Evaluation of Medication-Related Osteonecrosis of the Jaw (MRONJ) in Terms of Staging and Treatment Strategies by Dental Students at Different Educational Levels
<i>Background</i>: The role of medication-related osteonecrosis of the jaw (MRONJ) as a dento-maxillo-facial pathology is becoming increasingly important due to its growing prevalence. The success of preventive and therapeutic measures relies mainly on the dentist’s ability to correctly...
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| Format: | Article |
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MDPI AG
2023-01-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/2/252 |
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| author | Diana Heimes Nicolas Alexander Mark Robert Kuchen Andreas Pabst Philipp Becker Solomiya Kyyak Daniel G. E. Thiem Ralf Schulze Peer W. Kämmerer |
| author_facet | Diana Heimes Nicolas Alexander Mark Robert Kuchen Andreas Pabst Philipp Becker Solomiya Kyyak Daniel G. E. Thiem Ralf Schulze Peer W. Kämmerer |
| author_sort | Diana Heimes |
| collection | DOAJ |
| description | <i>Background</i>: The role of medication-related osteonecrosis of the jaw (MRONJ) as a dento-maxillo-facial pathology is becoming increasingly important due to its growing prevalence. The success of preventive and therapeutic measures relies mainly on the dentist’s ability to correctly diagnose the disease. <i>Methods</i>: The aim of this study was to evaluate the skills of dental students of different educational levels in choosing the correct stage, diagnostics, and treatment option for MRONJ based on clinical and radiographic imaging (panoramic radiograph, CBCT). The study was designed as a cross-sectional cohort study. Twenty dental students were asked to complete a questionnaire in their third and fifth year of studies in which they had to correctly stage the disease, choose the radiological diagnostics and recommend the treatment. The control group contained experienced oral and maxillofacial surgeons. <i>Results</i>: With an overall performance of 59% (third year: 145.2/248 points; fifth year: 145.3/248 points), no statistically significant difference between the educational levels could be observed. The classification based on CBCT imaging was significantly more often correct compared to panoramic radiographs (<i>p</i> < 0.001). <i>Conclusions</i>: This study highlights students’ lack of knowledge in staging, diagnostics, and treatment of MRONJ, even though the CBCT positively affected decision-making. No significant increase in knowledge could be confirmed through clinical education. This study highlights the need for students to catch up on MRONJ diagnostics and treatment planning. Further expansion of teaching in this disease’s context and X-ray diagnostics is needed. |
| first_indexed | 2024-03-11T08:27:51Z |
| format | Article |
| id | doaj.art-d9ff5aa49b9e4a78aeabf9e7809106e8 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T08:27:51Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-d9ff5aa49b9e4a78aeabf9e7809106e82023-11-16T21:59:13ZengMDPI AGMedicina1010-660X1648-91442023-01-0159225210.3390/medicina59020252Evaluation of Medication-Related Osteonecrosis of the Jaw (MRONJ) in Terms of Staging and Treatment Strategies by Dental Students at Different Educational LevelsDiana Heimes0Nicolas Alexander Mark1Robert Kuchen2Andreas Pabst3Philipp Becker4Solomiya Kyyak5Daniel G. E. Thiem6Ralf Schulze7Peer W. Kämmerer8Department of Oral- and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, GermanyPrivate Praxis Dr. Kühnöl, Bayreuther Straße 30, 01187 Dresden, GermanyInstitute for Medical Statistics, Epidemiology and Informatics, University Medical Center of the Johannes-Gutenberg-University Mainz, 55131 Mainz, GermanyDepartment of Oral and Maxillofacial Surgery, Federal Armed Forces Hospital, Rübenacherstraße 170, 56072 Koblenz, GermanyDepartment of Oral and Maxillofacial Surgery, Federal Armed Forces Hospital, Rübenacherstraße 170, 56072 Koblenz, GermanyDepartment of Oral- and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, GermanyDepartment of Oral- and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, GermanyDepartment of Oral Surgery and Stomatology, Division of Oral Diagnostic Science, University of Bern, Freiburgstrasse 7, 3010 Bern, SwitzerlandDepartment of Oral- and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131 Mainz, Germany<i>Background</i>: The role of medication-related osteonecrosis of the jaw (MRONJ) as a dento-maxillo-facial pathology is becoming increasingly important due to its growing prevalence. The success of preventive and therapeutic measures relies mainly on the dentist’s ability to correctly diagnose the disease. <i>Methods</i>: The aim of this study was to evaluate the skills of dental students of different educational levels in choosing the correct stage, diagnostics, and treatment option for MRONJ based on clinical and radiographic imaging (panoramic radiograph, CBCT). The study was designed as a cross-sectional cohort study. Twenty dental students were asked to complete a questionnaire in their third and fifth year of studies in which they had to correctly stage the disease, choose the radiological diagnostics and recommend the treatment. The control group contained experienced oral and maxillofacial surgeons. <i>Results</i>: With an overall performance of 59% (third year: 145.2/248 points; fifth year: 145.3/248 points), no statistically significant difference between the educational levels could be observed. The classification based on CBCT imaging was significantly more often correct compared to panoramic radiographs (<i>p</i> < 0.001). <i>Conclusions</i>: This study highlights students’ lack of knowledge in staging, diagnostics, and treatment of MRONJ, even though the CBCT positively affected decision-making. No significant increase in knowledge could be confirmed through clinical education. This study highlights the need for students to catch up on MRONJ diagnostics and treatment planning. Further expansion of teaching in this disease’s context and X-ray diagnostics is needed.https://www.mdpi.com/1648-9144/59/2/252panoramic radiographCBCTdiagnosisMRONJARONJdental students |
| spellingShingle | Diana Heimes Nicolas Alexander Mark Robert Kuchen Andreas Pabst Philipp Becker Solomiya Kyyak Daniel G. E. Thiem Ralf Schulze Peer W. Kämmerer Evaluation of Medication-Related Osteonecrosis of the Jaw (MRONJ) in Terms of Staging and Treatment Strategies by Dental Students at Different Educational Levels Medicina panoramic radiograph CBCT diagnosis MRONJ ARONJ dental students |
| title | Evaluation of Medication-Related Osteonecrosis of the Jaw (MRONJ) in Terms of Staging and Treatment Strategies by Dental Students at Different Educational Levels |
| title_full | Evaluation of Medication-Related Osteonecrosis of the Jaw (MRONJ) in Terms of Staging and Treatment Strategies by Dental Students at Different Educational Levels |
| title_fullStr | Evaluation of Medication-Related Osteonecrosis of the Jaw (MRONJ) in Terms of Staging and Treatment Strategies by Dental Students at Different Educational Levels |
| title_full_unstemmed | Evaluation of Medication-Related Osteonecrosis of the Jaw (MRONJ) in Terms of Staging and Treatment Strategies by Dental Students at Different Educational Levels |
| title_short | Evaluation of Medication-Related Osteonecrosis of the Jaw (MRONJ) in Terms of Staging and Treatment Strategies by Dental Students at Different Educational Levels |
| title_sort | evaluation of medication related osteonecrosis of the jaw mronj in terms of staging and treatment strategies by dental students at different educational levels |
| topic | panoramic radiograph CBCT diagnosis MRONJ ARONJ dental students |
| url | https://www.mdpi.com/1648-9144/59/2/252 |
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