Evaluation of oral cancer knowledge and awareness among patients at a periodontology clinic

Authors

DOI:

https://doi.org/10.5281/zenodo.10871099

Keywords:

Awareness, Oral cancer, Risk factor

Abstract

Objective: The current study was designed to assess the extent of knowledge and awareness regarding oral cancer among patients presenting to the periodontology clinic.

Materials and methods: The research was carried out through in-person interviews with 510 volunteer patients, utilizing a questionnaire format. The questionnaire comprised two sections: the first section contained seven demographic questions addressing gender, age, education level, smoking habits, alcohol consumption, frequency of tooth brushing, and a family history of cancer. The second section consisted of 13 items aimed at evaluating the participants’ awareness and knowledge concerning oral cancer.

Results: A majority of the participants, accounting for 68.6%, reported that they had not been previously aware of oral cancer. The study revealed a significant association between the levels of awareness about oral cancer and variables such as gender, education level, and oral hygiene practices (p<0.05). An increase in education level corresponded with heightened awareness, with men exhibiting greater awareness than women. The perception of risk factors among the patients varied, with smoking being recognized as a risk factor by 72% of the participants, followed by poor oral hygiene at 66.3%, a family history of cancer at 58.4%, alcohol consumption at 56.5%, malnutrition at 55.5%, and excessive sun exposure at 42.5%. Non-healing oral sores were identified as the most recognized sign of cancer, noted by 65% of the respondents. When faced with such symptoms, a significant portion of the patients, 72.4%, indicated they would consult a dentist. Meanwhile, 16.5% would choose to see an ENT (ear, nose and throat) specialist, and a smaller segment, 6.1%, would approach a general practitioner.

Conclusions: This study revealed that societal knowledge and awareness of oral cancer are significantly lacking. The implementation of educational programs to enhance individual knowledge and awareness of oral cancer, coupled with the consistent and thorough examination of the oral mucosa by relevant healthcare professionals, including dentists and ENT specialists, could facilitate the prevention of the disease and promote its early diagnosis.

References

Tomrukçu DN, Köse T. Assessment of Oral Cancer Knowledge Level and Awareness in Eastern Black Sea Subpopulation. Osmangazi Med J. 2020;42(5)84-9.

Chi AC, Neville BW, Damm DD, Allen C. Oral and maxillofacial pathology-E-Book. Amsterdam: Elsevier Health Sciences; 2017.

Abati S, Bramati C, Bondi S, Lissoni A, Trimarchi M. Oral cancer and precancer: A narrative review on the relevance of early diagnosis. Int J Environ Res Public Health. 2020;17(24):1-14.

Yalcin E, Gundogar H. Knowledge and awareness about oral cancer among dental patients in south-eastern anatolian. Ann Med Res. 2020;27(2):616.

Hertrampf K, Wenz HJ, Koller M, Wiltfang J. Public awareness about prevention and early detection of oral cancer: A population-based study in Northern Germany. J Cranio- Maxillofacial Surg. 2012;40(3):e82-e86.

Chow LQM. Head and Neck Cancer. N Engl J Med. 2020;382(1):60-72.

Esen A, Gürses G, Güler AY, Baştürk F. Evaluation of Awareness and Knowledge of Oral Cancer Among Turkish Patients. J Tradit Med Complement Ther. 2018;1(3):99-104.

Bettendorf O, Piffkò J, Bànkfalvi A. Prognostic and predictive factors in oral squamous cell cancer: Important tools for planning individual therapy? Oral Oncol. 2004;40(2):110-9.

Graham JA, Horowitz AM, Canto MT. Coverage and quality of oral cancer information in selected popular press: May 1998 to July 2003. J Public Health Dent. 2004;64(4):231- 6.

Oygür T. The level of awareness in the community about oral cancers. ADO J Clin Sci. 2009;3(3):424-32.

Gillison ML. Current topics in the epidemiology of oral cavity and oropharyngeal cancers. Head Neck. 2007;29(8):779-92.

Lin WJ, Jiang RS, Wu SH, Chen FJ, Liu SA. Smoking, alcohol, and betel quid and oral cancer: a prospective cohort study. J Oncol. 2011;2011:525976.

