Exploring dental students' knowledge on oral cancer prevention: a cross-sectional study in Moldova, Armenia, and Belarus

Abstract Background Survival rate of patients with oral cancer (OC) remains to be very low despite advancements in therapy and surgical techniques. This is attributed to the fact that most OC cases are discovered at a late stage. Dentists play a vital role in early detection of OC through oral mucos...

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Main Authors: Olga Golburean, Diana Uncuta, Gayane Manrikyan, Natalia Shakavets, Izabella Vardanyan, Marina Markaryan, Ferda Özkaya, Daniela-Elena Costea, Tarig Al-Hadi Osman
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-05459-8
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author Olga Golburean
Diana Uncuta
Gayane Manrikyan
Natalia Shakavets
Izabella Vardanyan
Marina Markaryan
Ferda Özkaya
Daniela-Elena Costea
Tarig Al-Hadi Osman
author_facet Olga Golburean
Diana Uncuta
Gayane Manrikyan
Natalia Shakavets
Izabella Vardanyan
Marina Markaryan
Ferda Özkaya
Daniela-Elena Costea
Tarig Al-Hadi Osman
author_sort Olga Golburean
collection DOAJ
description Abstract Background Survival rate of patients with oral cancer (OC) remains to be very low despite advancements in therapy and surgical techniques. This is attributed to the fact that most OC cases are discovered at a late stage. Dentists play a vital role in early detection of OC through oral mucosal examination, and in informing the patients about avoidable risk factors of the disease, such as tobacco and excessive alcohol use. This study aimed at evaluating knowledge about OC among dental students in Moldova, Armenia and Belarus; three former soviet countries with high rates of tobacco use. Methods This was a cross-sectional, multi-country study based on self-administered questionnaire. Dental students in their clinical years at three dental faculties in Moldova, Armenia and Belarus were invited to participate in the study. Data collection took place during the period May to September 2019. Association between different categorical variables was investigated using Chi-squared test. A knowledge score ranging from 0–14 was constructed from the obtained data. Differences in the knowledge score between different groups of students was investigated using either student`s t-test whenever comparing two groups, or One-way ANOVA with Bonferroni`s correction for three or more groups. The level of significance was set to 0.05 for all statistical tests. Results A total of 642 dental students participated in the study. The mean knowledge score was found to be 6.62 ± 2.61, with 45% of the students scoring below the mean. Students from Belarus had the highest score (7.3 ± 2.14) in comparison to Armenia (6.66 ± 2.64) and Moldova (5.66 ± 2.81), as revealed by ANOVA test. However, we observed a significant increase (p-value < 0.001, ANOVA) in the students` knowledge score as they proceed through study years from third (6.07 ± 2.61) to fifth year (7.49 ± 2.48). In addition, we found that Students with current or previous cigarette smoking habits had significantly (p-value < 0.001, student`s t-test) lower mean knowledge score (5.96 ± 2.82) when compared to students who have never been smokers (6.98 ± 2.42). Conclusions The present study reveals notable gaps in OC knowledge and concerning tobacco use behaviors among dental students in Moldova, Belarus, and Armenia. By providing comprehensive education on risk factors and addressing personal habits, dental schools can better prepare future professionals to play a critical role in OC prevention and management.
