Awareness of Medication-Related Osteonecrosis of the Jaws amongst Dental Professionals in Poland
Abstract
:1. Introduction
2. Materials and Methods
Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
- Age
- ○
- <25
- ○
- 25–35
- ○
- 35–50
- ○
- >50
- Years of professional experience
- ○
- <1
- ○
- 1–10
- ○
- 11–20
- ○
- >20
- ○
- Student
- Dental specialization
- ○
- General Dentistry
- ○
- Oral Surgery
- ○
- Conservative Dentistry and Endodontics
- ○
- Periodontology
- ○
- Prosthodontics
- ○
- Maxillofacial Surgery
- ○
- Pedodontics
- ○
- Orthodontics
- ○
- Student
- Work sector
- ○
- Public
- ○
- Private
- ○
- Public and private
- ○
- Student
- In what diseases is bisphosphonate treatment used? (please mark all that apply)
- ○
- Osteoporosis
- ○
- Multiple myeloma
- ○
- Cancer metastases to the bone
- ○
- Anemia
- ○
- Osteogenesis imperfecta
- ○
- Paget’s disease
- ○
- Hypertension
- In what way are bisphosphonates administered?
- ○
- Intravenously
- ○
- Orally
- ○
- Intravenously and orally
- ○
- I don’t know
- Is a dental examination and oral cavity sanitation necessary before starting bisphosphonate therapy?
- ○
- Yes
- ○
- No
- ○
- It does not matter
- Are you familiar with the term MRONJ—Medication Related Osteonecrosis of the Jaw?
- ○
- Yes
- ○
- No
- Which drugs are responsible for the risk of developing MRONJ?
- ○
- Bisphosphonates
- ○
- Bisphosphonates and Denosumab
- ○
- Bisphosphonates and Angiogenesis Inhibitors
- ○
- Bisphosphonates, Denosumab and Angiogenesis Inhibitors
- ○
- I do not know
- What is the clinical picture of MRONJ in the oral cavity?
- ○
- Exposed bone necrosis
- ○
- Bone necrosis outbreak without bone exposure
- ○
- Bone necrosis outbreak with or without bone exposure
- ○
- I don’t know
- Do you know the guidelines for managing patients at risk of developing MRONJ?
- ○
- Yes
- ○
- No
- Does oral ingestion of bisphosphonates carry a greater risk of developing MRONJ than if administered intravenously?
- ○
- Yes
- ○
- No
- ○
- I don’t know
- How long after completing bisphosphonate therapy are bisphosphonates present in the organism?
- ○
- Up to 1 month
- ○
- Up to 6 months
- ○
- Up to 1 year
- ○
- Up to 10 years
- Do you know what are the risk factors for MRONJ? (please mark all that apply)
- ○
- Alcohol
- ○
- Smoking cigarettes
- ○
- Poor oral hygiene
- ○
- Periodontal disease
- ○
- Poorly fitted removable prosthetic restorations
- ○
- Hyperlipidemia
- ○
- Steroid therapy
- ○
- Length of therapy
- ○
- Method of administration (oral/intravenous)
- ○
- Hypertension
- Have you encountered MRONJ in your practice?
- ○
- Yes
- ○
- No
- Would you like to know more about MRONJ?
- ○
- Yes
- ○
- No
- ○
- I do not know
References
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General Knowledge about MRONJ | Total (n = 200) | Examined Groups: | The Duration of Work experience (Years): | Dentists in Work Sector: | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
G1 (n = 23) | G2 (n = 19) | G3 (n = 60) | G4 (n = 98) | p | <1y (n = 4) | 1–10y (n = 79) | 11–20y (n = 17) | p | Public and Private (n = 50) | Private (n = 47) | p | ||
Participants (%) familiar with definition of MRONJ | 94.6% | 100% | 100% | 86.7% | 97.0% | 0.014 | 100% | 89.9% | 100% | NS | 93.8% | 90.0% | NS |
Participants (%) who encountered MRONJ in practice | 47.0% | 87.0% | 42.1% | 28.3% | 51.0% | 0.00003 | 25.0% | 43.0% | 52.9% | NS | 64.6% | 24.0% | 0.00005 |
Participants (%) who know the symptoms of MRONJ | 69.7% | 82.6% | 63.2% | 66.7% | 67.7% | NS | 100% | 69.6% | 58.8% | NS | 79.2% | 58.0% | 0.02429 |
