Journal of Isfahan Medical School

Journal of Isfahan Medical School

Evaluation of the Effect of Educational Intervention on Knowledge and Attitude of General Dentists in Shiraz Toward the Management of Dental treatment in patients with Oral Cancer Receiving Chemotherapy and Radiotherapy in 2023

Document Type : Original Article(s)

Authors
1 Assistant Professor, Oral Medicine Department, Oral and Dental Disease Research Center, School Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
2 Undergraduate Student, School Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
10.48305/jims.v43.i843.1735
Abstract
Background: Oral cancer is among the most prevalent malignancies worldwide and constitutes a significant health burden in Iran. Patients receiving chemotherapy and radiotherapy often experience severe oral complications, making dental management crucial. This study aimed to assess the knowledge and attitude of general dentists in Shiraz toward the dental management of patients with oral cancer undergoing chemotherapy and radiotherapy.
Methods: This cross-sectional study was conducted in 2023 on 100 general dentists in Shiraz, Iran. Data were collected using a questionnaire including demographic information, 14 knowledge questions, and 5 attitude questions about the management of oral complications related to cancer treatment. After the initial assessment, a multimedia educational program was provided. One month later, 91 dentists completed the post-test questionnaire. Results before and after the intervention were compared.
Findings: Of the 100 general dentists initially enrolled, 91 (91%) completed both phases of the study. Of these, 43 (47.3%) were male and 48 (52.7%) were female. The mean age of participants was 42.2 ± 8.9 years. The mean knowledge score of participants increased from 6.67 ± 1.5 to 9.43 ± 1.3, and the mean attitude score changed from 12.22 ± 2.6 to 11.70 ± 2.7 (P < 0.001). No significant association was found between knowledge and attitude with gender, workplace, or years of professional experience (P > 0.05). Dentists who had participated in continuing education programs during the last year showed significantly higher knowledge scores (P = 0.02).
Conclusion: The results of the study showed that the educational intervention significantly improved the knowledge and attitude of general dentists.

Highlights

Azita Sadeghzade: Google Scholar, PubMed

Keywords

Subjects


1.     Petersen PE. Strengthening the prevention of oral cancer: the WHO perspective. Community Dent Oral Epidemiol. 2005;33(6):397–9.
2.     Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer 2010; 127(12): 2893–917.
3.     Taheri JB, Namazi Z, Azimi S, Mehdipour M, Behrovan R, Far KR. Knowledge of oral precancerous lesions considering years since graduation among dentists in the capital city of Iran: a pathway to early oral cancer diagnosis and referral? Asian Pac J Cancer Prev. 2018;19(8):2103–7.
4.     Glick M, Greenberg MS, Lockhart PB, Challacombe SJ. Burket’s Oral Medicine. 12th ed. Hoboken, NJ: Wiley Blackwell; 2021.
5.     Silverman S Jr, Shillitoe E. Etiology and predisposing factors. In: Silverman S Jr, editor. Oral Cancer. 4th ed. Hamilton, Ontario: BC Decker Inc.; 1998. p. 7–24.
6.     Rhodus NL. Oral cancer: leukoplakia and squamous cell carcinoma. Dent Clin North Am. 2005;49(1):143–65.
7.     Rhodus NL, Kerr AR, Patel K. Oral cancer: leukoplakia, premalignancy, and squamous cell carcinoma. Dent Clin North Am. 2014;58(2):315–40.
8.     Little JW, Falace DA. Dental Management of the Medically Compromised Patient. 9th ed. St. Louis: Elsevier; 2018.
9.     Hupp JR, Tucker MR, Ellis E. Contemporary Oral and Maxillofacial Surgery. 7th ed. Philadelphia: Elsevier; 2019.
10.  Najeeb T. Clinicopathological presentation of tongue cancers and early cancer treatment. J Coll Physicians Surg Pak. 2006;16(3):179–82.
11.  Horowitz AM, Alfano MC. Performing a death-defying act. J Am Dent Assoc. 2001;132(Suppl 1):5S–6S.
12.  Sargeran K, Murtomaa H, Safavi SMR, Vehkalahti M, Teronen O. Malignant oral tumors in Iran: ten-year analysis on patient and tumor characteristics of 1042 patients in Tehran. J Craniofac Surg. 2006;17(6):1230–3.
13.  Kujan O, Duxbury A, Glenny AM, Thakker N, Sloan P. Opinions and attitudes of the UK’s GDPs and specialists in oral surgery, oral medicine, and surgical dentistry on oral cancer screening. Oral Dis. 2006;12(2):194–9.
14.  Güneri P, Cankaya H, Kaya A, Boyacioğlu H. Turkish dentists’ knowledge of head and neck cancer therapy-related complications: implications for the future. Eur J Cancer Care (Engl). 2008; 17(1):84–92.
15.  Patel Y, Bahlhorn H, Zafar S, Zwetchkenbaum S, Eisbruch A, Murdoch-Kinch CA. Survey of Michigan dentists and radiation oncologists on oral care of patients undergoing head and neck radiation therapy. J Mich Dent Assoc. 2012;  94(7): 34–45.
16.  Alpöz E, Güneri P, Epstein JB, Çankaya H, Osmic D, Boyacıoğlu H. Dental students’ knowledge of characteristics and management of oral complications of cancer therapy. Support Care Cancer. 2013; 21(10): 2793–8.
17.  Dezfouli MR, Meybodi R, Ahrami N, Sh Z. Effect of educational intervention on awareness, performance, and attitude of general physicians toward ulcerative lesions of the oral cavity. J Mashhad Dent Sch. 2020; 44(1): 35–45.
18.  Petti S, Scully C. Oral cancer knowledge and awareness: primary and secondary effects of an information leaflet. Oral Oncol 2007; 43(4): 408–15.
19.  D’Souza V, Blouin E, Zeitouni A, Muller K, Allison P. Do multimedia-based information services increase knowledge and satisfaction in head and neck cancer patients? Oral Oncol 2013; 49(9): 943–9.
20.  Esfandnia F, Golestaneh A, Shiran A, Shafazand M. Knowledge of general dentists and final-year dental students in Isfahan regarding dental management before, during, and after chemotherapy [in Persian]. J Isfahan Dent Sch. 2021;16(4):303–11.
Clovis JB, Horowitz AM, Poel DH. Oral and pharyngeal cancer: knowledge and opinions of dentists in British Columbia and Nova Scotia. J Can Dent Assoc. 2002;68(7):415–20
Volume 43, Issue 843
3rd Week, February
January and February 2026
Pages 1735-1741

  • Receive Date 18 February 2026
  • Accept Date 15 April 2026