Situational analysis of osteoradionecrosis of the jaw management in older adults among dentists in community hospitals

Abstract Objective Older patients undergoing radiotherapy for head and neck cancers may develop osteoradionecrosis (ORN) of the jaw. Dentists in community hospitals serve as primary health‐care providers and play a vital role in early detection and initial management for ORN in older patients. This study aimed to investigate current situations, barriers, knowledge and attitudes relating to ORN management, and to identify factors associated with adequate knowledge and positive attitudes among dentists working at community hospitals in Thailand. Methods A cross‐sectional survey was conducted among community hospital dentists in Thailand, utilising a semi‐structured questionnaire addressing the current situation or barriers, knowledge and attitudes related to ORN management. Necessary support was also assessed. The Fisher’s exact test was performed to identify factors related to the development of adequate knowledge and positive attitudes towards ORN management. The level of significance was set at p  < .05. Results One hundred and seventy dentists responded to the questionnaire (21% response rate). Notably, a high immediate referral rate to specialists upon ORN diagnosis (86%) was found. The barriers reported were mostly ageing‐related. Most dentists demonstrated knowledge of ORN pathophysiology by Marx and recognised that ORN could be observed during dental procedures. Additional education about ORN showed a significant association with adequate knowledge and a positive attitude towards ORN management. Conclusions Osteoradionecrosis in older patients remains challenging to manage by dentists in community hospital settings. Strengthening management requires improved emerging knowledge and confidence through ongoing training, and a national policy framework is necessary to support timely referral and coordinated care.