Yıl: 2021 Cilt: 11 Sayı: 1 Sayfa Aralığı: 163 - 169 Metin Dili: İngilizce DOI: 10.33808/clinexphealthsci.701257 İndeks Tarihi: 12-01-2022

The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw

Öz:
Objective: Medication-related osteonecrosis of the jaw (MRONJ) is a serious condition affecting the quality of life of patients taking antiresorptive and anti-angiogenic drugs. The main purpose of this study was to evaluate dentists’ awareness of MRONJ. Methods: A questionnaire was administered to dentists. The questionnaire contained 20 questions on the demographic data of the participants and their awareness of MRONJ and the complications of antiresorptive or anti-angiogenic drugs. The responses were analyzed using Pearson’s chi-square test and Fisher’s exact test. Results: In total, 141 dentists participated in the survey. Of these, 42.6% did not know about MRONJ. There was a statistically significant difference between specialist dentists and general dentists on the questions about the complications, effects, and usage of antiresorptive and anti-angiogenic drugs on necrosis formation (p<0.05). Dentists with less experience (seven years’<) were more knowledgeable about MRONJ (86.7%); compared to those with more than seven years’ clinical experience. Conclusions: This study showed that the knowledge level of dentists regarding the side effects of antiresorptive and anti-angiogenic medications is weak. Overall, MRONJ awareness among general dentists was poor.
Anahtar Kelime:

Incidence of Cystic Echinococcosis in the East Azerbaijan, Iran, During 2011-2017: A Retrospective Epidemiological Study

Öz:
Objective: Cystic echinococcosis has been recognized as one of the most common zoonotic diseases in many parts of the world, which is caused by the larval stage of Echinococcus granulosus. The aim of this study was to investigate the incidence of Cystic echinococcosis cases in human in East Azerbaijan Province, Iran, during 2011-2017. Methods: This cross-sectional descriptive epidemiologic study included seven-year period and investigated variables such as age, gender, involved organs, mortality, residential place types of patients and relations between these data. Data of the patients who had referred to the referral hospital in the East Azerbaijan, Iran with hydatid cysts were evaluated. Results: The highest percentage of the cases were females (56.2%). The most common age range was 18-35 (33.5%). Liver was the highly involved organ, in 918 cases (60.2%). The highest case number was detected in the year 2015 (17.0%), while the year 2012 (11.4%) had the least rate of cases. The rural population with the highest rate of 62.2% had the most incidence. A survey of occupations showed that housewives (19.6%) had the highest rate in terms of variety among other occupations. Conclusion: The results of this study confirmed the increasing incidence of this disease in the East Azerbaijan region. Because the disease in the region is endemic, public awareness and knowledge about the disease need to be increased in order to reduce related health problems and increase the level of prevention at the community level.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • [1] Sajjadi M. Present situation of echinococcosis in the Middle East and Arabic North Africa. Parastoloji Int J 2006; 55:197-202.
  • [1] Ruggiero SL, Dodson TB, Assael LA, Landesberg R, Marx RE, Mehrotra B. American association of oral and maxillofacial surgeons position paper on bisphosphonate-related osteonecrosis of the jaw – 2009 Update. Approved by the Board of Trustees January 2009. Aust Endod J 2009; 35(3):119-130.
  • [2] Mandal, Shyamapada, Manisha Deb Mandal. Human cystic echinococcosis: epidemiologic, zoonotic, clinical, diagnostic and therapeutic aspects. Asian Pacific Journal of Tropical Medicine 2012; 5(4):253-260.
  • [2] Gomez Font R, Martinez Garcia ML, Olmos Martinez JM. Osteochemonecrosis of the jaws due to bisphosphonate treatments. Update. Med Oral Patol Oral Cir Bucal 2008; 13(5):318-324.
  • [3] Rokni M. B, Echinococcosis/hydatidosis in Iran. Iranian J Parasitol 2009;1-16
  • [3] Raj DV, Abuzar M, Borromeo GL. Bisphosphonates, healthcare professionals and oral health. Gerodontology 2016; 33(1):135-143.
  • [4] Azami M, Anvarinejad M, Ezatpour B, Alirezaei M. Prevalence of hydatidosis in slaughtered animals in Iran. Turkiye Parasitol Derg 2013; 37: 102-106
  • [4] Ruggiero SL, Dodson TB, Fantasia J, Goodday R, Aghaloo T, Mehrotra B, O’Ryan F, American Association of Oral and Maxillofacial Surgeons. American Association of Oral and Maxillofacial Surgeons position paper on medication-related osteonecrosis of the jaw-2014 update. J Oral Maxillofac Surg 2014; 72(10):1938–1956.
