Browse > Article
http://dx.doi.org/10.7314/APJCP.2014.15.1.229

Dentists' Perception of the Role they Play in Early Detection of Oral Cancer  

Saleh, Amyza (Oral Cancer Research Team, Cancer Research Initiatives Foundation (CARIF), Sime Darby Medical Centre)
Kong, Yink Heay (Oral Cancer Research Team, Cancer Research Initiatives Foundation (CARIF), Sime Darby Medical Centre)
Vengu, Nedunchelian (Malaysian Dental)
Badrudeen, Haja (Malaysian Dental)
Zain, Rosnah Binti (Department of Oro-Maxillofacial Surgery and Medical Sciences, Faculty of Dentistry, University of Malaya)
Cheong, Sok Ching (Oral Cancer Research Team, Cancer Research Initiatives Foundation (CARIF), Sime Darby Medical Centre)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.15, no.1, 2014 , pp. 229-237 More about this Journal
Abstract
Background: Dentists are typically the first professionals who are approached to treat ailments within the oral cavity. Therefore they should be well-equipped in detecting suspicious lesions during routine clinical practice. This study determined the levels of knowledge on early signs and risk factors associated with oral cancer and identified which factors influenced dentist participation in prevention and early detection of oral cancer. Materials and Methods: A survey on dentists' knowledge and their practices in prevention and early detection of oral cancer was conducted using a 26-item self-administered questionnaire. Results and Conclusions: A response rate of 41.7% was achieved. The level of knowledge on early signs and risk habits associated with oral cancer was high and the majority reported to have conducted opportunistic screening and advised patients on risk habit cessation. Factors that influenced the dentist in practising prevention and early detection of oral cancer were continuous education on oral cancer, age, nature of practice and recent graduation. Notably, dentists were receptive to further training in the area of oral cancer detection and cessation of risk habits. Taken together, the study demonstrated that the dental clinic is a good avenue to conduct programs on opportunistic screening, and continuous education in these areas is necessary to adequately equip dentists in running these programs. Further, this study also highlighted knowledge deficits and practice shortcomings which will help in planning and developing programs that further encourage better participation of dentists in prevention and early detection of oral cancer.
Keywords
Oral cancer; oral cancer awareness; early detection and prevention; dentist; opportunistic screening;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Warnakulasuriya KA, Johnson NW (1999). Dentists and oral cancer prevention in the UK: opinions, attitudes and practices to screening for mucosal lesions and to counselling patients on tobacco and alcohol use: baseline data from 1991. Oral Dis, 5, 10-4.
2 Gillison ML (2007). Current topics in the epidemiology of oral cavity and oropharyngeal cancers. Head Neck, 29, 779-92.   DOI   ScienceOn
3 Sturgis EM, Cinciripini PM (2007). Trends in head and neck cancer incidence in relation to smoking prevalence: an emerging epidemic of human papillomavirus-associated cancers? Cancer, 110, 1429-35.   DOI   ScienceOn
4 Tomar, SL (2001). Dentistry's role in tobacco control. J Am Dent Assoc, 132, 30-5.
5 Yellowitz JA, Horowitz AM, Drury TF, Goodman HS (2000). Survey of U.S. dentists' knowledge and opinions about oral pharyngeal cancer. J Am Dent Assoc, 131, 653-61.   DOI   ScienceOn
6 Colella G, Gaeta GM, Moscariello A, Angelillo IF. (2008). Oral cancer and dentists: knowledge, attitudes, and practices in Italy. Oral Oncol, 44, 393-9.   DOI   ScienceOn
7 Brownson RC, Davis JR, Simms SG, Kern TG, Harmon RG (1993). Cancer control knowledge and priorities among primary care physicians. J Cancer Educ, 8, 35-41.   DOI
8 Burzynski NJ, Firriolo FJ, Butters JM, et al (1997). Evaluation of oral cancer screening. J Cancer Educ, 12, 95-9.
9 Cruz GD, Ostroff JS, Kumar JV, Gajendra S (2005). Preventing and detecting oral cancer. Oral health care providers' readiness to provide health behavior counseling and oral cancer examinations. J Am Dent Assoc, 136, 594-601.   DOI   ScienceOn
10 Decuseara G, MacCarthy D, Menezes G (2011). Oral cancer: knowledge, practices and opinions of dentists in Ireland. J Ir Dent Assoc, 57, 209-14.
