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Indian J Cancer. 2018 Jul-Sep;55(3):251-256. doi: 10.4103/ijc.IJC_20_18.

Dental management prior to radiation therapy in patients with head and neck cancer.

Author information

1
Oral Medicine, Oral Surgery and Implantology Unit, Faculty of Medicine and Dentistry, Santiago de Compostela, Spain.
2
Oral Medicine, Oral Surgery and Implantology Unit, Faculty of Medicine and Dentistry, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain.
3
Faculdade de Odontologia de São José dos Campos, Universidade Estadual Paulista, "Júlio de Mesquita Filho", Brazil.
4
Human Anatomy and Embryology Area, Faculty of Physiotherapy, Department of Functional Biology and Health Sciences, Pontevedra, Spain.
5
Maxillofacial Surgery, Oral Medicine, Oral Surgery and Implantology Unit, Department of Maxillofacial Surgery, Complejo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain.

Abstract

INTRODUCTION:

Patients diagnosed with head and neck tumors, are treated by surgery, radiation therapy (RT), chemotherapy (CT) or a combination thereof. The goal is to describe the management protocol for patients subjected to radiation therapy (RT) and to study their long-term oral health status.

MATERIALS AND METHODS:

A retrospective study was performed in a sample of 50 patients. We analyzed the oral health status and all the variables included applying the adapted protocol of pre-RT.

RESULTS:

Prior to RT, 84% of patients required scaling and 32% conservative treatment. Around 74% of patients required at least one exodontia. The mean of exodontias for patients presenting Grade 3 of oral hygiene was 6.50 per person (p<0.0001). The pre-RT study of possible candida infection showed that 78% of patients were negative for this infection. The mean resting saliva production was 39.10 (SD: 23.30; range: 13-145), with a stimulated value of 64.78 (SD: 33.92; range: 16-200).

CONCLUSIONS:

All patients should be protocoled to ensure that they present optimal oral conditions prior to initiating RT treatment.

KEYWORDS:

Head and neck tumors; oral health status; oral hygiene; radiotherapy; saliva

PMID:
30693889
DOI:
10.4103/ijc.IJC_20_18
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