Oral hygiene protocol for maxillofacial cancer patients treated with or without adjuvant radiotherapy

详细信息    查看全文

• 作者：Giorgio Pompa DDS ; MD ; Piero Papi DDS…
• 关键词：Oral cancer ; Oral hygiene ; Radiotherapy ; Maxillofacial cancer patients ; Prosthetic rehabilitation
• 刊名：international journal of stomatology & occlusion medicine
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：8
• 期：1
• 页码：8-11
• 全文大小：404 KB
• 参考文献：1.World Health Organization. Global Data on Incidence of Oral Cancer. 2005. http://?www.?who.?int/?oral_?health/?publications/?oral_?cancer_?brochure.?pdf . Accessed 29 May 2014.
  2.Chan MF, Hayter JP, Cawood JI, Howell RA. Oral rehabilitation with implant-retained prestheses following ablative surgery and reconstruction with free flaps. Int J Oral Maxillofac Implants. 1997;12:820-.PubMed
  3.Chang YM, Santamaria E, Wei FC, et al. Primary insertion of osseointegrated dental implants into fibula osteoseptocutaneous free flap for mandible reconstruction. Plast Reconstr Surg. 1998;102:680-.View Article PubMed
  4.Chiapasco M, Lang NL, Karring T, Lindhe J. Implants for patients with maxillofacial defect and following irradiation: proceedings III European Workshop on Periodontology. Berlin: Quintessence Books; 1999. pp.?557-07.
  5.Esposito M, Grusovin MG, Patel S, Worthington HV, Coulthard P. Interventions for replacing missing teeth: hyperbaric oxygen therapy for irradiated patients who require dental implants. Cochrane Database Syst Rev. 2013;30:CD003603.
  6.Mizbah K, Dings JP, Kaanders JHAM, et al. Interforaminal implant placement in oral cancer patients: during ablative surgery or delayed? In J Oral Maxillofac Surg. 2012;42:651-.View Article
  7.[No authors listed]. Periodontal considerations in the management of the cancer patients. Committee on research, science and therapy of the American Academy of Periodontology. J Periodontol. 1997;68:791-01.
  8.Chaveli López B, Gavaldá Esteve C, Sarrión Pérez MG. Dental treatment considerations in the chemotherapy patient. J Clin Exp Dent. 2011;3:e31-2.View Article
  9.Verdonck HWD, Meijer GJ, Laurin T, et al. Assessment of vascularity in irradiated and nonirradiated maxillary and mandibular minipigs alveolar bone using laser Doppler flometry. Int J Oral Maxillofac Imlants. 2007;22:774-.
  10.Papi P, Jamshir S, Brauner E, Valentini V, Di Carlo S, Pompa G. Clinical evaluation with 18 months follow-up of new PTTM enhanced dental implants in maxillo-facial post-oncological patients. Ann Stomatol. 2014;5(4):136-41.
  11.Brauner E, Valentini V, Jamshir S, et al. Two clinical cases of prosthetical rehabilitation after a tumor of the upper maxilla. Eur Rev Med Pharmacol Sci. 2012;16:1882-0.PubMed
  12.Brauner E, Valentini V, Guarino G, et al. Osteoradionecrosis of a mandible: a case report of implant-supported rehabilitation. Eur J Inflamm. 2013;11:565-1.
  13.Pompa G, Bignozzi I, Cristalli MP, Quaranta A, Di Carlo S. Bisphosphonates and Osteonecrosis of the jaw: the oral surgeon’s perspective. Eur J Inflamm. 2012;10:11-3.
  14.Pompa V, Brauner E, Bresadola L, Di Carlo S, Valentini V, Pompa G. Treatment of facial vascular malformations with embolisation and surgical resection. Eur Rev Med Pharmacol Sci. 2012;16:407-3.PubMed
  15.Chung EM, Sung EC. Dental management of chemoradiation patients. J Calif Dent Assoc. 2006;34(9):735-2. (Review).PubMed
  16.Giuliana G, Messina P. Complications and prevention in radiotherapy and chemotherapy of malignant tumors of the cervical-facial region. II. Stomatol Mediterr. 1986;6(4):529-0.PubMed
  17.Schi?dt M, Hermund NU. Management of oral disease prior to radiation therapy. Support Care Cancer. 2002;10(1):40-. (Review).View Article PubMed
  18.Weischer T, Mohr C. Ten-year experience in oral implant rehabilitation of cancer patients: treatment concept and proposed criteria for success. Int J Oral Maxillofac Implants. 1999;14(4):521-.PubMed
  19.Brauner E, Mauro V, Di Carlo S, Valentini V, Iannetti G. Oral rehabilitation of head and neck cancer patients: a systematic review and meta-analysis. It J Maxillofac Surg. 2011;22:35-6.
  20.Marx RE, Morales MJ. The use of implants in the reconstruction of oral cancer patients. Source university of Miami school of medicine, department of surgery, Florida, USA. Dent Clin North Am. 1998;42(1):177-02.PubMed
  21.Cassoni A, Valentini V, Brauner E, Battisti A, Fadda MT. Upper and lower jaw reconstruction in post-oncologic patients for an implant supported prosthesis rehabilitation: our experience. Annali di Stomatologia. 2007;LVI(1-):4-0.
  22.Little JW, et al. Dental management of the medically compromised patient. 6th ed. St. Louis: Mosby; 2002. pp.?387-12.
  23.Pavlatos J, Gilliam KK. Oral care protocols for patients undergoing cancer therapy. Gen Dent. 2008;56:464-8.PubMed
  24.Rankin KV, Jones DL, Redding SW. Oral health in cancer therapy. 3rd ed. Dallas: Texas Cancer Council; 2009.
  25.Wright WE, Haller JM, Harlow SA, et al. An oral disease prevention program for patients receiving radiation and chemotherapy. J Am Dent Assoc. 1985;110:43-.View Article PubMed
  26.Epstein JB, Schubert MM. Oropharyngeal mucositis in cancer therapy. Review of pathogenesis, diagnosis, and management. Oncology. 2003;17:1767.PubMed
  27.Peterson DE, Schubert MM. Oral toxicity. In: Perry MC, Editor. The chemotherapy source book. 3rd edition. Baltimore: W
• 作者单位：Giorgio Pompa DDS, MD (1)
  Piero Papi DDS (1)
  Sara Jamshir DDS, PhD (1)
  Giorgio Guarino DDS, PhD (1)
  Edoardo Brauner DDS, PhD (1)
  
