Biopsy and diagnostic histopathology in dental practice in Brisbane: usage patterns and perceptions of usefulness
Article first published online: 21 MAY 2010
© 2010 Australian Dental Association
Australian Dental Journal
Volume 55, Issue 2, pages 162–169, June 2010
How to Cite
Wan, A. and Savage, N. (2010), Biopsy and diagnostic histopathology in dental practice in Brisbane: usage patterns and perceptions of usefulness. Australian Dental Journal, 55: 162–169. doi: 10.1111/j.1834-7819.2010.01210.x
- Issue published online: 21 MAY 2010
- Article first published online: 21 MAY 2010
- (Accepted for publication 21 June 2009.)
- Biopsy procedures;
- diagnostic histopathology
Background: Biopsy procedures and diagnostic histopathology are rarely used by general dental practitioners (GDPs) compared with dental specialists. The aim of this study was to investigate the usage patterns and views of GDPs and specialists in Brisbane on these procedures.
Methods: An analysis was carried out on 1027 oral biopsy accessions at a private pathology laboratory. A survey was distributed to 200 GDPs and dental specialists inquiring about their use of and views on biopsy and diagnostic histopathology. An analysis was carried out on 327 and 95 biopsies performed at a private oral medicine practice and at the University of Queensland School of Dentistry, respectively.
Results: The majority (76.2%) of GDPs surveyed referred all oral lesions requiring biopsy to a specialist, rather than undertaking biopsy themselves. Although most GDPs recognized the importance of biopsy, a large proportion (58.1%) did not feel competent in undertaking the procedure due to concerns of inadequate experience and practical skills.
Conclusions: Many dental practitioners believe that GDPs should be able to undertake simple biopsies of benign lesions, however more undergraduate and postgraduate training in biopsy and diagnostic histopathology is necessary to promote a greater use of these procedures.