Journal of Oral Health Sciences and Dentistry
Open Access | DOI: 10.64978/JOHSD
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Journal of Oral Health Sciences and Dentistry

Research Article Volume: 1 & Issue: 2

Online Learning and Evidence-Based Clinical Decision-Making in Oral Pathology Among Practicing Dentists: A Cross-Sectional Study

Karima Alfitory Ahmed, Amal Mansor Losta*, Basma Ali Milad, Amina Mansor Losta, Omalkhair Hasan Abd Elaziz

Received : October 15, 2026 | Published : November 10, 2026

Citation: Ahmed KA, Losta AM, Milad BA, Losta AM, Abd Elaziz OH. Online Learning and Evidence-Based Clinical Decision-Making in Oral Pathology Among Practicing Dentists: A Cross-Sectional Study. J Oral Health Sci Dent. 2026;1(2):1-7.

Copyright: © 2026 The Author(s). Published by SCIVOLVE.

License: This article is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0) , which permits use, sharing, adaptation, distribution, and reproduction in any medium or format, provided appropriate credit is given to the original author(s) and the source, a link to the Creative Commons licence is provided, and any changes made are indicated.

Abstract

Background: Oral mucosal lesions may present diagnostic challenges to practicing dentists, particularly when clinical findings are unfamiliar or potentially suspicious. Online learning and evidence-based information seeking may support continuing professional development and clinical decision-making.

Objective: To assess online learning behavior, evidence-seeking practices, confidence in oral pathology-related decisions, and responses to clinically relevant oral lesion scenarios among practicing dentists.

Methods: A cross-sectional questionnaire comprising 22 items was organized into six domains: demographic characteristics, oral pathology experience, online learning, evidence-based practice, clinical decision-making, and two clinical scenarios. Data were collected electronically using Google Forms from the end of December 2025 through mid-June 2026, and 460 respondents were included. Data were summarized using frequencies and percentages. Associations between categorical variables were examined using Pearson’s chisquare test, with p<0.05 considered statistically significant.

Results: Of 460 respondents, 254 (55.2%) were female and 149 (32.4%) were aged 25–34 years. BDS/DDS was the most common qualification (208, 45.2%). PubMed/Google Scholar was the leading online resource (158, 34.3%), and lack of time was the most frequently reported barrier (169, 36.7%). Most respondents reported using online learning at least weekly (287, 62.4%) and searching the scientific literature often or very often (288, 62.6%). For a persistent non-healing tongue ulcer, 322 (70.0%) selected urgent biopsy/referral. For an unfamiliar oral lesion, 326 (70.9%) selected searching reliable scientific literature/guidelines. Highest qualification was significantly associated with primary evidence source (χ²=30.75, df=12, p=0.002), and online learning frequency was significantly associated with scientific literature-searching frequency (χ²=21.73, df=12, p=0.041).

Conclusion: The findings indicate substantial use of digital and scientific information resources among practicing dentists, but time constraints and difficulties judging information quality remain important barriers. Continuing education should emphasize efficient evidence retrieval, critical appraisal, recognition of red-flag oral lesions, and appropriate biopsy/referral pathways.

Keywords: oral pathology; oral lesions; evidence-based dentistry; online learning; continuing dental education; clinical decision-making; dentists.

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