Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
İlaca Bağlı Çene Osteonekrozu Etiyolojisi ve Yönetimi Konusunda Diş Hekimliği Öğrencilerinin Bilgi Düzeylerinin ve Farkındalığının Ölçülmesi: Kesitsel Araştırma
Knowledge and Awareness Among Dentistry Students on the Etiology and Management of Medication Related Osteonecrosis of the Jaw: A Cross-Sectional Study
Nelli AGBULUTa , Ayşe TAŞb
aİstanbul Medipol Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi AD, İstanbul, Türkiye
bİstanbul Medipol Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Radyolojisi AD, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2024;30(4):557-63
doi: 10.5336/dentalsci.2024-103632
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, diş hekimliği fakültesinde eğitim gören 5. sınıf öğrencilerinin ilaca bağlı çene osteonekrozu [medicationrelated osteonecrosis of the jaw (MRONJ)] konusundaki bilgi düzeylerini ve farkındalıklarını değerlendirmektir. Gereç ve Yöntemler: Kesitsel bir anket tasarımı kullanılarak gerçekleştirilen bu çalışmada, öğrencilerin MRONJ konusundaki bilgi düzeylerini ölçmek için yapılandırılmış bir anket formu kullanılmıştır. Ankete, katılımcıların demografik bilgilerini ve MRONJ'nin etiyolojisi, risk faktörleri, tedavi ve yönetimine ilişkin bilgi düzeylerini ölçecek sorular dâhil edilmiştir. Veriler, katılımcılara anket formunun dağıtılması ve cevaplamalarının ardından toplanmıştır. Bulgular: Çalışmaya 178 öğrenci katılmıştır ve subjektif değerlendirmede büyük bir kesim MRONJ hakkında bilgi sahibi olduğunu düşünmektedir. MRONJ'ye sebep olan ilaçlar, bu ilaçların uygulama yolları ve endikasyonları ile öğrencilerin bilgi düzeyleri daha yüksek oranda saptanmasına rağmen özellikle MRONJ yönünden risk altındaki hastaların yönetimi konusunda bilgi çeşitli konularda bilgi eksiklikleri saptanmıştır. Buna rağmen ankete katılan öğrencilerden yarısından fazlası MRONJ riski bulunan bir ilaç kullanımı veya kullanım öyküsü olduğu bilinen bir hastanın tedavisini üstlenebileceklerini ifade etmiştir. Sonuç: Bu çalışma, diş hekimliği öğrencilerinin MRONJ konusundaki bilgi düzeylerinin ve farkındalıklarının yetersiz olduğunu göstermektedir. Lisans eğitiminde, MRONJ konusundaki derslerin iyileştirilmesi ve öğrencilere daha kapsamlı bir eğitim sağlanması gerekmektedir. Bu sayede gelecekte MRONJ'nin önlenmesini veya doğru şekilde yönetimini sağlayabilir.

Anahtar Kelimeler: Çenenin bifosfonat ilişkili osteonekrozu; çenenin ilaç ilişkili osteonekrozu; diş hekimliği eğitimi; sağlık eğitimi
ABSTRACT
 Objective: The aim of this study is to assess the knowledge and awareness of fifth-year dental students regarding medicationrelated osteonecrosis of the jaw (MRONJ). Material and Methods: In this cross-sectional study, a structured questionnaire was used to measure the knowledge levels of dental students regarding MRONJ. The questionnaire included questions about participants' demographic information and their knowledge levels regarding the etiology, risk factors, treatment, and management of MRONJ. Data were collected by handing out the questionnaire to participants and analyzing their responses. Results: A total of 178 students participated in the study and a large portion of them believed they had enough knowledge about MRONJ based on subjective assessment. However, their knowledge levels were inadequate on various topics, particularly regarding the etiology and risk factors of MRONJ. Additionally, there were knowledge gaps in the management of at-risk patients. Despite this, more than half of the students participating in the survey stated that they would undertake the treatment of a patient known to have a history of or be actively using a medication posing a risk for MRONJ. Conclusion: This study indicates that dental students' knowledge levels and awareness of MRONJ are inadequate. Aiming to improve MRONJ-related courses and providing students with more comprehensive training during their undergraduate studies are necessary. These measures may contribute to the prevention or proper management of MRONJ in the future.

Keywords: Bisphosphonate-associated osteonecrosis of the jaw; medication-related osteonecrosis of the jaw; dental education; health education
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