Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Diş Hekimliği Öğrencilerinin Ağız Lezyonlarının Karakterini Ayırt Etme Becerisinin İncelenmesi
Assessment of Dental Students' Skill to Recognise Nature of Oral Lesions
Nursel AKKAYAa, L. Berna ÇAĞIRANKAYAa, Begüm ÖZKANb, Zeynep G. ŞANOĞLUb, Zeynep ORANb, Cemile Nur YILDIRIMb
aHacettepe Üniversitesi Diş Hekimliği Fakültesi, Ağız Diş ve Çene Radyolojisi ABD, Ankara, TÜRKİYE
bHacettepe Üniversitesi Diş Hekimliği Fakültesi, Ankara, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2021;27(4):572-9
doi: 10.5336/dentalsci.2020-79614
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, klinik eğitim almakta olan diş hekimliği öğrencilerinin ağız lezyonlarının karakterini tanıma becerilerini değerlendirmek ve ilave bir eğitimin gerekli olup olmadığını incelemektir. Gereç ve Yöntemler: Yetmiş iki gönüllü katılımcıya (4. sınıftan 36 öğrenci ve 5. sınıftan 36 öğrenci) benign, prekanseröz ve malign lezyonlardan oluşan 20 olgu, ağız içi görüntü, hasta hikâyesi ve ağız lezyonunun klinik özelliklerine ait bilgiler eşliğinde sunuldu ve lezyonların karakterini sınıflandırmaları istendi. Grupların tanı skorları student t-testi ve grupların her bir olgu için tanı performansı ki-kare testi ile analiz edildi. Bulgular: Beşinci sınıf öğrencilerinin tanı skorları [ortalama 15,58, %95 güven aralığı (GA) 15,03-16,13] 4. sınıf öğrencilerinden (ortalama 13,44, %95 GA 12,53-14,35) daha yüksekti (p<0,05). Benign, prekanseröz ve malign lezyonlar için 4. sınıf öğrencilerinin tanı performansları sırayla %77,78 (%95 GA, 73,73-81,47), %40,28 (32,20-48,77) ve %57,41 (47,53-66,78); 5. sınıf öğrencilerinin ise %87,49 (84,04-90,26), %53,47 (44,98-61,82) ve %64,81 (55,04- 73,76) olarak belirlendi. Ağızda en sık rastlanan malignite olan skuamöz hücreli karsinomu 4. sınıf öğrencileri %75-77,7; 5 sınıf öğrencileri ise %83,3-91,7 doğrulukla sınıflandırdı. Sonuç: Öğrencilerin klinik deneyimi arttıkça ağız lezyonlarını tanıma becerileri gelişmekle birlikte, prekanseröz ve az rastlanan malign lezyonları ayırt etmekte güçlük çekmektedirler. Bu nedenle, klinik eğitim sırasında tanı becerilerinin geliştirilmesine katkı sağlayabilecek vaka tabanlı öğrenme çalışmalarının daha geniş bir yelpazede olacak şekilde yeniden düzenlenmesine karar verilmiştir.

Anahtar Kelimeler: Eğitim, diş hekimliği; tanı, oral; ağız hastalıkları
ABSTRACT
 Objective: The purpose of this study was to assess the ability of dentistry students undergoing clinical education identifying nature of oral lesions and to examine whether an additional training is required. Material and Methods: Twenty cases consisting of benign, precancerous and malignant lesions were presented to 72 volunteer participants (4th-year; 36 students and 5th-year; 36 students) accompanied by intraoral images, patient's history, and clinical findings of the oral lesions and they were asked to classify the nature of the lesions. The diagnostic scores of the groups were analysed by student t-test and the diagnostic performance of the groups for each case were analysed by chi-square test. Results: Diagnostic scores of 5thyear students [mean 15.58, 95% confidence interval (CI) 15.03-16.13] were higher than those of 4th-year students (mean 13.44, 95% CI 12.53-14.35) (p<0.05). For benign, precancerous and malignant lesions, diagnostic performances of 4th-year students were 77.78% (95% CI, 73.73-81.47), 40.28% (32.20-48.77) and 57.41% (47.53- 66.78), respectively; the diagnostic performances of 5th-year students were 87.49% (84.04-90.26), 53.47% (44.98-61.82) and 64.81% (55.04-73.76), respectively. 4th-year students identified squamous cell carcinoma, the most common malignancy of oral cavity, with an accuracy of 75-77.7% and 5th-year students with an accuracy of 83.3- 91.7%. Conclusion: The students' ability to distinguish nature of oral lesions improves with clinical experience, however, they have difficulties in identifying precancerous and rare malignant oral lesions. Therefore, it was decided to reorganize the case-based learning studies that would contribute to the development of diagnostic skills during the clinical education, in a broader spectrum.

