Heimes, Diana; Mark, Nicolas Alexander; Kuchen, Robert; Pabst, Andreas; Becker, Philipp; Kyyak, Solomiya; Thiem, Daniel G. E.; Schulze, Ralf; Kämmerer, Peer W. (2023). Evaluation of Medication-Related Osteonecrosis of the Jaw (MRONJ) in Terms of Staging and Treatment Strategies by Dental Students at Different Educational Levels. Medicina, 59(2), p. 252. MDPI 10.3390/medicina59020252
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Background: The role of medication-related osteonecrosis of the jaw (MRONJ) as a dentomaxillo-
facial pathology is becoming increasingly important due to its growing prevalence. The
success of preventive and therapeutic measures relies mainly on the dentist’s ability to correctly
diagnose the disease. Methods: The aim of this study was to evaluate the skills of dental students
of different educational levels in choosing the correct stage, diagnostics, and treatment option for
MRONJ based on clinical and radiographic imaging (panoramic radiograph, CBCT). The study
was designed as a cross-sectional cohort study. Twenty dental students were asked to complete a
questionnaire in their third and fifth year of studies in which they had to correctly stage the disease,
choose the radiological diagnostics and recommend the treatment. The control group contained
experienced oral and maxillofacial surgeons. Results: With an overall performance of 59% (third
year: 145.2/248 points; fifth year: 145.3/248 points), no statistically significant difference between the
educational levels could be observed. The classification based on CBCT imaging was significantly
more often correct compared to panoramic radiographs (p < 0.001). Conclusions: This study highlights
students’ lack of knowledge in staging, diagnostics, and treatment of MRONJ, even though the
CBCT positively affected decision-making. No significant increase in knowledge could be confirmed
through clinical education. This study highlights the need for students to catch up on MRONJ
diagnostics and treatment planning. Further expansion of teaching in this disease’s context and X-ray
diagnostics is needed.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology |
UniBE Contributor: |
Schulze, Ralf Kurt Willy |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1648-9144 |
Publisher: |
MDPI |
Language: |
English |
Submitter: |
Caroline Balz |
Date Deposited: |
03 Feb 2023 14:48 |
Last Modified: |
03 Feb 2023 23:27 |
Publisher DOI: |
10.3390/medicina59020252 |
BORIS DOI: |
10.48350/178343 |
URI: |
https://boris.unibe.ch/id/eprint/178343 |
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