Cambra system in patients awaiting hematopoietic progenitor cell transplant and high caries risk
Identifieur interne : 006F91 ( Ncbi/Curation ); précédent : 006F90; suivant : 006F92Cambra 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-SánchezSource :
- Journal of Clinical and Experimental Dentistry [ 1989-5488 ] ; 2017.
Abstract
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.
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.
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.
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.
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>
<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>
<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>
<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>
<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>
<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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<author><name sortKey="Ortiz Ruiz, Antonio Jose" sort="Ortiz Ruiz, Antonio Jose" uniqKey="Ortiz Ruiz A" first="Antonio-José" last="Ortiz-Ruiz">Antonio-José Ortiz-Ruiz</name>
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<author><name sortKey="De Arriba De La Fuente, Felipe" sort="De Arriba De La Fuente, Felipe" uniqKey="De Arriba De La Fuente F" first="Felipe" last="De Arriba-De La Fuente">Felipe De Arriba-De La Fuente</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>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.</p>
</sec>
<sec><title>Material and Methods</title>
<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>
</sec>
<sec><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>
</sec>
<sec><title>Conclusions</title>
<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>
<p><bold> Key words:</bold>
Hematopoietic progenitor cell transplantation, high caries risk, state of oral health, haematological disease, CAMBRA system.</p>
</sec>
</div>
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