nach oben

international journal of stomatology & occlusion medicine

Erschienen in:

01.03.2015 | original article

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

verfasst von: Giorgio Pompa, DDS, MD, Piero Papi, DDS, Sara Jamshir, DDS, PhD, Giorgio Guarino, DDS, PhD, Edoardo Brauner, DDS, PhD

Erschienen in: international journal of stomatology & occlusion medicine | Ausgabe 1/2015

Einloggen, um Zugang zu erhalten

Abstract

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, 39–69 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.

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.

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;12:820–7. PubMed

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;102:680–7. CrossRefPubMed

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. 557–607.

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.

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;42:651–5. CrossRef

[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;68:791–801.

Chaveli López B, Gavaldá Esteve C, Sarrión Pérez MG. Dental treatment considerations in the chemotherapy patient. J Clin Exp Dent. 2011;3:e31–42. CrossRef

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;22:774–8.

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):136–141.

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;16:1882–90. 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;11:565–71.

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;10:11–23.

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;16:407–13. PubMed

15.

Chung EM, Sung EC. Dental management of chemoradiation patients. J Calif Dent Assoc. 2006;34(9):735–42. (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):529–40. PubMed

17.

Schiødt M, Hermund NU. Management of oral disease prior to radiation therapy. Support Care Cancer. 2002;10(1):40–3. (Review). CrossRefPubMed

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):521–8. 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;22:35–46.

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):177–202. 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):4–10.

22.

Little JW, et al. Dental management of the medically compromised patient. 6th ed. St. Louis: Mosby; 2002. pp. 387–412.

23.

Pavlatos J, Gilliam KK. Oral care protocols for patients undergoing cancer therapy. Gen Dent. 2008;56:464–78. 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;110:43–7. CrossRefPubMed

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: Williams and Wilkins; 2001.

28.

Barasch A, Peterson DE. Risk factors for ulcerative oral mucositis in cancer patients; unanswered questions. Oral Oncol. 2003;39:91. CrossRefPubMed

29.

Dozono H, Nakamura K, Motoya T, Nakamura S, Shinmura R, Miwa K, et al. Prevention of stomatitis induced by anti-cancer drugs. Gan To Kagaku Ryoho. 1989;16:3449–51. PubMed

30.

Mosel DD, Bauer RL, Lynch DP, Hwang ST. Oral complications in the treatment of cancer patients. Oral Dis. 2011;17(6):550–9. CrossRefPubMed

31.

Hovan AJ, Williams PM, Stevenson-Moore P, et al. Dysgeusia section, oral care study group, Multinational Association of Supportive Care in Cancer (MASCC)/International Society of Oral Oncology (ISOO). A systematic review of dysgeusia induced by cancer therapies. Support Care Cancer. 2010;18(8):1081–7. CrossRefPubMed

32.

Larson PJ, Miaskowski C, MacPhail L, Dodd MJ, Greenspan D, Dibble SL, Paul SM, Ignoffo R. The PRO-SELF Mouth Aware program: an effective approach for reducing chemotherapy-induced mucositis. Cancer Nurs. 1998;21(4):263–8. CrossRefPubMed

33.

Hupp WS, Ciarrocca K, Derossi SS, Firriolo J. Oral Pretreatment of the Cancer Patient. Inside Dent Assist. 2012;8(12):30–35.

34.

Dodd MJ. The pathogenesis and characterization of oral mucositis associated with cancer therapy. Oncol Nurs Forum. 2004;31(4 Suppl):5–11. CrossRefPubMed

35.

Brauner E, Cassoni A, Battisti A, Bartoli D, Valentini V. Prosthetic rehabilitation in post-oncological patients: report of two cases. Ann Stomatol (Roma). 2010;1(1):19–25. Epub 2010 Jun 29.

36.

Taylor TD. Clinical maxillofacial prosthetics. Hanover Park: Quintessence Publishing Co, Inc; 2000; pp. 37–38.

37.

Tang JA, Rieger JM, Wolfaardt JF. A review of functional outcomes related to prosthetic treatment after maxillary and mandibular reconstruction in patients with head and neck cancer. Int J Prosthodont. 2008;21:337–54. PubMed

38.

Schoen PJ, Reintsema H, Bouma J, Roodenburg J L, Vissink A, Raghoebar GM. Quality of life related to oral function in edentulous head and neck cancer patients post treatment. Int J Prosthodont. 2007;20:469–77. PubMed

Titel: Oral hygiene protocol for maxillofacial cancer patients treated with or without adjuvant radiotherapy
verfasst von: Giorgio Pompa, DDS, MD
Piero Papi, DDS
Sara Jamshir, DDS, PhD
Giorgio Guarino, DDS, PhD
Edoardo Brauner, DDS, PhD
Publikationsdatum: 01.03.2015
Verlag: Springer Vienna
Erschienen in: international journal of stomatology & occlusion medicine / Ausgabe 1/2015
Print ISSN: 1867-2221
Elektronische ISSN: 1867-223X
DOI: https://doi.org/10.1007/s12548-014-0117-z

Alles - Aber für die Hälfte

e.Dent jetzt zum halben Preis

Ihr Online-Abo der Zahmedizin: Effizient fortbilden, gezielt recherchieren, schnell und aktuell informieren

Jetzt bestellen und sparen

Neu im Fachgebiet Zahnmedizin

29.03.2023 | EBM | Nachrichten | Online-Artikel

Newsletter bestellen

Hauptrubriken

Service

Fachgebiete

Themen

Sammlungen

Springer Medizin

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