Assessment of cancer alertness level in dentists: large regional centre case study (Altai Territory)

Abstract

Relevance. Numerous studies confirm the increase in malignant neoplasm number in the incidence pattern worldwide. The proportion of oral mucosa diseases, including precancerous lesions and cancer, is also quite high in dental diseases. Cancer alertness is a paramount professional competence for a dentist, and its implementation should be a priority in daily practical work. Studies conducted by a number of authors in various regions of our country prove the fact of low cancer alertness in clinicians.The study aimed to assess the level of cancer alertness in dentists of the Altai Territory.Material and methods. To achieve the goal, the study surveyed 1,150 dentists of the Altai Territory with various specializations and work experience in institutions of various forms of ownership.Results. The mistakes made by dentists proved to be often caused by non-compliance with the patient examination protocol, insufficient knowledge of cancer alertness principles and existing screening methods. In addition, the study found routing errors in patients with a diagnosed malignant neoplasm of the oral cavity and little knowledge of the main regional documents concerning the provision of care to patients with cancer.Conclusion. Thus, analyzing the survey results, we revealed the imperfection of early diagnosis of oncological diseases at a dental appointment in the Territory. Insufficient knowledge of screening tests and patient routing schemes by dentists, the principles of cancer alertness, and lack of examination represent a serious problem that prevents early diagnosis of a disease.