<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1646-2890</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Estomatol Med Dent Cir Maxilofac]]></abbrev-journal-title>
<issn>1646-2890</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Estomatologia e Medicina Dentária]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1646-28902022000400221</article-id>
<article-id pub-id-type="doi">10.24873/j.rpemd.2022.12.1043</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Cancro oral: conhecimentos, práticas e atitudes dos médicos dentistas e dos higienistas orais em Portugal]]></article-title>
<article-title xml:lang="en"><![CDATA[Oral cancer: knowledge, practices, and attitudes of dentists and oral hygienists in Portugal]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Freitas]]></surname>
<given-names><![CDATA[Filipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Francisco]]></surname>
<given-names><![CDATA[Helena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[João Aquino]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caramês]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade de Lisboa Faculdade de Medicina Dentária Médica Dentista]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de Lisboa Faculdade de Medicina Dentária Professor Auxiliar Convidado]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade de Lisboa Faculdade de Medicina Dentária Professora Auxiliar]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade de Lisboa Faculdade de Medicina Dentária Professor Catedrático]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>63</volume>
<numero>4</numero>
<fpage>221</fpage>
<lpage>228</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1646-28902022000400221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1646-28902022000400221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1646-28902022000400221&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivos:  Avaliar os conhecimentos, práticas e atitudes dos médicos dentistas e higienistas orais relativamente ao cancro oral em Portugal.  Métodos:  Os dados foram recolhidos entre janeiro e março de 2021, através de questionários online, cujo preenchimento foi voluntário e confidencial. Aplicou-se estatística descritiva recorrendo ao IBM SPSS Satistics® 26.  Resultados:  Consideraram-se 272 respostas válidas, 178 de médicos dentistas e 94 de higienistas orais. Mais de 50% dos profissionais considerou os conhecimentos e capacidade de diagnóstico de cancro oral e lesões potencialmente malignas como &#8216;razoáveis&#8217;. Ainda assim, mais de 90% referiu ser importante ter formação adicional. Relativamente aos médicos dentistas, 35,4% já realizou uma biópsia e apenas 14% admitiu ser essa a abordagem clínica perante uma lesão suspeita. Por outro lado, verificou-se que os higienistas orais promovem mais sessões de cessação tabágica e alcoólica. Quanto ao exame objetivo, 58,5% dos higienistas orais e 60,7% dos médicos dentistas indicou realizar o exame extraoral, com palpação dos nódulos linfáticos da região da cabeça e pescoço.  Conclusões:  Apesar de terem ficado demonstradas algumas lacunas, a maioria dos profissionais de saúde oral apresenta conhecimentos teóricos corretos. Foram identificadas diferenças na prática clínica dos médicos dentistas e dos higienistas orais em Portugal. Um exame rigoroso da cavidade oral, bem como a avaliação do risco, são medidas que podem levar à prevenção e deteção precoce do cancro oral. Os profissionais de saúde desempenham um papel fundamental na prevenção desta doença, devendo esclarecer os seus doentes sobre os fatores etiológicos implicados no aparecimento e progressão do cancro.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objectives:  To assess the knowledge, practices, and attitudes of dentists and oral hygienists regarding oral cancer in Portugal.  Methods:  Data were collected between January and March 2021 through online questionnaires, which were voluntary and confidential. Descriptive statistics were applied using the IBM SPSS Satistics® 26.  Results:  272 responses were considered valid, 178 from dentists and 94 from oral hygienists. More than 50% of professionals considered their knowledge and ability to diagnose oral cancer and potentially malignant lesions &#8216;reasonable.&#8217; Even so, more than 90% said it was important to have additional training. Regarding dentists, 35.4% had already performed a biopsy, and only 14% admitted that this was their clinical approach when faced with a suspicious lesion. On the other hand, oral hygienists promoted more smoking and alcohol cessation sessions. Regarding the objective examination, 58.5% of oral hygienists and 60.7% of dentists reported performing the extraoral examination, with palpation of the head and neck lymph nodes.  Conclusions:  Although some gaps were detected, most oral health professionals have correct theoretical knowledge. Differences were identified in the clinical practice of dentists and oral hygienists in Portugal. Rigorous examination of the oral cavity and risk assessment can lead to early prevention and detection of oral cancer. Health professionals play a key role in preventing this disease and should enlighten their patients about the etiological factors involved in the onset and progression of cancer.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Alterações orais potencialmente malignas,Cancro oral]]></kwd>
<kwd lng="pt"><![CDATA[Diagnóstico]]></kwd>
<kwd lng="pt"><![CDATA[Fatores de risco]]></kwd>
<kwd lng="pt"><![CDATA[Higienistas orais]]></kwd>
<kwd lng="pt"><![CDATA[Médicos dentistas]]></kwd>
<kwd lng="en"><![CDATA[Oral potentially malignant disorders]]></kwd>
<kwd lng="en"><![CDATA[Oral cancer]]></kwd>
<kwd lng="en"><![CDATA[Diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Risk factors]]></kwd>
<kwd lng="en"><![CDATA[Oral hygienists]]></kwd>
<kwd lng="en"><![CDATA[Dentists]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[El-Naggar]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Chan]]></surname>
<given-names><![CDATA[JKC]]></given-names>
</name>
<name>
<surname><![CDATA[Grandis]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Takata]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Slootweg]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
</person-group>
<source><![CDATA[WHO Classification of Head and Neck Tumours]]></source>
<year>2017</year>
<page-range>347</page-range><publisher-loc><![CDATA[Lyon ]]></publisher-loc>