Singhvi HR, Malik A, Chaturvedi P. The role of chronic mucosal trauma in oral cancer: A review of literature. Indian J Med Paediatr Oncol. 2017;38(1):44-50.

Joseph BK. Oral cancer: prevention and detection. Med Princ Pract. 2002;11(1):32-5.

Seoane J, Corral-Lizana C, González-Mosquera A, Cerero R, Esparza G, Sanz-Cuesta T, et al. The use of clinical guidelines for referral of patients with lesions suspicious for oral cancer may ease early diagnosis and improve education of healthcare professionals. Med Oral Patol Oral Cir Bucal. 2011;16(7):e864-9.

Sadik E, Toroman-Alkurt M. Auxiliary methods used in the diagnosis of suspicious lesions of the oral mucosa. GÜ Diş Hek Fak Derg. 2012;29(3):201-8.

Peker I, Alkurt MT. Public awareness level of oral cancer in a group of dental patients. J Contemp Dent Pract. 2010;11(2):49-56.

Al-Maweri S, Al-Soneidar W, Dhaifullah E, Halboub E, Tarakji B. Oral Cancer: Awareness and Knowledge Among Dental Patients in Riyadh. J Cancer Educ. 2017;32(2):308-13.

Zhou XH, Huang Y, Yuan C, Zheng SG, Zhang JG, Lv XM, et al. A survey of the awareness and knowledge of oral cancer among residents in Beijing. BMC Oral Health. 2022;22(1):367.

Dhanuthai K, Rojanawatsirivej S, Thosaporn W, Kintarak S, Subarnbhesaj A, Darling M, et al Oral cancer: A multicenter study. Med Oral Pathol Oral Cir Bucal. 2018;23(1):e23-e29.

Warnakulasuriya KA, Harris CK, Scarrott DM, Watt R, Gelbier S, Peters TJ, et al. An alarming lack of public awareness towards oral cancer. Br Dent J. 1999;187(6):319-22.

Hassona Y, Scully C, Ghosh MA, Khoury Z, Jarrar S, Sawair F. Mouth cancer awareness and beliefs among dental patients. Int Dent J. 2015;65(1):15-21.

Ariyawardana A, Vithanaarachchi N. Awareness of oral cancer and precancer among patients attending a hospital in Sri Lanka. Asian Pac J Cancer Prev. 2005;6(1):58-61.

Agrawal M, Pandey S, Jain S, Maitin S. Oral cancer awareness of the general public in Gorakhpur city, India. Asian Pac J Cancer Prev. 2012;13(10):5195-9.

Monteiro LS, Warnakulasuriya S, Cadilhe S, Sousa D, Trancoso PF, Antunes L, et al. Oral cancer awareness and knowledge among residents in the Oporto city, Portugal. J Investig Clin Dent. 2016;7(3):294-303.

Azimi S, Ghorbani Z, Ghasemi E, Tennant M, Kruger E. Disparities in Oral Cancer Awareness: a Population Survey in Tehran, Iran. J Cancer Educ. 2019;34(3):535-41.

Monteiro LS, Salazar F, Pacheco J, Warnakulasuriya S. Oral cancer awareness and knowledge in the city of valongo, portugal. Int J Dent. 2012;2012:376838.

Zachar JJ, Huang B, Yates E. Awareness and knowledge of oral cancer amongst adult dental patients attending regional university clinics in New South Wales, Australia: a questionnaire-based study. Int Dent J. 2020;70(2):93-9.

Ramamurthy P, Sharma D, Thomson P. Oral cancer awareness in patients attending university dental clinics: A scoping review of Australian studies. Aust Dent J. 2022;67(1):5-11.

Applebaum E, Ruhlen TN, Kronenberg FR, Hayes C, Peters ES. Oral cancer knowledge, attitudes and practices: a survey of dentists and primary care physicians in Massachusetts. J Am Dent Assoc. 2009;140(4):461-7.

Downloads

Published

2024-03-25

How to Cite

1.
Saglam G, Dag A. Evaluation of oral cancer knowledge and awareness among patients at a periodontology clinic. J Clin Trials Exp Investig [Internet]. 2024 Mar. 25 [cited 2024 Apr. 15];3(1):1-9. Available from: https://jctei.com/index.php/jctei/article/view/96