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Cambra system in patients awaiting hematopoietic progenitor cell transplant and high caries risk

Identifieur interne : 006F91 ( Ncbi/Curation ); précédent : 006F90; suivant : 006F92

Cambra system in patients awaiting hematopoietic progenitor cell transplant and high caries risk

Auteurs : Ana Hernández-Fernández ; Antonio-José Ortiz-Ruiz ; Felipe De Arriba-De La Fuente ; Vicente Vicente-García ; Pastora Iniesta-L Pez-Matencio ; Ricardo-Elias O Ate-Sánchez

Source :

RBID : PMC:5429477

Abstract

Background

Recent times have witnessed a significant increase in the number of patients affected by problems related to oncological treatment Aims of this study is to evaluate dental affectation among patients awaiting hematopoietic progenitor cell transplant (HPCT), and they showed high caries risk, so it should establish a protocol prior to transplantation.

Material and Methods

The study included 72 patients due for HPCT. Clinical and radiological explorations were performed and oral photos taken. The amount of caries, missing teeth and fillings were registered for each patient. CAO, DMFS and Restoration Indices were calculated.

Results

83% of patients presented caries. 48 patients (67%) had lost at least one tooth. Only 32 patients (44%) had received some sort of conservative treatment. The average CAO index value obtained was 10.37. The DMFS index showed an average of 27.06 affected surfaces. Of the 72 patients studied, 40 (56%) showed a restoration index value of zero.

Conclusions

These patients presented a high number of carious teeth and a low restoration index. The presence of so many possible septic foci in an individual, who will later become susceptible to infection, highlights the importance of preventative treatment and bucco-dental restoration within this patient population. These patients with a high caries risk can be treated with CAMBRA system.

Key words:Hematopoietic progenitor cell transplantation, high caries risk, state of oral health, haematological disease, CAMBRA system.


Url:
DOI: 10.4317/jced.53617
PubMed: 28512542
PubMed Central: 5429477

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Ana Hernández-Fernández
<affiliation>
<nlm:aff id="A1">DDS. Associate Lecturer. Faculty of Dentistry, University of Murcia</nlm:aff>
<wicri:noCountry code="subfield">University of Murcia</wicri:noCountry>
</affiliation>
Antonio-José Ortiz-Ruiz
<affiliation>
<nlm:aff id="A2">MD, PhD, DDS. Senior Lecturer. Faculty of Dentistry, University of Murcia</nlm:aff>
<wicri:noCountry code="subfield">University of Murcia</wicri:noCountry>
</affiliation>
Felipe De Arriba-De La Fuente
<affiliation>
<nlm:aff id="A3">MD, PhD. Hematology and Oncology Services, Morales Meseguer Hospital</nlm:aff>
<wicri:noCountry code="subfield">Morales Meseguer Hospital</wicri:noCountry>
</affiliation>
Vicente Vicente-García
<affiliation>
<nlm:aff id="A3">MD, PhD. Hematology and Oncology Services, Morales Meseguer Hospital</nlm:aff>
<wicri:noCountry code="subfield">Morales Meseguer Hospital</wicri:noCountry>
</affiliation>
Pastora Iniesta-L Pez-Matencio
<affiliation>
<nlm:aff id="A3">MD, PhD. Hematology and Oncology Services, Morales Meseguer Hospital</nlm:aff>
<wicri:noCountry code="subfield">Morales Meseguer Hospital</wicri:noCountry>
</affiliation>
Ricardo-Elias O Ate-Sánchez
<affiliation>
<nlm:aff id="A2">MD, PhD, DDS. Senior Lecturer. Faculty of Dentistry, University of Murcia</nlm:aff>
<wicri:noCountry code="subfield">University of Murcia</wicri:noCountry>
</affiliation>

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<p>The study included 72 patients due for HPCT. Clinical and radiological explorations were performed and oral photos taken. The amount of caries, missing teeth and fillings were registered for each patient. CAO, DMFS and Restoration Indices were calculated.</p>
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<title>Results</title>
<p>83% of patients presented caries. 48 patients (67%) had lost at least one tooth. Only 32 patients (44%) had received some sort of conservative treatment. The average CAO index value obtained was 10.37. The DMFS index showed an average of 27.06 affected surfaces. Of the 72 patients studied, 40 (56%) showed a restoration index value of zero.</p>
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<p>These patients presented a high number of carious teeth and a low restoration index. The presence of so many possible septic foci in an individual, who will later become susceptible to infection, highlights the importance of preventative treatment and bucco-dental restoration within this patient population. These patients with a high caries risk can be treated with CAMBRA system.</p>
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<bold> Key words:</bold>
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}}

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HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Curation/RBID.i   -Sk "pubmed:28512542" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Curation/biblio.hfd   \
       | NlmPubMed2Wicri -a EdenteV2 

Wicri

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