Survey on Medical doctors' awareness and perceptions of Bisphosphonate-related osteonecrosis of the jaw

Kim,  Jin-Woo; Jeong,  Su-Ra; Pang,  Eun-Kyoung; Kim,  Sun-Jong

doi:2015.53.10.732

J Korean Dent Assoc > Volume 53(10); 2015 > Article

The Journal of The Korean Dental Association 2015;53(10):732-742.
DOI: https://doi.org/10.22974/jkda.2015.53.10.007 Published online October 31, 2015.

비스포스포네이트 관련 악골괴사 (Bisphosphonate-Related Osteonecrosis of the Jaw)에 관한 의사의 인식도 조사

김진우¹, 정수라², 방은경³, 김선종⁴

^¹이화여자대학교 임상치의학대학원 구강보건학과
^²이화여자대학교 임상치의학대학원 구강보건학과
^³이화여자대학교 임상치의학대학원 구강보건학과
^⁴이화여자대학교 임상치의학대학원 구강보건학과

Survey on Medical doctors' awareness and perceptions of Bisphosphonate-related osteonecrosis of the jaw

Jin-Woo Kim¹, Su-Ra Jeong², Eun-Kyoung Pang³, Sun-Jong Kim⁴

¹Graduate School of Clinical Dentistry, Ewha Womans University
²Graduate School of Clinical Dentistry, Ewha Womans University
³Graduate School of Clinical Dentistry, Ewha Womans University
⁴Graduate School of Clinical Dentistry, Ewha Womans University

Abstract

The objective of this study was to identify bisphosphonate-related osteonecrosis of the jaw (BRONJ) awareness and experience level of patients by medical doctors who prescribes bisphosphonate being used, analyze dental examination referral reality and to utilize its result as basic education data for early diagnosis of BRONJ and its prevention. The study was carried out through a self-administered questionnaire distributed among a sample 192 residents and specialists. They belonged to family medicine, internal medicine and orthopedics of 6 tertiary medical centers located in Seoul. The survey consisted of 22 questions; general characteristics, bisphosphonate therapy, awareness of BRONJ, implementation level of dental examination referral. Among 192 medical doctorss, 78.1% (n=150) showed awareness of BRONJ. Only 8.9% (n=17) had correct response in all 5 BRONJ knowledge questions. Dental examination referral by medical doctors was implemented in below 30% of the total patients. At the time of bisphosphonate administration, specialist of oncology most highly recognized necessity of dental examination referral and it was represented in the order of endocrinology, rheumatology, family medicine, orthopedics specialists. As recognition of medical doctors for BRONJ and implementation level of dental referral were represented to be low, it is considered that enhancement of BRONJ recognition for medical doctors and development of high accessible education program for increasing implementation rate of dental examination referral would be required.

Key Words: Osteonecrosis;Jaw;Bisphosphonate;Awareness;Questionnaire;