Oral findings in irradiated edentulous patients.
Identifieur interne : 007E24 ( Ncbi/Checkpoint ); précédent : 007E23; suivant : 007E25Oral findings in irradiated edentulous patients.
Auteurs : C H Bernhoft ; N. SkaugSource :
- International journal of oral surgery [ 0300-9785 ] ; 1985.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Carcinome épidermoïde (radiothérapie), Femelle, Humains, Hygiène buccodentaire, Lésions radio-induites (anatomopathologie), Mâchoire édentée (anatomopathologie), Mâchoire édentée (microbiologie), Mâle, Salive (effets des radiations), Salive (microbiologie), Salive (sécrétion), Salive artificielle (usage thérapeutique), Sujet âgé, Tumeurs de la bouche (radiothérapie), Tumeurs de la tête et du cou (radiothérapie), Xérostomie (anatomopathologie), Xérostomie (étiologie), Études longitudinales.
- MESH :
- anatomopathologie : Lésions radio-induites, Mâchoire édentée, Xérostomie.
- effets des radiations : Salive.
- microbiologie : Mâchoire édentée, Salive.
- radiothérapie : Carcinome épidermoïde, Tumeurs de la bouche, Tumeurs de la tête et du cou.
- sécrétion : Salive.
- usage thérapeutique : Salive artificielle.
- étiologie : Xérostomie.
- Adulte d'âge moyen, Femelle, Humains, Hygiène buccodentaire, Mâle, Sujet âgé, Études longitudinales.
English descriptors
- KwdEn :
- Aged, Carcinoma, Squamous Cell (radiotherapy), Female, Head and Neck Neoplasms (radiotherapy), Humans, Jaw, Edentulous (microbiology), Jaw, Edentulous (pathology), Longitudinal Studies, Male, Middle Aged, Mouth Neoplasms (radiotherapy), Oral Hygiene, Radiation Injuries (pathology), Saliva (microbiology), Saliva (radiation effects), Saliva (secretion), Saliva, Artificial (therapeutic use), Xerostomia (etiology), Xerostomia (pathology).
- MESH :
- chemical , therapeutic use : Saliva, Artificial.
- etiology : Xerostomia.
- microbiology : Jaw, Edentulous, Saliva.
- pathology : Jaw, Edentulous, Radiation Injuries, Xerostomia.
- radiation effects : Saliva.
- radiotherapy : Carcinoma, Squamous Cell, Head and Neck Neoplasms, Mouth Neoplasms.
- secretion : Saliva.
- Aged, Female, Humans, Longitudinal Studies, Male, Middle Aged, Oral Hygiene.
Abstract
11 edentulous patients (mean age 71.2 years) with oral or oropharyngeal malignancies were examined clinical and microbiologically before, during, and after receiving tumoricidal radiation doses (26.4-74 Gy) towards the head and neck regions. The effect of a supervised oral hygiene program and a saliva substitute (Va-OraLube) was studied. The 9 patients who survived the observation period, showed increased xerostomia and mucositis related to increased radiation. Radionecrosis or oral infections were not observed. The patients wore their dentures throughout the observation period and preferred to use the saliva substitute. The initial number of acidophilic bacteria was high, Candida albicans were present in low numbers and enteric bacteria occurred more frequently than normally. There was a reduction of micro-organisms after introduction of the hygiene program. It is concluded that careful planning of the radiotherapy, pre-radiation oral examination, denture control and instruction and an effective oral hygiene program are essential for the reduction of oral complications in edentulous patients receiving tumoricidal radiotherapy to the head and neck regions.
PubMed: 3932235
Affiliations:
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pubmed:3932235Le document en format XML
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<term>Carcinoma, Squamous Cell (radiotherapy)</term>
<term>Female</term>
<term>Head and Neck Neoplasms (radiotherapy)</term>
<term>Humans</term>
<term>Jaw, Edentulous (microbiology)</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Radiation Injuries (pathology)</term>
<term>Saliva (microbiology)</term>
<term>Saliva (radiation effects)</term>
<term>Saliva (secretion)</term>
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<term>Xerostomia (etiology)</term>
<term>Xerostomia (pathology)</term>
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<term>Carcinome épidermoïde (radiothérapie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Lésions radio-induites (anatomopathologie)</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâchoire édentée (microbiologie)</term>
<term>Mâle</term>
<term>Salive (effets des radiations)</term>
<term>Salive (microbiologie)</term>
<term>Salive (sécrétion)</term>
<term>Salive artificielle (usage thérapeutique)</term>
<term>Sujet âgé</term>
<term>Tumeurs de la bouche (radiothérapie)</term>
<term>Tumeurs de la tête et du cou (radiothérapie)</term>
<term>Xérostomie (anatomopathologie)</term>
<term>Xérostomie (étiologie)</term>
<term>Études longitudinales</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Saliva, Artificial</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lésions radio-induites</term>
<term>Mâchoire édentée</term>
<term>Xérostomie</term>
</keywords>
<keywords scheme="MESH" qualifier="effets des radiations" xml:lang="fr"><term>Salive</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Xerostomia</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Mâchoire édentée</term>
<term>Salive</term>
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<keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Saliva</term>
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<term>Radiation Injuries</term>
<term>Xerostomia</term>
</keywords>
<keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Saliva</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Carcinoma, Squamous Cell</term>
<term>Head and Neck Neoplasms</term>
<term>Mouth Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Carcinome épidermoïde</term>
<term>Tumeurs de la bouche</term>
<term>Tumeurs de la tête et du cou</term>
</keywords>
<keywords scheme="MESH" qualifier="secretion" xml:lang="en"><term>Saliva</term>
</keywords>
<keywords scheme="MESH" qualifier="sécrétion" xml:lang="fr"><term>Salive</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Salive artificielle</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Xérostomie</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Oral Hygiene</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Études longitudinales</term>
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<front><div type="abstract" xml:lang="en">11 edentulous patients (mean age 71.2 years) with oral or oropharyngeal malignancies were examined clinical and microbiologically before, during, and after receiving tumoricidal radiation doses (26.4-74 Gy) towards the head and neck regions. The effect of a supervised oral hygiene program and a saliva substitute (Va-OraLube) was studied. The 9 patients who survived the observation period, showed increased xerostomia and mucositis related to increased radiation. Radionecrosis or oral infections were not observed. The patients wore their dentures throughout the observation period and preferred to use the saliva substitute. The initial number of acidophilic bacteria was high, Candida albicans were present in low numbers and enteric bacteria occurred more frequently than normally. There was a reduction of micro-organisms after introduction of the hygiene program. It is concluded that careful planning of the radiotherapy, pre-radiation oral examination, denture control and instruction and an effective oral hygiene program are essential for the reduction of oral complications in edentulous patients receiving tumoricidal radiotherapy to the head and neck regions.</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Bernhoft, C H" sort="Bernhoft, C H" uniqKey="Bernhoft C" first="C H" last="Bernhoft">C H Bernhoft</name>
<name sortKey="Skaug, N" sort="Skaug, N" uniqKey="Skaug N" first="N" last="Skaug">N. Skaug</name>
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