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The dental problems of patients with head and neck cancer treated with CHART

Identifieur interne : 000A16 ( PascalFrancis/Curation ); précédent : 000A15; suivant : 000A17

The dental problems of patients with head and neck cancer treated with CHART

Auteurs : D. E. Roos [Canada] ; S. Dische ; M. I. Saunders

Source :

RBID : Pascal:96-0289301

Descripteurs français

English descriptors

Abstract

Between 1985 and 1990, 99 head and neck cancer patients were treated at Mount Vernon Centre for Cancer Treatment in a CHART pilot study. The aims of this retrospective review were to obtain baseline data for this population on their pretreatment dental status and to determine the extent to which our conservative policy of teeth preservation is being realised. This is of particular interest because of the believed sparing of late normal tissue effects by CHART compared with conventional fractionation. Prior to treatment, 40% of patients were edentulous, and prophylactic dental clearance was avoided in 59% of the remaining (dentate) patients. Following radiotherapy, only 21% of dentate patients subsequently lost all their remaining teeth. The proportion of patients with full or partial upper dentures increased from 61% pretreatment to 76% post-treatment; the corresponding increase in lower dentures was 46% to 66%. However, actual usage of dentures decreased somewhat. There was only one documented case of (minor) osteo-radionecrosis of the mandible which resolved with conservative care. The greater use in our patients of prophylactic measures, in particular, chlorhexidine and fluoride mouthwashes seemed indicated.
pA  
A01 01  1    @0 0964-1955
A03   1    @0 Eur. j. cancer., Part B Oral oncol.
A05       @2 32
A06       @2 3
A08 01  1  ENG  @1 The dental problems of patients with head and neck cancer treated with CHART
A11 01  1    @1 ROOS (D. E.)
A11 02  1    @1 DISCHE (S.)
A11 03  1    @1 SAUNDERS (M. I.)
A14 01      @1 Department of Radiation Oncology, Royal Adelaide Hospital, North Terrace @2 Adelaide, South Australia 5000 @3 CAN @Z 1 aut.
A20       @1 176-181
A21       @1 1996
A23 01      @0 ENG
A43 01      @1 INIST @2 12648B @5 354000043717390070
A44       @0 0000 @1 © 1996 INIST-CNRS. All rights reserved.
A45       @0 20 ref.
A47 01  1    @0 96-0289301
A60       @1 P
A61       @0 A
A64 01  1    @0 European journal of cancer. Part B, Oral oncology
A66 01      @0 GBR
C01 01    ENG  @0 Between 1985 and 1990, 99 head and neck cancer patients were treated at Mount Vernon Centre for Cancer Treatment in a CHART pilot study. The aims of this retrospective review were to obtain baseline data for this population on their pretreatment dental status and to determine the extent to which our conservative policy of teeth preservation is being realised. This is of particular interest because of the believed sparing of late normal tissue effects by CHART compared with conventional fractionation. Prior to treatment, 40% of patients were edentulous, and prophylactic dental clearance was avoided in 59% of the remaining (dentate) patients. Following radiotherapy, only 21% of dentate patients subsequently lost all their remaining teeth. The proportion of patients with full or partial upper dentures increased from 61% pretreatment to 76% post-treatment; the corresponding increase in lower dentures was 46% to 66%. However, actual usage of dentures decreased somewhat. There was only one documented case of (minor) osteo-radionecrosis of the mandible which resolved with conservative care. The greater use in our patients of prophylactic measures, in particular, chlorhexidine and fluoride mouthwashes seemed indicated.
C02 01  X    @0 002B10A01
C03 01  X  FRE  @0 Tumeur maligne @5 01
C03 01  X  ENG  @0 Malignant tumor @5 01
C03 01  X  SPA  @0 Tumor maligno @5 01
C03 02  X  FRE  @0 Tête @5 02
C03 02  X  ENG  @0 Head @5 02
C03 02  X  SPA  @0 Cabeza @5 02
C03 03  X  FRE  @0 Cou @5 03
C03 03  X  ENG  @0 Neck @5 03
C03 03  X  SPA  @0 Cuello @5 03
C03 04  X  FRE  @0 Radiothérapie @5 04
C03 04  X  ENG  @0 Radiotherapy @5 04
C03 04  X  SPA  @0 Radioterapia @5 04
C03 05  X  FRE  @0 Dent pathologie @5 07
C03 05  X  ENG  @0 Dental disease @5 07
C03 05  X  SPA  @0 Diente patología @5 07
C03 06  X  FRE  @0 Traitement @5 17
C03 06  X  ENG  @0 Treatment @5 17
C03 06  X  GER  @0 Aufbereiten @5 17
C03 06  X  SPA  @0 Tratamiento @5 17
C03 07  X  FRE  @0 Complication @5 18
C03 07  X  ENG  @0 Complication @5 18
C03 07  X  SPA  @0 Complicación @5 18
C03 08  X  FRE  @0 Homme @5 20
C03 08  X  ENG  @0 Human @5 20
C03 08  X  SPA  @0 Hombre @5 20
C07 01  X  FRE  @0 ORL pathologie @5 37
C07 01  X  ENG  @0 ENT disease @5 37
C07 01  X  SPA  @0 ORL patología @5 37
N21       @1 198

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Pascal:96-0289301

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