11 Doss JG, Thomson WM, Drummond BK, Raja Latifah RJ (2011). Validity of the FACT-H&N (v 4.0) among Malaysian oral cancer patients. Oral Oncol, 47, 648-52.   DOI   ScienceOn
12 Elango KJ, Anandkrishnan N, Suresh A, et al (2011). Mouth self-examination to improve oral cancer awareness and early detection in a high-risk population. Oral Oncol, 47, 620-4.   DOI   ScienceOn
13 Frenandez Garrote L, Sankaranarayanan R, Lence Anta JJ, Rodriguez Salva A, Maxwell Parkin D (1995). An evaluation of the oral cancer control program in Cuba. Epidemiol, 6, 428-31.   DOI
14 Gajendra S, Cruz GD, Kumar JV (2006). Oral cancer prevention and early detection: knowledge, practices, and opinions of oral health care providers in New York State. J Cancer Educ, 21, 157-62.   DOI   ScienceOn
15 Mignogna MD, Fedele S, Lo Russo L (2004). The World Cancer Report and the burden of oral cancer. Eur J Cancer Prev, 13, 139-42.
16 Mathew B, Sankaranarayanan R, Wesley R, Nair MK (1995). Evaluation of mouth self-examination in the control of oral cancer. Br J Cancer, 71, 397-9.   DOI
17 McCunniff MD, Barker GJ, Barker BE, Williams K (2000). Health professionals' baseline knowledge of oral/pharyngeal cancers. J Cancer Educ, 15, 79-81.
18 American Cancer Society (1990). 1998 survey of physicians' attitude and practises in early detection. CA Cancer J Clin, 40, 77-101.   DOI   ScienceOn
19 Mignogna MD, Fedele S, Lo Russo L, Ruoppo E, Lo Muzio L (2002). Costs and effectiveness in the care of patients with oral and pharyngeal cancer: analysis of a paradox. Eur J Cancer Prev, 11, 205-8.
20 Alonge OK, Narendran S (2003). Opinions about oral cancer prevention and early detection among dentists practising along the Texas-Mexico border. Oral Dis, 9, 41-5.   DOI   ScienceOn
21 Applebaum E, Ruhlen TN, Kronenberg FR, Hayes C, Peters ES (2009). Oral cancer knowledge, attitudes and practices: a survey of dentists and primary care physicians in Massachusetts. J Am Dent Assoc, 140, 461-7.   DOI   ScienceOn
22 Ariyawardana A, Ekanayake L (2008). Screening for oral cancer/ pre-cancer: knowledge and opinions of dentists employed in the public sector dental services of Sri Lanka. Asian Pac J Cancer Prev, 9, 615-8.
23 Brocklehurst P, Kujan O, Glenny AM, et al (2010). Screening programmes for the early detection and prevention of oral cancer. Cochrane Database Syst Rev, 4150.
24 Horowitz AM, Drury TF, Canto MT (2000). Practices of Maryland dentists: oral cancer prevention and early detection--baseline data from 1995. Oral Dis, 6, 282-8.
25 Harris SL, Kimple RJ, Hayes DN, Couch ME, Rosenman JG (2010). Never-smokers, never-drinkers: unique clinical subgroup of young patients with head and neck squamous cell cancers. Head Neck, 32, 499-503.
26 Hertrampf K, Wiltfang J, Koller M, et al (2010). Dentists' perspectives on oral cancer: a survey in Northern Germany and a comparison with international data. Eur J Cancer Prev, 19, 144-52.
27 Kujan O, Duxbury AJ, Glenny AM, Thakker NS, Sloan P (2006a). Opinions and attitudes of the UK's GDPs and specialists in oral surgery, oral medicine and surgical dentistry on oral cancer screening. Oral Dis, 12, 194-9.   DOI   ScienceOn
28 Horowitz AM, Canto MT, Child WL (2002). Maryland adults' perspectives on oral cancer prevention and early detection. J Am Dent Assoc, 133, 1058-63.   DOI   ScienceOn
29 Horowitz AM, Goodman HS, Yellowitz JA, Nourjah PA (1996). The need for health promotion in oral cancer prevention and early detection. J Public Health Dent, 56, 319-30.   DOI   ScienceOn
30 Klosa K, Wiltfang J, Wenz HJ, Koller M, Hertrampf K (2011). Dentists' opinions and practices in oral cancer prevention and early detection in Northern Germany. Eur J Cancer Prev, 20, 313-9.   DOI   ScienceOn
31 Kujan O, Glenny AM, Oliver RJ, Thakker N, Sloan P (2006b). Screening programmes for the early detection and prevention of oral cancer. Cochrane Database Syst Rev, 4150.