  • [5] Altintas N. Past to present: echinococcosis in Turkey. Acta Trop Journal 2003; 85: 105-112.
  • [5] Crépin S, Laroche ML, Sarry B, Merle L. Osteonecrosis of the jaws induced by clodronate, an alkyl bisphosphonate: case report and literature review. Eur J Clin Pharmacol 2010; 66 (6):547-554.
  • [6] Moro P, Schantz, PM. Echinococcosis: a review. International Journal of Infectious Disease 2009; 13: 125-133.
  • [6] Ristow O, Otto S, Troeltzsch M, Hohlweg-Majert B, Pautke C. Treatment perspectives for medication-related osteonecrosis of the jaw (MRONJ). J Craniomaxillofac Surg 2015; 43(2):290-293.
  • [7] Siyadatpanah A, AnvariD, Zeydi AE, Hosseini S A, Daryani A, Sarvi S, Budke CM, Dizaji RE, MohagheghMA, Kohansal MH, Dodangeh S, Saberi R, Gholami SH. A systematic review and meta-analysis of the genetic characterization of human echinococcosis in Iran, an endemic country. Epidemiology and Health 2019; 41.
  • [7] Tanna N, Steel C, Stagnell S, Bailey E. Awareness of medication related osteonecrosis of the jaws (MRONJ) amongst general dental practitioners. Br Dent J 2017; 222(2):121-125.
  • [8] Asghari M, Mohebali M, Kia EB, Farahnak A, Arianipour M, Asadian S, Rokni MB. Seroepidemiology of human hydatidosis using AgB-ELISA test in Arak. Iran J Public Health 2013; 42: 391-396.
  • [8] Fleisher KE, Kontio R, Otto S. Antiresorptive drug-related osteonecrosis of the jaw (ARONJ)–a guide to research. Davos Platz (Switzerland): AO Foundation; Available at:<http://www. maaszt.hu/images/pdf/ARONJ2016.pdf, 2016.
  • [9] Farokhzad B, Nazaripouya M, Gachkar L, Mostafa N. Seroepidemiologic survey of hydatid cyst in rural area of Shemiranat and determining the efficacy of IFA test. Pajuhesh Dar Pezeshki 2006;30(3):241-243
  • [9] Yazdi PM, Schiodt M. Dentoalveolar trauma and minor trauma as precipitating factors for medication-related osteonecrosis of the jaw (ONJ): a retrospective study of 149 consecutive patients from the Copenhagen ONJ Cohort. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 119(4):416–422.
  • [10] Sarkari B, Naghmachi M, Azimi S. Human Cystic Echinococcosis in Yasuj District in Southwest of Iran: an epidemiological study of seroprevalence and surgical cases over a ten-year period. Zoonoses Public Health 2008; 57: 147-150.
  • [10] Otto S, Pautke C, Van den Wyngaert T, Niepel D, Schiødt M. Medication-related osteonecrosis of the jaw: Prevention, diagnosis and management in patients with cancer and bone metastases. Cancer Treat Rev 2018; 69:177–187.
  • [11] Bayat A, Shirazi S, Zarabi S, Nejhad-Partovi A. The epidemiologic survey of operated patients with haydatid cyst in Emam Reza medical and research and training hospital in Tabriz city during 2011-2012. Proceeding of the 6th International Congress of Laboratory and Clinic; 2014 Feb12-14; Tehran, Iran; 2014. Pp.342
  • [11] De Lima PB, Brasil VLM, Castro JFL, de Moraes Ramos-Perez FM, Alves FA, dos Anjos Pontual ML, et al. Knowledge and attitudes of Brazilian dental students and dentists regarding bisphosphonate-related osteonecrosis of the jaw. Support Care Cancer 2015; 23(12):3421-3426.
  • [12] Harandi M, Christine M, Sima R. The monetary burden of cystic echinococcosis in Iran. PLOS Neglected Tropical Diseases 2012; 6(11):1915
  • [12] Otto S, Troltzsch M, Jambrovic V, Panya S, Probst F, Ristow O. Tooth extraction in patients receiving oral or intravenous bisphosphonate administration: a trigger for BRONJ development? J Craniomaxillofac Surg 2015; 43(6):847–854.
  • [13] Shafiei R, Hosseini Teshnizi S, Kalantari K, Gholami M, Mirzaee G, Mirzaee F. The seroprevalence of human cystic Echinoccosis in Iran: a systematic review and meta-analysis study. Journal of Parasitology Research 2016; 4: 1-8.
