A carregar...
Publicação
Avaliação do conhecimento e das práticas dos médicos dentistas sobre a osteonecrose dos maxilares associada ao uso de bifosfonatos
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 1.09 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Introdução: A osteonecrose dos maxilares, associada ao uso de medicamentos, é uma complicação rara, porém grave, relacionada com terapêuticas antirreabsortivas ou antiangiogénicas, nomeadamente os bifosfonatos. Esta condição define-se pela presença de osso exposto ou sondável através de uma fístula na região maxilofacial que persiste por mais de oito semanas, sem histórico de radioterapia. Objetivo: Avaliar o nível de literacia teórica e a atitude clínica dos médicos dentistas portugueses no que diz respeito à osteonecrose dos maxilares associada ao uso de bifosfonatos. Materiais e Métodos: Realizou-se um estudo observacional descritivo e transversal. A recolha de dados foi efetuada através de um questionário aplicado em formato de papel e online, de forma anónima e voluntária, a uma amostra por conveniência de 100 médicos dentistas inscritos na Ordem dos Médicos Dentistas, em Portugal. A análise estatística descritiva e inferencial foi executada com recurso ao software SPSS <br/>versão 27.0. Resultados: A amostra incluiu 100 profissionais, sendo 64% do sexo feminino e 49% com idade igual ou superior a 40 anos. Verificou-se um contraste acentuado entre a teoria e a prática clínica. Embora os participantes revelassem um forte domínio teórico sobre as vias de administração e os fármacos mais prevalentes, evidenciaram-se falhas no conhecimento das guidelines de tratamento mais atuais. Na abordagem clínica, registou-se uma conduta conservadora na colocação de implantes sob via intravenosa em 57% da amostra. Por outro lado, evidenciou-se insegurança clínica na suspensão desnecessária da medicação oral por 29% dos inquiridos em casos de exodontia. Estatisticamente, a perceção de uma preparação universitária suficiente associou-se a uma maior capacidade de decisão clínica com um valor de p=0,023. Conclusão: Apesar do conhecimento teórico geral adequado, existe uma lacuna substancial na integração de protocolos práticos, tornando-se imperativo o reforço da educação contínua para promover uma prática clínica autónoma segura e alicerçada na interdisciplinaridade.
Introduction: Medication-related osteonecrosis of the jaw (MRONJ) is a rare, yet serious complication associated with antiresorptive or antiangiogenic therapies, particularly bisphosphonates. This condition is defined by the presence of exposed or probable bone through a fistula in the maxillofacial region that persists for more than eight weeks, in the absence of a history of radiation therapy. Objective: To evaluate the theoretical literacy level and clinical attitude of Portuguese dentists regarding medication-related osteonecrosis of the jaw. Materials and Methods: A descriptive, cross-sectional observational study was conducted. Data were collected via an anonymous and voluntary questionnaire (paper and online formats) from a convenience sample of 100 dentists registered with the Portuguese Dental Association (Ordem dos Médicos Dentistas). Descriptive and inferential statistical analyses were performed using SPSS software, version 27.0. Results: The sample included 100 professionals, of whom 64% were female and 49% were aged 40 or older. A marked contrast was observed between theoretical knowledge and clinical practice. Although participants demonstrated a strong theoretical grasp of administration routes and the most prevalent drugs, deficiencies were identified in their knowledge of current treatment guidelines. Regarding clinical management, a conservative approach to dental implant placement in patients receiving intravenous therapy was observed in 57% of the sample. Conversely, clinical insecurity was evident, as 29% of respondents unnecessarily suspended oral medication in cases of tooth extraction. Statistically, the perception of having received <br/>sufficient university training was associated with a higher capacity for clinical decision making (p=0.023). Conclusion: Despite adequate general theoretical knowledge, there is a substantial gap in the implementation of clinical protocols. Consequently, reinforcing continuing education is imperative to promote safe, autonomous clinical practice grounded in interdisciplinarity.
Introduction: Medication-related osteonecrosis of the jaw (MRONJ) is a rare, yet serious complication associated with antiresorptive or antiangiogenic therapies, particularly bisphosphonates. This condition is defined by the presence of exposed or probable bone through a fistula in the maxillofacial region that persists for more than eight weeks, in the absence of a history of radiation therapy. Objective: To evaluate the theoretical literacy level and clinical attitude of Portuguese dentists regarding medication-related osteonecrosis of the jaw. Materials and Methods: A descriptive, cross-sectional observational study was conducted. Data were collected via an anonymous and voluntary questionnaire (paper and online formats) from a convenience sample of 100 dentists registered with the Portuguese Dental Association (Ordem dos Médicos Dentistas). Descriptive and inferential statistical analyses were performed using SPSS software, version 27.0. Results: The sample included 100 professionals, of whom 64% were female and 49% were aged 40 or older. A marked contrast was observed between theoretical knowledge and clinical practice. Although participants demonstrated a strong theoretical grasp of administration routes and the most prevalent drugs, deficiencies were identified in their knowledge of current treatment guidelines. Regarding clinical management, a conservative approach to dental implant placement in patients receiving intravenous therapy was observed in 57% of the sample. Conversely, clinical insecurity was evident, as 29% of respondents unnecessarily suspended oral medication in cases of tooth extraction. Statistically, the perception of having received <br/>sufficient university training was associated with a higher capacity for clinical decision making (p=0.023). Conclusion: Despite adequate general theoretical knowledge, there is a substantial gap in the implementation of clinical protocols. Consequently, reinforcing continuing education is imperative to promote safe, autonomous clinical practice grounded in interdisciplinarity.
Descrição
Palavras-chave
Osteonecrose dos maxilares Bifosfonatos Médicos dentistas Conhecimento Tomada de decisão clínica Bisphosphonate-associated osteonecrosis of the jaw Bisphosphonates Dentists Health knowledge Attitudes Practice Clinical decision-making
Contexto Educativo
Citação
Editora
Licença CC
Sem licença CC