32 LeHew CW, Epstein JB, Kaste LM, Choi YK (2010). Assessing oral cancer early detection: clarifying dentists' practices. J Public Health Dent, 70, 93-100.
33 Lindsay C, Morrison J, Kelley E (1974). Professional Obsolescence:implications for continuing professional education. Adult Education, 25, 3-22.   DOI
34 Scully C, Malamos D, Levers BG, Porter SR, Prime SS (1986). Sources and patterns of referrals of oral cancer: role of general practitioners. BMJ, 293, 599-601.   DOI
35 Sankaranarayanan R, Ramadas K, Thomas G, et al (2005). Effect of screening on oral cancer mortality in Kerala, India: a cluster-randomised controlled trial. Lancet, 365, 1927-33.   DOI   ScienceOn
36 Ministry of Health Malaysia (1998). Annual Report.
37 Scott SE, Rizvi K, Grunfeld EA, McGurk M (2010). Pilot study to estimate the accuracy of mouth self-examination in an at-risk group. Head Neck, 32, 1393-401.   DOI   ScienceOn
38 Silverman S Jr, Rankin KV (2010). Oral and pharyngeal cancer control through continuous education. J Cancer Educ, 25, 277-8.   DOI
39 Speight, P., Warnakulasuriya, S., and Ogden, G., eds. (2010). Early detection and prevention of oral cancer: a management strategy for dental practice (London, British Dental Association).
40 NOHSA (2000). National oral health survey of adults 2000 (NOHSA 2000), Oral Health Division, Ministry of Health, Malaysia, eds.
41 Stewart B, Kleihues P, eds. (2003). World Cancer Report (Lyon, IARCPress, International Agency for Research on Cancer).
42 Glass RT, Abla M, Wheatley J (1975). Teaching self-examination of the head and neck: another aspect of preventive dentistry. J Am Dent Assoc, 90, 1265-8.   DOI
43 Grabau JC, Kaufman S, Uthman AA, Scott SJ (1978). A public education program in self-examination for orofacial cancer. J Am Dent Assoc, 96, 480-4.   DOI
44 Rodrigues VC, Moss SM, Tuomainen H (1998). Oral cancer in the UK: to screen or not to screen. Oral Oncol, 34, 454-65.   DOI   ScienceOn
45 Parkin DM, Bray F, Ferlay J, Pisani P (2005). Global cancer statistics, 2002. CA Cancer J Clin, 55, 74-108.   DOI   ScienceOn
46 Sankaranarayanan R, Ramadas K, Thara S, Muwonge R, et al (2013). Long term effect of visual screening on oral cancer incidence and mortality in a randomized trial in Kerala, India. Oral Oncol, 49, 314-21.   DOI   ScienceOn
47 Patton LL, Ashe TE, Elter JR, Southerland JH, Strauss RP (2006). Adequacy of training in oral cancer prevention and screening as self-assessed by physicians, nurse practitioners, and dental health professionals. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 102, 758-64.   DOI   ScienceOn
48 Saleh A, Yang YH, Wan Abd Ghani WM, et al (2012). Promoting oral cancer awareness and early detection using a mass media approach. Asian Pac J Cancer Prev, 13, 1217-24.   과학기술학회마을   DOI   ScienceOn
49 Canto MT, Horowitz AM, Drury TF, Goodman HS (2002). Maryland family physicians' knowledge, opinions and practices about oral cancer. Oral Oncol, 38, 416-24.   DOI   ScienceOn
50 Macpherson LM, McCann MF, Gibson J, Binnie VI, Stephen KW (2003). The role of primary healthcare professionals in oral cancer prevention and detection. Br Dent J, 195, 277-81.   DOI   ScienceOn
51 Ramadas K, Sankaranarayanan R, Jacob BJ, et al (2003). Interim results from a cluster randomized controlled oral cancer screening trial in Kerala, India. Oral Oncol, 39, 580-8.   DOI   ScienceOn