Participants (%) who know drugs which are responsible for the risk of developing MRONJ | 33.7% | 60.9% | 31.6% | 26.7% | 30.3% | 0.02298 | 50.0% | 36.7% | 23.5% | NS | 54.2% | 16.0% | 0.00007 |
Participants (%) with | Total | Examined Groups: | ||||
---|---|---|---|---|---|---|
Knowledge about Diseases | (n = 201) | G1 (n = 23) | G2 (n = 19) | G3 (n = 60) | G4 (n = 99) | p |
Treated with BP: | ||||||
Osteoporosis | 93.6% | 100% | 89.5% | 93.3% | 93.9% | NS |
Multiple Myeloma | 66.5% | 91.3% | 63.2% | 56.7% | 67.7% | 0.02757 |
Bone metastases | 84.2% | 100% | 68.4% | 80.0% | 86.9% | 0.02489 |
Paget’s disease of bone | 57.1% | 52.2% | 63.2% | 50.0% | 62.6% | NS |
Osteogenesis imperfecta | 19.7% | 17.4% | 15.8% | 23.3% | 18.2% | NS |
Correct Answers of the Participants (%) to Questions Concerning: | Total (n = 202) | Examined Groups: | ||||
---|---|---|---|---|---|---|
G1 (n = 23) | G2 (n = 19) | G3 (n = 60) | G4 (n = 100) | p | ||
BP’s administration (oral and IV) | 93.1% | 100% | 89.5% | 88.3% | 93.9% | NS |
Dental check before BP treatment (Yes) | 96.0% | 95.7% | 94.7% | 93.3% | 96.0% | NS |
Length of BP persistence in the organism (10 years) | 51.5% | 87.0% | 42.1% | 36.7% | 52.5% | 0.00055 |
Greater risk of MRONJ due to oral administration versus intravenous (IV is higher) | 58.9% | 91.3% | 42.1% | 53.3% | 57.6% | 0.00462 |
Answers of Participants (%) to the Question about of MRONJ Risk Factors | Total (n = 202) | Examined Groups: | ||||
---|---|---|---|---|---|---|
G1 (n = 23) | G2 (n = 19) | G3 (n = 60) | G4 (n = 100) | p | ||
Poor Oral Hygiene (correct) | 93.1% | 100% | 84.2% | 95.0% | 91.9% | NS |
Periodontal Disease (correct) | 93.1% | 100% | 84.2% | 95.0% | 91.9% | NS |
Denture wearing (correct) | 82.3% | 78.3% | 79.0% | 81.7% | 83.8% | NS |
Tobacco use (correct) | 80.8% | 65.2% | 84.2% | 80.0% | 83.8% | NS |
Steroid therapy (correct) | 54.7% | 43.5% | 63.2% | 50.0% | 58.6% | NS |
Length of therapy (>3y) | 75.9% | 87.0% | 79.0% | 73.3% | 74.8% | NS |
Manner of administration (IV) | 56.7% | 82.6% | 57.9% | 53.3% | 52.5% | NS |
Hypertension (incorrect) | 84.7% | 95.7% | 79.0% | 88.3% | 81.8% | NS |
Hyperlipidemia (incorrect) | 80.3% | 91.3% | 84.2% | 78.3% | 77.8% | NS |
Alcohol (incorrect) | 47.3% | 60.9% | 57.9% | 55.0% | 37.4% | 0.04822 |
Knowledge about MRONJ | Total (n1 = 200) (n2 = 201) | Examined Groups: | ||||
---|---|---|---|---|---|---|
G1 (n = 23) | G2 (n = 19) | G3 (n = 60) | G4 (n1 = 97) (n2 = 98) | p | ||
Participants (%) who declare that they know the guidelines of MRONJ treatment | 55.2% | 87.0% | 26.3% | 41.7% | 60.8% | 0.00009 |
Participants (%) who want to know more about MRONJ | 96.0% | 95.7% | 89.5% | 96.7% | 98.0% | NS |
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Teślak, M.; Sobczak, H.; Ordyniec-Kwaśnica, I.; Kochańska, B.; Drogoszewska, B. Awareness of Medication-Related Osteonecrosis of the Jaws amongst Dental Professionals in Poland. Appl. Sci. 2021, 11, 4821. https://doi.org/10.3390/app11114821
Teślak M, Sobczak H, Ordyniec-Kwaśnica I, Kochańska B, Drogoszewska B. Awareness of Medication-Related Osteonecrosis of the Jaws amongst Dental Professionals in Poland. Applied Sciences. 2021; 11(11):4821. https://doi.org/10.3390/app11114821
Chicago/Turabian StyleTeślak, Monika, Hanna Sobczak, Iwona Ordyniec-Kwaśnica, Barbara Kochańska, and Barbara Drogoszewska. 2021. "Awareness of Medication-Related Osteonecrosis of the Jaws amongst Dental Professionals in Poland" Applied Sciences 11, no. 11: 4821. https://doi.org/10.3390/app11114821