The search for and the application of available noninvasive methods for early diagnosis of oral mucosa (OM) neoplasia is a clinically significant problem. The aim of this study was to evaluate the effectiveness of the original score-based algorithm for assessing clinical data generated by a conventional and an autofluorescencebased examination in diagnosing OM cancer and assessing indications for a biopsy. We analyzed 134 medical histories and pathology reports of patients with oral neoplasia. The patients were assigned to 2 groups: the control group included 63 patients who underwent a standard visual and tactile examination with history taking and then were referred for an incisional biopsy followed by a histopathological examination of the specimens. In the main group consisting of 71 patients, a standard visual and tactile examination was complemented by an autofluorescence-based examination and the original score-based algorithm with the original index of required histopathological verification (RHV) were used to assess indications for a biopsy. In both groups, the most commonly affected site was the tongue (72.4%). The histopathological examination revealed that 28 patients from the main group and 14 patients from the control group had OM cancer (р = 0.051). Histologically, early-stage cancer was diagnosed in 17 patients from the main group and in 4 patients from the control group (р = 0.004). The proposed algorithm allowed us to effectively (in 90% of cases) diagnose precancer and cancer and avoid unnecessary biopsies.
During the pregnancy period woman repeatedly seeks medical aid and consults different medical specialists. Meanwhile, there is no continuity for dynamic monitoring of pregnant woman’s health. The level of knowledge of medical personnel concerning prevention of main dental diseases must be high enough, as the influence on manageable risk factors is under their responsibilities. However, this level is confirmed neither in Russian, nor in the foreign literature. Aim - study of awareness of medical personnel who monitor pregnant women on the issues concerning prevention of dental caries and periodontal diseases. Data and methods. A survey was conducted among 127 medical doctors of different specialities (obstetrician-gynecologists, dentists, pediatricians), working for state budgetary public health organizations of Samara. Results. The study highlighted a low level of primary health care doctors’ awareness on preventive measures for the main dental diseases of pregnant women (absence of motivation for dental diseases prevention and oral hygiene, inadequate knowledge about fluoride importance for caries prevention, exaggeration of the influence of non-manageable risk factors (heredity, ecological environment) on dental pathology development, a high level of reliance on information from the mass media about preventive measures in dentistry). Conclusion. It is necessary to improve the level of knowledge of doctors who monitor pregnant women. It can be achieved by the increase of doctors’ awareness (organization of lectures and seminars, development and production of visual aids for doctors of different specialities and mid-level medical staff).
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