  • [13] Vescovi P, Campisi G, Fusco V, Mergoni G, Manfredi M, Merigo E. Surgery-triggered and non-surgery triggered Bisphosphonate-related Osteonecrosis of the Jaws (BRONJ): a retrospective analysis of 567 cases in an Italian multicenter study. Oral Oncol 2011; 47(3):191–194.
  • [14] Shoaee S, Rezvanizadeh M, Haghighi M, Yousefi H. Epidemiological, clinical and paraclinical study of hydatid cysts in three educational medical centers in 10 years. Novelty in Biomedicine 2016; 4(1): 28-33
  • [14] Marx RE, Sawatari Y, Fortin M, Broumand V. Bisphosphonateinduced exposed bone (osteonecrosis/ osteopetrosis) of the jaws: risk factors, recognition, prevention, and treatment. J Oral Maxillofac Surg 2005; 63(11): 1567-1575.
  • [15] Oudni M, M’rad S, Mekki M, Belguith M, Cabaret F, Pratlong T, Sayadi A, Nouri H, Mezhoud H. Genetic relationship between sheep, cattle and human Echinococcus infection in Tunisia. Veterinary Parasitology Journal 2004; 121: 95-103.
  • [15] Yoo JY, Park YD, Kwon YD, Kim DY, Ohe JY. Survey of Korean dentists on the awareness of bisphosphonate-related osteonecrosis of the jaws. J Investig Clin Dent 2010; 1(2):90–95.
  • [16] Spotin A, Mahami-Oskoueia M, Fasihi Harandi M, Baratchian M, Bordbar A, Ahmadpour E, Ebrahimi S. Genetic variability of Echinococcus granulosus complex in various geographical populations of Iran inferred by mitochondrial DNA sequences. Acta Ttrop 2016; 165: 10-16.
  • [16] Vinitzky-Brener I, Ibáñez-Mancera NG, Aguilar-Rojas AM, Álvarez-Jardón AP. Knowledge of bisphosphonate-related osteonecrosis of the Jaws among Mexican dentists. Med Oral Patol Oral Cir Bucal 2017; 22(1):84-e7.
  • [17] Gadahi JH, Bhutto B, Arijo AG, Akhter N. Human Hydatidosis in Hyderabad, Sindh-Pakistan. Adv Trop Med Pub Health Int 2011; 1: 90-94.
  • [17] López-Jornet P, Camacho-Alonso F, Molina – Miñano F, GomezGarcia F. Bisphosphonate associated osteonecrosis of the jaw. Knowledge and attitudes of dentists and dental students: a preliminary study. J Eval Clin Pract 2010; 16(5):878-882.
  • [18] Gholami S, Tanzifi A, Sharif M, Daryani A, Rahimi M T, Mirshafiee S, Sarvi S. Demographic aspects of human hydatidosis in Iranian general population based on serology: A systematic review and meta-analysis. Veterinary World 2018; 11(10): 1385
  • [18] Escobedo M, García-Consuegra L, Junquera S, Olay S, Ascani G, Junquera L. Medication-related osteonecrosis of the jaw: A survey of knowledge, attitudes, and practices among dentists in the principality of Asturias (Spain). J Stomatol Oral Maxillofac Surg 2018; 119(5):395-400.
  • [19] FathiS, Ghasemikhah R, Mohammadi R, Tohidi F, Sharbatkhori M.Seroprevalence of Hydatidosis in People Referring to Reference Laboratory of Gorgan, Golestan Province, Northern Iran 2017. Iranian Journal of Parasitology 2019; 14(3):436
  • [19] Khan AA, Morrison A, Hanley DA, Felsenberg D, McCauley LK, O’Ryan F. Diagnosis and management of osteonecrosis of the jaw: a systematic review and international consensus. J Bone Miner Res 2015; 30(1):3–23.
  • [20] John DT, Petri WA. Markell and Voge’s. Medical Parasitoogy. 9th ed. Saunders, Philadelphia: Saunders ;2006. p. 287-296.
  • [20] Sosa M, Go´mez de Tejada MJ, Baga´n JV, Diaz CM, Diez PA. Osteonecrosis of the jaws: consensus document. Rev Osteoporos Metab Miner 2009; 1(1):41–51.
  • [21] Fantasia JE. Bisphosphonates-what the dentist needs to know: practical considerations. J Oral Maxillofac Surg 2009; 67(5 Suppl):53-60.
  • [22] Skjødt MK, Frost M, Abrahamsen B. Side effects of drugs for osteoporosis and metastatic bone disease. Br J Clin Pharmacol 2019; 85(6):1036-1071.
