Objectives. The aim of this study was to assess the awareness of bisphosphonate-related osteonecrosis of the jaws (BRONJ) among dental practitioners from Ferrara (Italy) and to verify their knowledge about BRONJ primary and secondary prevention, early diagnosis and therapy. Methods. Within a period of 12 months two different questionnaires were created ad hoc, consisting of 27 questions and delivered as online and hard copy form to 310 dental practitioners. The online survey was carried out by the data processing platform Google Docs©. During local cultural meetings, developed periodically by cultural Association ANDI and AIO in Ferrara, printed questionnaires were delivered hand by hand to dental practitioners. Results. Total responsiveness was 37.3%. 7% of respondents had never treated patients taking BP medications. Among dentists who have been in contact with patients taking BP medications (93%), both oral or intravenous. Large part noticed BRONJ in patients taking BP medications (34.6%). Considering BRONJ onset, 21% lesions were related to dental extractions or trauma to the jaw bones. 70% of those observing BRONJ required x-ray of jaws for complete staging and diagnosis. After BRONJ diagnosis, 56% of respondents haven’t dealt with BRONJ patients anymore. 10.5% of respondents who diagnosed at least one lesion, decided to recommend drug holiday, local antiseptic and oral antibiotic therapy, analgesic/anti-inflammatory therapy and surgical debridement of necrotic bone. 36% of re- spondents chose clinical features and guidelines for the management of BRONJ from articles in scientific journals and national and international guidelines. 87% are interested in more information on the prevention and manage- ment of risk of BRONJ. Conclusions. The advantages of the online questionnaire are related to a larger pool of sampling and to the great congruence between answers provided. Considering different studies in literature, responsiveness to this question- naire achieved the highest percentage of responsiveness. The dual mode of administration of the questionnaire was useful to overcome digital bias.
Awareness of prevention and treatment of bisphosphonate-related osteonecrosis of the jaws among dental practitioners in Ferrara.
VECCHIATINI, Renata;FELISATTI, Patrizia;TROMBELLI, Leonardo
2014
Abstract
Objectives. The aim of this study was to assess the awareness of bisphosphonate-related osteonecrosis of the jaws (BRONJ) among dental practitioners from Ferrara (Italy) and to verify their knowledge about BRONJ primary and secondary prevention, early diagnosis and therapy. Methods. Within a period of 12 months two different questionnaires were created ad hoc, consisting of 27 questions and delivered as online and hard copy form to 310 dental practitioners. The online survey was carried out by the data processing platform Google Docs©. During local cultural meetings, developed periodically by cultural Association ANDI and AIO in Ferrara, printed questionnaires were delivered hand by hand to dental practitioners. Results. Total responsiveness was 37.3%. 7% of respondents had never treated patients taking BP medications. Among dentists who have been in contact with patients taking BP medications (93%), both oral or intravenous. Large part noticed BRONJ in patients taking BP medications (34.6%). Considering BRONJ onset, 21% lesions were related to dental extractions or trauma to the jaw bones. 70% of those observing BRONJ required x-ray of jaws for complete staging and diagnosis. After BRONJ diagnosis, 56% of respondents haven’t dealt with BRONJ patients anymore. 10.5% of respondents who diagnosed at least one lesion, decided to recommend drug holiday, local antiseptic and oral antibiotic therapy, analgesic/anti-inflammatory therapy and surgical debridement of necrotic bone. 36% of re- spondents chose clinical features and guidelines for the management of BRONJ from articles in scientific journals and national and international guidelines. 87% are interested in more information on the prevention and manage- ment of risk of BRONJ. Conclusions. The advantages of the online questionnaire are related to a larger pool of sampling and to the great congruence between answers provided. Considering different studies in literature, responsiveness to this question- naire achieved the highest percentage of responsiveness. The dual mode of administration of the questionnaire was useful to overcome digital bias.I documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
