Conhecimento Dos Cirurgiões Dentistas Em Relação Ao Câncer De Boca

Abstract

ResumoIntrodução: Diante dos baixos índices de cura e sobrevida do câncer bucal, é crucial que se diagnostique essa doença precocemente. Objetivo: Avaliar o grau de conhecimento de cirurgiões dentistas a respeito do câncer bucal. Casuística e Métodos: A pesquisa foi realizada por meio da aplicação de um questionário a um grupo de cirurgiões dentistas, exercendo atividades clínicas no município de Fernandópolis, SP, Brasil. Resultados: De 124 questionários distribuídos, o índice de resposta à pesquisa foi de 31,5% (n=39), sendo que a maioria dos participantes foi do sexo feminino 51,3% (n=20). Do total da amostra, 48,7% (n=19) afirmaram encaminhar o paciente com lesão suspeita de malignidade, para um dentista especializado. Dos entrevistados, 82,1% (n=32) afirmaram que carcinoma espinocelular é a lesão maligna mais comum na boca, e 48,7% (n=19) consideraram, corretamente, a língua como a estrutura anatômica mais comumente afetada pelo câncer de boca. A maioria dos participantes 76,9% (n=30) apontou a úlcera indolor como aspecto clínico inicial do câncer de boca, e 74,4% (n=29) consideraram a leucoplasia como a lesão bucal mais propensa a evoluir com malignidade. Todos os participantes atribuíram corretamente a ocorrência do câncer de boca ao tabagismo e 97,4% (n=38) atribuíram a ocorrência da doença ao etilismo. Conclusão: O conhecimento dos cirurgiões dentistas participantes nesta pesquisa foi considerado satisfatório, especialmente no que diz respeito ao diagnóstico clínico da doença. No entanto, ainda é necessário trabalhar na conscientização e treinamento adequado desta classe de profissionais no que diz respeito a esta malignidade.Descritores: Neoplasias Bucais; Cirurgiões; Conhecimento. AbstractIntroduction: Due to the low rate of cure and survival from oral cancer, it is crucial to make an early diagnose of this disease. Objective: To evaluate the extent of the dental surgeons' knowledge regarding oral cancer. Patients and Methods: A group of dental surgeons performing clinical practice activity in the city of Fernandópolis, São Paulo State, Brazil answered a structured questionnaire. Results: Of the 124 questionnaires distributed, the return rate was 31.5% (n=39). Most of the respondents 51.3% (n=20) were women. Of the total sample, 48.7% (n=19) of the dental surgeons stated to refer the patient with injury suspected of malignancies to a specialized dentist. Of the respondents, 82.1% (n=32) reported that squamous cell carcinoma was the most common malignancy in the oral cavity, and 49.7% (n=19) implicitly acknowledged the tongue as the most commonly affected anatomical structure by oral cancer. Most of the dental surgeons 76.9% (n=30) pointed the painless ulcer as the initial clinical feature of the oral cancer, while 74.4% (n=29) considered the leukoplakia as the most likely lesion to evolve with malignancy. All the participants correctly attributed the occurrence of oral cancer to smoking habit, and 97.4% (n=38) related the lesion to alcoholism. Conclusion: The dental surgeons' knowledge regarding oral ...

Oral Lesions Diagnosed during Oral Cancer Prevention Campaign in Fernandópolis, Brazil, 2015

“…Several studies have reported lacks on dental surgeons' knowledge regarding oral cancer, and although some studies described this knowledge as satisfactory, the need for improving dental surgeons' knowledge and capacities for adequately diagnosing and educate general population regarding oral self-examination and oral cancer prevention is still undisputed. [12][13][14] Although high oral cancer occurrence rates reported in literature, during oral cancer prevention campaign performed in Fernandópolis, SP, Brazil in 2015 we identified an extremely low rate of oral cancer diagnosis (0.13%). However, we believe this low oral cancer diagnosis rate might not be attributed to a decrease in oral cancer prevalence.…”

“…6,9,11 Furthermore, several studies have demonstrated lacks on dental surgeons' knowledge and capacity for clinically recognizing and early diagnosing OSCC, and although some studies have demonstrated satisfactory knowledge regarding this disease by these professionals, there is a general agreement regarding the need for continuous education programs aiming to adequately train dental surgeons for early diagnosing and preventing OSCC. [12][13][14] Aiming to raise awareness regarding oral cancer among general population, Fernandópolis city (São Paulo, Brazil) public health service and the Camilo Castelo Branco University Dentistry School, performed an oral cancer prevention campaign, which in patients were clinically examined by public health dental surgeons searching for oral cancer clinically suggestive signals, and furthermore, dental surgeons instructed patients regarding the importance of early diagnosing oral cancer, oral self-examination and prevention attitudes regarding this malignance. During this campaign, several oral lesions were diagnosed among these patients; therefore, the aim of this paper is to present diagnosed lesions rates from this campaign.…”

Câncer De Boca: Avaliação Do Conhecimento De Cirurgiões-Dentistas Da Estratégia De Saúde Da Família De Mossoró (Rn)

“…O diagnóstico precoce do câncer de boca é fundamental para um prognóstico favorável da doença, uma vez que o atraso nesse diagnóstico resulta em aumento da morbidade enfrentada pelo paciente e diminui as chances de cura e sobrevida. É importante que o CD possa identificar os sinais e sintomas iniciais da doença e tenha condutas adequadas diante de cada caso, o que não é possível sem um conhecimento satisfatório sobre o tema 17 .…”

Oral diseases diagnosis rate during an oral cancer prevention campaign in Fernandópolis, Brazil, 2014

“…Several studies have been performed aiming to evaluate the capacity of dentists to detect oral cancer and educate general population about the risk factors for oral cancer development and the importance of oral self-examination and early diagnosis of oral cancer, and although in some studies dentists have demonstrated satisfactory knowledge regarding oral cancer, some lacks on this knowledge have been reported [4,27] and furthermore, there is a general agreement regarding the need for continued education programs for these professionals aiming to improve their capacities on adequately diagnosing and preventing oral cancer [10,27,28].…”

“…Early diagnosing OSCC is challenging due, basically, to two factors; affected patients usually take long times to appear for professional evaluation, most commonly appearing for treatment four to eight months after noticing any alteration on oral mucosa [6,20,26]. Another challenging fact is that dentists, who keeps close contact with patients' oral cavity, are not always properly qualified in recognizing possible malignant oral lesions neither oral potentially malignant lesions and adequately conduct a right diagnosis, referring for oncological treatment, or, in oral potentially malignant disorders cases, conduct the patient through adequate clinical follow-up [7,11,27].…”