A systematic review of dental disease management in cancer patients
- 22.07.2017
- Original Article
Erschienen in:
- Verfasst von
- Catherine H. L. Hong
- Shijia Hu
- Thijs Haverman
- Monique Stokman
- Joel J. Napeñas
- Jacolien Bos-den Braber
- Erich Gerber
- Margot Geuke
- Emmanouil Vardas
- Tuomas Waltimo
- Siri Beier Jensen
- Deborah P. Saunders
- Erschienen in
- Supportive Care in Cancer | Ausgabe 1/2018
Abstract
Introduction
This systematic review aims to update on the prevalence of odontogenic-related infections and the efficacy of dental strategies in preventing dental-related complications in cancer patients since the 2010 systematic review.
Review method
A literature search was conducted in the databases MEDLINE/PubMed and EMBASE for articles published between 1 January 2009 and 30 June 2016. Each study was assessed by 2 reviewers and the body of evidence for each intervention was assigned an evidence level.
Results
After examination of the abstracts and full-text articles, 59 articles satisfied the inclusion criteria. The weighted prevalence of dental infections and pericoronitis during cancer therapy was 5.4 and 5.3%, respectively. The frequency of dental-related infections during intensive chemotherapy after complete, partial, and minimal pre-cancer dental evaluation/treatment protocols ranged from 0 to 4%. Protocols involving third molars extractions had the highest complications (40%).
Conclusions
In view of the low prevalence of infections and the potential for complications after third molar extractions, it is suggested that partial dental evaluation/treatment protocols prior to intensive chemotherapy; whereby minor caries (within dentin), asymptomatic third molars or asymptomatic teeth without excessive probing depth (<8 mm), mobility (mobility I or II) or with periapical lesions of <5 mm were observed; is a viable option when there is insufficient time for complete dental evaluation/treatment protocols. The use of chlorhexidine, fluoride mouth rinses as well as composite resin, resin-modified glass ionomer cement (GIC), and amalgam restorations over conventional GIC in post head and neck radiation patients who are compliant fluoride users is recommended.
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- Titel
- A systematic review of dental disease management in cancer patients
- Verfasst von
-
Catherine H. L. Hong
Shijia Hu
Thijs Haverman
Monique Stokman
Joel J. Napeñas
Jacolien Bos-den Braber
Erich Gerber
Margot Geuke
Emmanouil Vardas
Tuomas Waltimo
Siri Beier Jensen
Deborah P. Saunders
- Publikationsdatum
- 22.07.2017
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
Supportive Care in Cancer / Ausgabe 1/2018
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339 - DOI
- https://doi.org/10.1007/s00520-017-3829-y
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