  1. Department of Oral and Maxillofacial Sciences, “Sapienza-University of Rome, Rome, Italy
  
• 刊物主题：Medicine/Public Health, general; Dentistry;
• 出版者：Springer Vienna
• ISSN：1867-223X

文摘

Background The aim of this study was to assess the efficacy of an oral hygiene protocol for the improvement of oral health and periodontal conditions in maxillofacial cancer patients. Patients and methods The study comprised 30?patients, 12 men (40?%) and 18 women (60?%), with a mean age of 54?±?15?years (range, 39-9?years). They were all oral cancer patients, not completely edentulous, treated either with or without adjuvant radiotherapy. They were scheduled for a standardized protocol of five medical examinations every 20?days. The plaque index (PI) and the community periodontal index of treatment needs (CPITN) were used to asses oral hygiene and periodontal conditions, recorded on a 3-point scale (poor/good/optimum). Results Poor oral hygiene conditions were reported in 26 patients (86.66?%, group?1) on the first medical examination (T0), while four patients (13.34?%, group?2) had good oral hygiene. Group 1 continued with the scheduled check-ups every 20?days (T1, T2, T3, and T4), while group?2 needed only a second medical examination (T1) to achieve an optimum state of oral health. At the end of the treatment, 24 patients (80?%) reached good/optimum (n?=?16 and n?=?8, respectively) oral hygiene and were therefore included in the maintenance program (1/90?days). The remaining part of the sample (n?=?6, 20?%) showed poor oral hygiene after five medical examinations and is currently in treatment to improve periodontal conditions and oral hygiene. Conclusions The development of a protocol for oral hygiene in maxillofacial cancer patients increases the success of prosthetic rehabilitation and improves their quality of life.