, opinions and practices about oral cancer. Oral Oncol 38:416–424CrossRefPubMed Canto MT, Horowitz AM, Drury TF, Goodman HS (2002) Maryland family physicians’ knowledge, opinions and practices about oral cancer. Oral Oncol 38:416–424CrossRefPubMed
41.
go back to reference Clovis JB, Horowitz AM, Poel DH (2002) Oral and pharyngeal cancer: knowledge and opinions of dentists in British Columbia and Nova Scotia. J Can Dent Assoc 68:415–420PubMed Clovis JB, Horowitz AM, Poel DH (2002) Oral and pharyngeal cancer: knowledge and opinions of dentists in British Columbia and Nova Scotia. J Can Dent Assoc 68:415–420PubMed
42.
go back to reference Hofmann BM, Eriksen HM (2001) The concept of disease: ethical challenges and relevance to dentistry and dental education. Eur J Dent Educ 5:2–8CrossRefPubMed Hofmann BM, Eriksen HM (2001) The concept of disease: ethical challenges and relevance to dentistry and dental education. Eur J Dent Educ 5:2–8CrossRefPubMed
43.
go back to reference Epstein JB, van der Meij EH, Emerton SM, Le ND, Stevenson-Moore P (1995) Compliance with fluoride gel use in irradiated patients. Spec Care Dentist 15(6):218–222CrossRefPubMed Epstein JB, van der Meij EH, Emerton SM, Le ND, Stevenson-Moore P (1995) Compliance with fluoride gel use in irradiated patients. Spec Care Dentist 15(6):218–222CrossRefPubMed
44.
go back to reference Hogan R (2009) Implementation of an oral care protocol and its effects on oral mucositis. J Pediatr Oncol Nurs 26:125–135CrossRefPubMed Hogan R (2009) Implementation of an oral care protocol and its effects on oral mucositis. J Pediatr Oncol Nurs 26:125–135CrossRefPubMed
Metadata
Title
Dental students’ knowledge of characteristics and management of oral complications of cancer therapy
Authors
Esin Alpöz
Pelin Güneri
Joel B. Epstein
Hülya Çankaya
Damir Osmic
Hayal Boyacıoğlu
Publication date
01-10-2013
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 10/2013
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-013-1856-x

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