Dental management of low socioeconomic level patients before radiotherapy of the head and neck with special emphasis on the prevention of osteoradionecrosis.
Identifieur interne : 002049 ( PubMed/Checkpoint ); précédent : 002048; suivant : 002050Dental management of low socioeconomic level patients before radiotherapy of the head and neck with special emphasis on the prevention of osteoradionecrosis.
Auteurs : Paulo Rogério Ferreti Bonan [Brésil] ; Márcio Ajudarte Lopes ; Fábio Ramoa Pires ; Oslei Paes De AlmeidaSource :
- Brazilian dental journal [ 0103-6440 ] ; 2006.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bouche (effets des radiations), Carcinome épidermoïde (radiothérapie), Caries dentaires (étiologie), Dosimétrie en radiothérapie, Extraction dentaire, Femelle, Humains, Hygiène buccodentaire, Lésions radio-induites (étiologie), Maladies de la mâchoire (), Maladies mandibulaires (étiologie), Mâchoire partiellement édentée (anatomopathologie), Mâchoire édentée (anatomopathologie), Mâle, Ostéoradionécrose (), Ostéoradionécrose (étiologie), Pauvreté, Santé buccodentaire, Soins dentaires, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de la tête et du cou (radiothérapie), Études de suivi.
- MESH :
- anatomopathologie : Mâchoire partiellement édentée, Mâchoire édentée.
- effets des radiations : Bouche.
- radiothérapie : Carcinome épidermoïde, Tumeurs de la tête et du cou.
- étiologie : Caries dentaires, Lésions radio-induites, Maladies mandibulaires, Ostéoradionécrose.
- Adulte, Adulte d'âge moyen, Dosimétrie en radiothérapie, Extraction dentaire, Femelle, Humains, Hygiène buccodentaire, Maladies de la mâchoire, Mâle, Ostéoradionécrose, Pauvreté, Santé buccodentaire, Soins dentaires, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Carcinoma, Squamous Cell (radiotherapy), Dental Care, Dental Caries (etiology), Female, Follow-Up Studies, Head and Neck Neoplasms (radiotherapy), Humans, Jaw Diseases (prevention & control), Jaw, Edentulous (pathology), Jaw, Edentulous, Partially (pathology), Male, Mandibular Diseases (etiology), Middle Aged, Mouth (radiation effects), Oral Health, Oral Hygiene, Osteoradionecrosis (etiology), Osteoradionecrosis (prevention & control), Poverty, Radiation Injuries (etiology), Radiotherapy Dosage, Tooth Extraction.
- MESH :
- etiology : Dental Caries, Mandibular Diseases, Osteoradionecrosis, Radiation Injuries.
- pathology : Jaw, Edentulous, Jaw, Edentulous, Partially.
- prevention & control : Jaw Diseases, Osteoradionecrosis.
- radiation effects : Mouth.
- radiotherapy : Carcinoma, Squamous Cell, Head and Neck Neoplasms.
- Adult, Aged, Aged, 80 and over, Dental Care, Female, Follow-Up Studies, Humans, Male, Middle Aged, Oral Health, Oral Hygiene, Poverty, Radiotherapy Dosage, Tooth Extraction.
Abstract
Head and neck cancer patients need to receive dental care previously to radiotherapy. Even patients who regularly visit dental offices need special attention including prophylactic and curative treatments. The purposes of this study were to evaluate the dental status of Brazilian head and neck squamous cell carcinoma patients with low socioeconomic level as well as to discuss the dental treatment performed and the oral side effects of radiotherapy. Forty patients with head and neck squamous cell carcinoma received dental care and dental extractions prior to radiotherapy and were were followed up for a mean period of 28.7 months after the cancer treatment. Before radiotherapy, 28 patients were dentulous and 12 edentulous, and all of them had poor oral health and hygiene. The most common treatment performed were dental extraction and 23 patients had 8.6 teeth extracted on average. One out of 9 (11.1%) patients developed radiation caries and 5 out of 23 cases (21.3% - Group I) developed osteoradionecrosis, being only 1 case associated with previous dental extraction. Brazilian low-socioeconomic level patients with head and neck cancer were submitted to multiple dental extractions due to poor dental conditions and inadequate oral care. The dental treatment did not prevent osteoradionecrosis, which presumably presented a multifactorial etiology in most cases.
PubMed: 17262149
Affiliations:
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pubmed:17262149Le document en format XML
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<term>Osteoradionecrosis (prevention & control)</term>
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<term>Radiotherapy Dosage</term>
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<term>Caries dentaires (étiologie)</term>
<term>Dosimétrie en radiothérapie</term>
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<term>Radiation Injuries</term>
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<term>Head and Neck Neoplasms</term>
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<term>Tumeurs de la tête et du cou</term>
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<front><div type="abstract" xml:lang="en">Head and neck cancer patients need to receive dental care previously to radiotherapy. Even patients who regularly visit dental offices need special attention including prophylactic and curative treatments. The purposes of this study were to evaluate the dental status of Brazilian head and neck squamous cell carcinoma patients with low socioeconomic level as well as to discuss the dental treatment performed and the oral side effects of radiotherapy. Forty patients with head and neck squamous cell carcinoma received dental care and dental extractions prior to radiotherapy and were were followed up for a mean period of 28.7 months after the cancer treatment. Before radiotherapy, 28 patients were dentulous and 12 edentulous, and all of them had poor oral health and hygiene. The most common treatment performed were dental extraction and 23 patients had 8.6 teeth extracted on average. One out of 9 (11.1%) patients developed radiation caries and 5 out of 23 cases (21.3% - Group I) developed osteoradionecrosis, being only 1 case associated with previous dental extraction. Brazilian low-socioeconomic level patients with head and neck cancer were submitted to multiple dental extractions due to poor dental conditions and inadequate oral care. The dental treatment did not prevent osteoradionecrosis, which presumably presented a multifactorial etiology in most cases.</div>
</front>
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<Abstract><AbstractText>Head and neck cancer patients need to receive dental care previously to radiotherapy. Even patients who regularly visit dental offices need special attention including prophylactic and curative treatments. The purposes of this study were to evaluate the dental status of Brazilian head and neck squamous cell carcinoma patients with low socioeconomic level as well as to discuss the dental treatment performed and the oral side effects of radiotherapy. Forty patients with head and neck squamous cell carcinoma received dental care and dental extractions prior to radiotherapy and were were followed up for a mean period of 28.7 months after the cancer treatment. Before radiotherapy, 28 patients were dentulous and 12 edentulous, and all of them had poor oral health and hygiene. The most common treatment performed were dental extraction and 23 patients had 8.6 teeth extracted on average. One out of 9 (11.1%) patients developed radiation caries and 5 out of 23 cases (21.3% - Group I) developed osteoradionecrosis, being only 1 case associated with previous dental extraction. Brazilian low-socioeconomic level patients with head and neck cancer were submitted to multiple dental extractions due to poor dental conditions and inadequate oral care. The dental treatment did not prevent osteoradionecrosis, which presumably presented a multifactorial etiology in most cases.</AbstractText>
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<MeshHeading><DescriptorName UI="D010025" MajorTopicYN="N">Osteoradionecrosis</DescriptorName>
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