  • [23] Bauer JS, Beck N, Kiefer J, Stockmann P, Wichmann M, Eitner S. Awareness and education of patients receiving bisphosphonates. J Craniomaxillofac Surg 2012; 40(3):277-282.
APA EKMEKCİOĞLU A, ZARRABI AHRABI S, akay g, MADANİ R, Karadağ Ö, montazer m, GUNGOR K, Babazadeh Bedoustani A (2021). The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw. , 163 - 169. 10.33808/clinexphealthsci.701257
Chicago EKMEKCİOĞLU AYLİN,ZARRABI AHRABI Salar,akay gülsün,MADANİ Rasoul,Karadağ Özge,montazer majid,GUNGOR KAHRAMAN,Babazadeh Bedoustani Ahmad The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw. (2021): 163 - 169. 10.33808/clinexphealthsci.701257
MLA EKMEKCİOĞLU AYLİN,ZARRABI AHRABI Salar,akay gülsün,MADANİ Rasoul,Karadağ Özge,montazer majid,GUNGOR KAHRAMAN,Babazadeh Bedoustani Ahmad The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw. , 2021, ss.163 - 169. 10.33808/clinexphealthsci.701257
AMA EKMEKCİOĞLU A,ZARRABI AHRABI S,akay g,MADANİ R,Karadağ Ö,montazer m,GUNGOR K,Babazadeh Bedoustani A The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw. . 2021; 163 - 169. 10.33808/clinexphealthsci.701257
Vancouver EKMEKCİOĞLU A,ZARRABI AHRABI S,akay g,MADANİ R,Karadağ Ö,montazer m,GUNGOR K,Babazadeh Bedoustani A The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw. . 2021; 163 - 169. 10.33808/clinexphealthsci.701257
IEEE EKMEKCİOĞLU A,ZARRABI AHRABI S,akay g,MADANİ R,Karadağ Ö,montazer m,GUNGOR K,Babazadeh Bedoustani A "The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw." , ss.163 - 169, 2021. 10.33808/clinexphealthsci.701257
ISNAD EKMEKCİOĞLU, AYLİN vd. "The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw". (2021), 163-169. https://doi.org/10.33808/clinexphealthsci.701257
APA EKMEKCİOĞLU A, ZARRABI AHRABI S, akay g, MADANİ R, Karadağ Ö, montazer m, GUNGOR K, Babazadeh Bedoustani A (2021). The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw. Clinical and Experimental Health Sciences, 11(1), 163 - 169. 10.33808/clinexphealthsci.701257
Chicago EKMEKCİOĞLU AYLİN,ZARRABI AHRABI Salar,akay gülsün,MADANİ Rasoul,Karadağ Özge,montazer majid,GUNGOR KAHRAMAN,Babazadeh Bedoustani Ahmad The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw. Clinical and Experimental Health Sciences 11, no.1 (2021): 163 - 169. 10.33808/clinexphealthsci.701257
MLA EKMEKCİOĞLU AYLİN,ZARRABI AHRABI Salar,akay gülsün,MADANİ Rasoul,Karadağ Özge,montazer majid,GUNGOR KAHRAMAN,Babazadeh Bedoustani Ahmad The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw. Clinical and Experimental Health Sciences, vol.11, no.1, 2021, ss.163 - 169. 10.33808/clinexphealthsci.701257
AMA EKMEKCİOĞLU A,ZARRABI AHRABI S,akay g,MADANİ R,Karadağ Ö,montazer m,GUNGOR K,Babazadeh Bedoustani A The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw. Clinical and Experimental Health Sciences. 2021; 11(1): 163 - 169. 10.33808/clinexphealthsci.701257
Vancouver EKMEKCİOĞLU A,ZARRABI AHRABI S,akay g,MADANİ R,Karadağ Ö,montazer m,GUNGOR K,Babazadeh Bedoustani A The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw. Clinical and Experimental Health Sciences. 2021; 11(1): 163 - 169. 10.33808/clinexphealthsci.701257
IEEE EKMEKCİOĞLU A,ZARRABI AHRABI S,akay g,MADANİ R,Karadağ Ö,montazer m,GUNGOR K,Babazadeh Bedoustani A "The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw." Clinical and Experimental Health Sciences, 11, ss.163 - 169, 2021. 10.33808/clinexphealthsci.701257
ISNAD EKMEKCİOĞLU, AYLİN vd. "The Awareness and Knowledge of Dentists of MedicationRelated Osteonecrosis of the Jaw". Clinical and Experimental Health Sciences 11/1 (2021), 163-169. https://doi.org/10.33808/clinexphealthsci.701257