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spelling doaj-art-b9fd177a9626474abe7b7d0e498ab5db2025-01-19T12:41:04ZengBMCBMC Oral Health1472-68312025-01-0125111210.1186/s12903-025-05459-8Exploring dental students' knowledge on oral cancer prevention: a cross-sectional study in Moldova, Armenia, and BelarusOlga Golburean0Diana Uncuta1Gayane Manrikyan2Natalia Shakavets3Izabella Vardanyan4Marina Markaryan5Ferda Özkaya6Daniela-Elena Costea7Tarig Al-Hadi Osman8Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and TechnologyDepartment of Stomatological Propedeutics “Pavel Godoroja”, Faculty of Stomatology, State University of Medicine and Pharmacy “Nicolae Testemiţanu”Department of Therapeutic Stomatology, Faculty of Stomatology, Yerevan State Medical UniversityDepartment of Pediatric Dentistry, Faculty of Dentistry, Belarusian State Medical UniversityDepartment of Pediatric Dentistry and Orthodontics, Yerevan State Medical UniversityDepartment of Therapeutic Stomatology, Faculty of Stomatology, Yerevan State Medical UniversityFreelancerCenter of Cancer Biomarkers CCBIO, Department of Clinical Medicine, Faculty of Medicine, University of BergenDepartment of Clinical Medicine, University of BergenAbstract Background Survival rate of patients with oral cancer (OC) remains to be very low despite advancements in therapy and surgical techniques. This is attributed to the fact that most OC cases are discovered at a late stage. Dentists play a vital role in early detection of OC through oral mucosal examination, and in informing the patients about avoidable risk factors of the disease, such as tobacco and excessive alcohol use. This study aimed at evaluating knowledge about OC among dental students in Moldova, Armenia and Belarus; three former soviet countries with high rates of tobacco use. Methods This was a cross-sectional, multi-country study based on self-administered questionnaire. Dental students in their clinical years at three dental faculties in Moldova, Armenia and Belarus were invited to participate in the study. Data collection took place during the period May to September 2019. Association between different categorical variables was investigated using Chi-squared test. A knowledge score ranging from 0–14 was constructed from the obtained data. Differences in the knowledge score between different groups of students was investigated using either student`s t-test whenever comparing two groups, or One-way ANOVA with Bonferroni`s correction for three or more groups. The level of significance was set to 0.05 for all statistical tests. Results A total of 642 dental students participated in the study. The mean knowledge score was found to be 6.62 ± 2.61, with 45% of the students scoring below the mean. Students from Belarus had the highest score (7.3 ± 2.14) in comparison to Armenia (6.66 ± 2.64) and Moldova (5.66 ± 2.81), as revealed by ANOVA test. However, we observed a significant increase (p-value < 0.001, ANOVA) in the students` knowledge score as they proceed through study years from third (6.07 ± 2.61) to fifth year (7.49 ± 2.48). In addition, we found that Students with current or previous cigarette smoking habits had significantly (p-value < 0.001, student`s t-test) lower mean knowledge score (5.96 ± 2.82) when compared to students who have never been smokers (6.98 ± 2.42). Conclusions The present study reveals notable gaps in OC knowledge and concerning tobacco use behaviors among dental students in Moldova, Belarus, and Armenia. By providing comprehensive education on risk factors and addressing personal habits, dental schools can better prepare future professionals to play a critical role in OC prevention and management.https://doi.org/10.1186/s12903-025-05459-8Oral cancerDental studentsPreventionTobacco
spellingShingle Olga Golburean
Diana Uncuta
Gayane Manrikyan
Natalia Shakavets
Izabella Vardanyan
Marina Markaryan
Ferda Özkaya
Daniela-Elena Costea
Tarig Al-Hadi Osman
Exploring dental students' knowledge on oral cancer prevention: a cross-sectional study in Moldova, Armenia, and Belarus
BMC Oral Health
Oral cancer
Dental students
Prevention
Tobacco
title Exploring dental students' knowledge on oral cancer prevention: a cross-sectional study in Moldova, Armenia, and Belarus
title_full Exploring dental students' knowledge on oral cancer prevention: a cross-sectional study in Moldova, Armenia, and Belarus
title_fullStr Exploring dental students' knowledge on oral cancer prevention: a cross-sectional study in Moldova, Armenia, and Belarus
title_full_unstemmed Exploring dental students' knowledge on oral cancer prevention: a cross-sectional study in Moldova, Armenia, and Belarus
title_short Exploring dental students' knowledge on oral cancer prevention: a cross-sectional study in Moldova, Armenia, and Belarus
title_sort exploring dental students knowledge on oral cancer prevention a cross sectional study in moldova armenia and belarus
topic Oral cancer
Dental students
Prevention
Tobacco
url https://doi.org/10.1186/s12903-025-05459-8
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