Keywords: Education, dental; diagnosis, oral; mouth diseases
REFERENCES:
  1. Bricker, SL, Langlais RP, Miller CS. Oral Diagnosis, Oral Medicine and Treatment Planning. 2nd ed. Hamilton: BC Decker; 2002. [Link] 
  2. Ali MA, Joseph BK, Sundaram DB. Dental students' ability to detect and diagnose oral mucosal lesions. J Dent Educ. 2015;79(2):140-5. [PubMed] 
  3. Güneri P, Epstein JB. Late stage diagnosis of oral cancer: components and possible solutions. Oral Oncol. 2014;50(12):1131-6. [Crossref]  [PubMed] 
  4. World Health Organization. International Agency for Research on Cancer, A report about cancer. 2018. Erişim linki: [Link]  (Erişim tarihi: 14.11.2019)
  5. Stefanuto P, Doucet JC, Robertson C. Delays in treatment of oral cancer: a review of the current literature. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117(4):424-9. [Crossref]  [PubMed] 
  6. Seoane J, Alvarez-Novoa P, Gomez I, Takkouche B, Diz P, Warnakulasiruya S, et al. Early oral cancer diagnosis: The Aarhus statement perspective. A systematic review and meta-analysis. Head Neck. 2016;38 Suppl 1:E2182-9. [PubMed] 
  7. Sciubba JJ. Oral cancer and its detection. History-taking and the diagnostic phase of management. J Am Dent Assoc. 2001;132 Suppl:12S-18S. Erratum in: J Am Dent Assoc 2002;133(4):422. [Crossref]  [PubMed] 
  8. Mashberg A. Diagnosis of early oral and oropharyngeal squamous carcinoma: obstacles and their amelioration. Oral Oncol. 2000;36(3):253-5. [Crossref]  [PubMed] 
  9. Ergun S, Ozel S, Koray M, Kürklü E, Ak G, Tanyeri H. Dentists' knowledge and opinions about oral mucosal lesions. Int J Oral Maxillofac Surg. 2009;38(12):1283-8. [Crossref]  [PubMed] 
  10. Amer HW, Wahed AA, Badawi OA, Emara AS. Oral cancer awareness level within the dental community: results from a large scale survey in cairo. J Cancer Educ. 2018;33(6):1279-84. [Crossref]  [PubMed] 
  11. Shrestha A, Marla V, Shrestha S, Agrawal D. Awareness of undergraduate dental and medical students towards oral cancer. J Cancer Educ. 2017;32(4):778-83. [Crossref]  [PubMed] 
  12. Frola MI, Barrios R. Knowledge and attitudes about oral cancer among dental students after bologna plan implementation. J Cancer Educ. 2017;32(3):634-9. [Crossref]  [PubMed] 
  13. Jaber MA, Diz Dios P, Vázquez García E, Cutando Soriano A, Porter SR. Spanish dental students knowledge of oral malignancy and premalignancy. Eur J Dent Educ. 1997;1(4):167-71. [PubMed] 
  14. Keser G, Pekiner FN. Assessing Oral cancer awareness among dental students. J Cancer Educ. 2019;34(3):512-8. [Crossref]  [PubMed] 
  15. Hassona Y, Scully C, Shahin A, Maayta W, Sawair F. Factors Influencing Early Detection of Oral Cancer by Primary Health-Care Professionals. J Cancer Educ. 2016;31(2):285-91. [Crossref]  [PubMed] 
  16. Hassona Y, Scully C, Abu Tarboush N, Baqain Z, Ismail F, Hawamdeh S, et al. Oral cancer knowledge and diagnostic ability among dental students. J Cancer Educ. 2017;32(3):566-70. [Crossref]  [PubMed] 
  17. Seoane J, Varela-Centelles PI, González-Reforma N, Aguado A, Esparza G. Assessment of dental students' ability to recognise precancerous lesions and conditions. Eur J Dent Educ. 1997;1(4):172-5. [PubMed] 
  18. Seoane J, Varela-Centelles PI, Diz Dios P, Suárez Quintanilla JM, Aguado A. Experimental intervention study about recognition of erythroplakia by undergraduate dental students. Int Dent J. 1999;49(5):275-8. [Crossref]  [PubMed] 
  19. López-Jornet P, Camacho-Alonso F, Martinez-Beneyto Y, Seoane-Leston J. Influence of years of professional experience in relation to the diagnostic skill of general dental practitioners (GDPs) in identifying oral cancer and precancerous lesions. Int Dent J. 2008;58(3):127-33. [Crossref]  [PubMed] 
  20. Cerero-Lapiedra R, Esparza-Gómez GC, Casado-de la Cruz L, Domínguez-Gordillo AA, Corral-Linaza C, Seoane-Romero JM. Ability of dental students in spain to identify potentially malignant disorders and oral cancer. J Dent Educ. 2015;79(8):959-64. [PubMed] 
  21. Seoane J, Warnakulasuriya S, Varela-Centelles P, Esparza G, Dios PD. Oral cancer: experiences and diagnostic abilities elicited by dentists in North-western Spain. Oral Dis. 2006;12(5):487-92. [Crossref]  [PubMed] 

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