<publisher-name><![CDATA[IARC]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Müller]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Update from the 4th Edition of the World Health Organization of Head and Neck Tumours: Tumours of the Oral Cavity and Mobile Tongue]]></article-title>
<source><![CDATA[Neck Pathol]]></source>
<year>2017</year>
<volume>11</volume>
<page-range>33-40</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Nanavati]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Modi]]></surname>
<given-names><![CDATA[TG]]></given-names>
</name>
<name>
<surname><![CDATA[Dobariya]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oral cancer: Etiology and risk factors: A review]]></article-title>
<source><![CDATA[J Cancer Res Ther]]></source>
<year>2016</year>
<volume>12</volume>
<page-range>458-63</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Registo Oncológico Nacional de Todos os Tumores na População Residente em Portugal, em 2018]]></article-title>
<source><![CDATA[Instituto Português de Oncologia de Lisboa Francisco Gentil - EPE]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Warnakulasuriya]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kujan]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Aguirre-Urizar]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Bagan]]></surname>
<given-names><![CDATA[JV]]></given-names>
</name>
<name>
<surname><![CDATA[González-Moldes]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Kerr]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oral potentially malignant disorders: A consensus report from na international seminar on nomenclature and classification, convened by the WHO Collaborating Centre for Oral Cancer]]></article-title>
<source><![CDATA[Oral Dis]]></source>
<year>2021</year>
<volume>27</volume>
<page-range>1862-80</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Iocca]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Sollecito]]></surname>
<given-names><![CDATA[TP]]></given-names>
</name>
<name>
<surname><![CDATA[Alawi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Weinstein]]></surname>
<given-names><![CDATA[GS]]></given-names>
</name>
<name>
<surname><![CDATA[Newman]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[De Virgilio]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Potentially malignant disorders of the oral cavity and oral dysplasia: A systematic review and metaanalysis of malignant transformation rate by subtype]]></article-title>
<source><![CDATA[Head Neck]]></source>
<year>2020</year>
<volume>42</volume>
<page-range>539-55</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saleh]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kong]]></surname>
<given-names><![CDATA[YH]]></given-names>
</name>
<name>
<surname><![CDATA[Vengu]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Badrudeen]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Zain]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
<name>
<surname><![CDATA[Cheong]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dentists&#8217; perception of the role they play in early detection of oral cancer]]></article-title>
<source><![CDATA[Asian Pac J Cancer Prev]]></source>
<year>2014</year>
<volume>15</volume>
<page-range>229-37</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[van der Waal]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Are we able to reduce the mortality and morbidity of oral cancer: Some considerations]]></article-title>
<source><![CDATA[Med Oral Patol Oral Cir Bucal]]></source>
<year>2013</year>
<volume>18</volume>
<page-range>e33-7</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gajendra]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[GD]]></given-names>
</name>
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[JV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oral cancer prevention and early detection: knowledge, practices, and opinions of oral health care providers in New York State]]></article-title>
<source><![CDATA[J Cancer Educ]]></source>
<year>2006</year>
<volume>21</volume>
<page-range>157-62</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hertrampf]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Wilmang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Koller]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Klosa]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Wenz]]></surname>
<given-names><![CDATA[HJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dentists&#8217; perspectives on oral cancer: a survey in Northern Germany and a comparison with international data]]></article-title>
<source><![CDATA[Eur J Cancer Prev]]></source>
<year>2010</year>
<volume>19</volume>
<page-range>144-52</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Colella]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Gaeta]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Moscariello]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Angelillo]]></surname>
<given-names><![CDATA[IF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oral cancer and dentists: knowledge, atitudes, and practices in Italy]]></article-title>
<source><![CDATA[Oral Oncol]]></source>
<year>2008</year>
<volume>44</volume>
<page-range>393-9</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López-Jornet]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Camacho-Alonso]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<name>
<surname><![CDATA[Molina-Miñano]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Knowledge and attitudes about oral cancer among dentists in Spain]]></article-title>
<source><![CDATA[J Eval Clin Pract]]></source>
<year>2010</year>
<volume>16</volume>
<page-range>129-33</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Henriques]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Cardoso]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Louraço]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Freitas]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Trancoso]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Azul]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Oral cancer and potentially malignant lesions: knowledge, attitudes and practice of Portuguese dentists]]></article-title>
<source><![CDATA[J Oral Pathol Med]]></source>
<year>2019</year>
<volume>48</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>25</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="">
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
