Differences in the Knowledge and Experience of Physicians and Dentists About Medication-Related Osteonecrosis of the Jaw in Osteoporotic Patients

Aim: Prevention of medication-related osteonecrosis of the jaw (MRONJ) in patients with osteoporosis requires the cooperation of physicians and dentists. We investigated the knowledge, experience, and behaviour related to medical and dental cooperation for MRONJ prevention in patients with osteoporo...

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Main Authors: Masashi Yamori, Mitsumasa Tamura, Masaki Mikami, Toshio Mori, Masaharu Noi, Yoshisato Machida, Shinya Koshinuma, Gaku Yamamoto
Format: Article
Language:English
Published: Elsevier 2021-08-01
Series:International Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0020653920365369
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author Masashi Yamori
Mitsumasa Tamura
Masaki Mikami
Toshio Mori
Masaharu Noi
Yoshisato Machida
Shinya Koshinuma
Gaku Yamamoto
author_facet Masashi Yamori
Mitsumasa Tamura
Masaki Mikami
Toshio Mori
Masaharu Noi
Yoshisato Machida
Shinya Koshinuma
Gaku Yamamoto
author_sort Masashi Yamori
collection DOAJ
description Aim: Prevention of medication-related osteonecrosis of the jaw (MRONJ) in patients with osteoporosis requires the cooperation of physicians and dentists. We investigated the knowledge, experience, and behaviour related to medical and dental cooperation for MRONJ prevention in patients with osteoporosis between physicians and dentists practising in the Shiga prefecture. Materials and methods: We conducted a cross-sectional study to investigate the cooperation between practising physicians and dentists for preventing osteonecrosis of the jaw (ONJ) in patients with osteoporosis using 2 separate questionnaires from July 28, 2018, to February 3, 2019. Results: Of 461 dentists who were sent the questionnaires at their dental clinics, 307 (67%) responded via fax. Of 846 physicians who were sent the questionnaire at their clinics, 378 (45%) responded via fax. Of these, 268 (32%) were finally analysed because 110 (13%) physicians had never treated patients with osteoporosis; 50% dentists and 24% physicians were familiar with the MRONJ position paper in Japan, and 39% dentists and 9% physicians had encountered MRONJ in their clinical practice. A total of 30% physicians had requested oral health care by a dentist before administering bone-modifying agents (BMA) therapy. The knowledge and experience of MRONJ differed between physicians and dentists. Conclusion: The behaviour of physicians and dentists was insufficient to enable medical and dental cooperation for the prevention of MRONJ in patients with osteoporosis. The lack of cooperation between physicians and dentists during osteoporosis treatment in the Shiga prefecture in Japan is documented in this study.
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spelling doaj.art-2e9bdd527bea47f9b97037267a4715052022-12-21T22:41:14ZengElsevierInternational Dental Journal0020-65392021-08-01714336342Differences in the Knowledge and Experience of Physicians and Dentists About Medication-Related Osteonecrosis of the Jaw in Osteoporotic PatientsMasashi Yamori0Mitsumasa Tamura1Masaki Mikami2Toshio Mori3Masaharu Noi4Yoshisato Machida5Shinya Koshinuma6Gaku Yamamoto7Corresponding author. Masashi Yamori, Department of Oral and Maxillofacial Surgery, Shiga University of Medical Science, Seta Tsukinowa-cho, Otsu, Shiga, Japan.; Department of Oral and Maxillofacial Surgery, Shiga University of Medical Science, Shiga, JapanDepartment of Oral and Maxillofacial Surgery, Shiga University of Medical Science, Shiga, JapanDepartment of Oral and Maxillofacial Surgery, Shiga University of Medical Science, Shiga, JapanDepartment of Oral and Maxillofacial Surgery, Shiga University of Medical Science, Shiga, JapanDepartment of Oral and Maxillofacial Surgery, Shiga University of Medical Science, Shiga, JapanDepartment of Oral and Maxillofacial Surgery, Shiga University of Medical Science, Shiga, JapanDepartment of Oral and Maxillofacial Surgery, Shiga University of Medical Science, Shiga, JapanDepartment of Oral and Maxillofacial Surgery, Shiga University of Medical Science, Shiga, JapanAim: Prevention of medication-related osteonecrosis of the jaw (MRONJ) in patients with osteoporosis requires the cooperation of physicians and dentists. We investigated the knowledge, experience, and behaviour related to medical and dental cooperation for MRONJ prevention in patients with osteoporosis between physicians and dentists practising in the Shiga prefecture. Materials and methods: We conducted a cross-sectional study to investigate the cooperation between practising physicians and dentists for preventing osteonecrosis of the jaw (ONJ) in patients with osteoporosis using 2 separate questionnaires from July 28, 2018, to February 3, 2019. Results: Of 461 dentists who were sent the questionnaires at their dental clinics, 307 (67%) responded via fax. Of 846 physicians who were sent the questionnaire at their clinics, 378 (45%) responded via fax. Of these, 268 (32%) were finally analysed because 110 (13%) physicians had never treated patients with osteoporosis; 50% dentists and 24% physicians were familiar with the MRONJ position paper in Japan, and 39% dentists and 9% physicians had encountered MRONJ in their clinical practice. A total of 30% physicians had requested oral health care by a dentist before administering bone-modifying agents (BMA) therapy. The knowledge and experience of MRONJ differed between physicians and dentists. Conclusion: The behaviour of physicians and dentists was insufficient to enable medical and dental cooperation for the prevention of MRONJ in patients with osteoporosis. The lack of cooperation between physicians and dentists during osteoporosis treatment in the Shiga prefecture in Japan is documented in this study.http://www.sciencedirect.com/science/article/pii/S0020653920365369OsteoporosisOsteonecrosisAwarenessOral healthCollaboration
spellingShingle Masashi Yamori
Mitsumasa Tamura
Masaki Mikami
Toshio Mori
Masaharu Noi
Yoshisato Machida
Shinya Koshinuma
Gaku Yamamoto
Differences in the Knowledge and Experience of Physicians and Dentists About Medication-Related Osteonecrosis of the Jaw in Osteoporotic Patients
International Dental Journal
Osteoporosis
Osteonecrosis
Awareness
Oral health
Collaboration
title Differences in the Knowledge and Experience of Physicians and Dentists About Medication-Related Osteonecrosis of the Jaw in Osteoporotic Patients
title_full Differences in the Knowledge and Experience of Physicians and Dentists About Medication-Related Osteonecrosis of the Jaw in Osteoporotic Patients
title_fullStr Differences in the Knowledge and Experience of Physicians and Dentists About Medication-Related Osteonecrosis of the Jaw in Osteoporotic Patients
title_full_unstemmed Differences in the Knowledge and Experience of Physicians and Dentists About Medication-Related Osteonecrosis of the Jaw in Osteoporotic Patients
title_short Differences in the Knowledge and Experience of Physicians and Dentists About Medication-Related Osteonecrosis of the Jaw in Osteoporotic Patients
title_sort differences in the knowledge and experience of physicians and dentists about medication related osteonecrosis of the jaw in osteoporotic patients
topic Osteoporosis
Osteonecrosis
Awareness
Oral health
Collaboration
url http://www.sciencedirect.com/science/article/pii/S0020653920365369
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