A randomized clinical trial to evaluate the impact of a dental care program in the quality of life of head and neck cancer patients

Funk, Camila Samara; Warmling, Cristine Maria; Baldisserotto, Júlio

doi:10.1007/s00784-013-1068-2

Cited by 9 publications

(5 citation statements)

References 41 publications

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“…According to the literature, xerostomia is prevalent condition in patients with cancer, related to both the disease and the oncologic treatment, not presenting any significant impact by the dental care provided. [ 33 ]…”

Section: Discussionmentioning

confidence: 99%

The effect of comprehensive oral care program on oral health and quality of life in patients undergoing radiotherapy for head and neck cancer

et al. 2021

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Objectives: The purpose of this study is to investigate the effect of the comprehensive oral care program on oral health status and symptoms in head and neck cancer (HNC) patients undergoing radiotherapy. Methods: This was a quasi-experimental study using a non-equivalent control group in non-synchronized design. All participants including control and experimental group were asked for the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire H&N35 (EORTC QLQ-H&N35) and given an oral health education 4 times at baseline, immediate postradiotherapy, 3 months after radiotherapy, and 6 months after radiotherapy. In each visit except for final, the experimental group was given fluoride varnish application and fluoride mouth rinsing solution for daily use. Oral health examination for dental caries, plaque score (PS), bleeding on probing (BOP), and salivary flow rate was performed in baseline and 6 months after radiotherapy. Statistical analyses were done by paired t -tests and mixed ANCOVA repeated-measures analysis. Results: From November 1, 2013 to October 31, 2015, a total 61 patients undergoing radiotherapy for HNC cancer were enrolled (30 in control and 31 in experimental groups). Decrease in salivary flow rate was comparable between 2 groups. Dental caries increased in control group ( P = .006); PS and BOP were decreased in experimental group ( P < .001 and .004, respectively). Experimental group showed lower swallowing, speech problems, and less sexuality scores in EORTC QLQ-H&N35 than control group. Conclusion: We found improvement in oral health and the quality of life in HNC patients with comprehensive oral care intervention by dental professionals. Communicating and cooperating between the healthcare and dental professionals is needed to raise the quality of health care services for HNC patients receiving radiotherapy.

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Section: Discussionmentioning

confidence: 99%

The effect of comprehensive oral care program on oral health and quality of life in patients undergoing radiotherapy for head and neck cancer

et al. 2021

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“…Other authors reported inadequate compliance of a large number of patients because of death before the completion of study, refusal for a re-examination, withdrawal from the study, poor systemic health, administrative and technical difficulties [29]. Increased compliance might be achieved with the contribution of the appropriately educated dentist and the support and maintenance of oral health in head and neck cancer patients, as it was shown in the literature [33].…”

Section: Eortc Qlq Head/neck35mentioning

confidence: 92%

Trismus and reduced quality of life in patients with oral squamous cell carcinoma, who received post-operative radiotherapy alone or combined with chemotherapy

Galitis

Droukas

Tzakis

et al. 2017

Forum of Clinical Oncology

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Background Patients, who receive radiotherapy (RT) for head and neck cancer, develop chronic functional abnormalities and survive with reduced quality of life. Purpose We aimed to study patients with oral cancer, who received post-operative radiotherapy or chemoradiotherapy. Patients Ten patients (mean age 63.8 years) were included. Methods Oral mucositis, pain and xerostomia, maximum mouth opening (MMO) and functional abnormalities before and after RT were recorded. The 35 mm MMO or less was accepted as trismus. Patients completed the EORTC QLQ C-30 and Head/Neck35 questionnaires. Results Mean RT dose was 64.3 Gray. Six patients received chemoradiotherapy. Severe mucositis, pain and xerostomia were recorded in 6 and 5 patients respectively. MMO was reduced in all patients. The mean MMO (34 mm) reached the level of trismus. The total number of symptoms increased from 3.1 to 6.3 in C-30 and from 3.1 to 8.8 per patient in the H/N35. Severe fatigue, pain, limitations at work, weakness, sad feelings, family problems, sleeping problems, anorexia, financial difficulties, tense/irritable, constipation, nausea, vomiting and depression were most often reported with C-30. Most patients reported low to moderate quality of life. Severe oral, jaw and neck pain, swallowing problems, taste alterations, sticky saliva, dry mouth, coarseness, dental problems, feeling sick and reduced interest in life/sex were the most common symptoms reported with N/H35. Conclusions The observed trismus, 2- to 3-fold increase of symptoms and poorer quality of life highlighted the need for support of oral cancer patients, who receive postoperative radiotherapy or chemoradiotherapy.

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“…The head and neck region is a prevalent site for the occurrence of malignant neoplasms which mainly affect several oral tissues [1,2]. The treatment of cancer in the head and neck region is generally based on clinical staging, tumor location, histological differentiation, and the patient's clinical conditions [3,4]. Treatment is performed in most situations employing surgery or radiotherapy, and there may be cases that require both association therapy.…”

Section: Introductionmentioning

confidence: 99%

Effects of ionizing radiation on surface properties of current restorative dental materials

Amorim

Veríssimo

Ribeiro

et al. 2021

J Mater Sci: Mater Med

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To investigate the impact of radiotherapy on surface properties of restorative dental materials. A conventional resin composite—CRC (Aura Enamel), a bulk-fill resin composite—BFRC (Aura Bulk-fill), a conventional glass ionomer cement—CGIC (Riva self cure), and a resin-modified glass ionomer cement—RMGIC (Riva light cure) were tested. Forty disc-shaped samples from each material (8 mm diameter × 2 mm thickness) (n = 10) were produced according to manufacturer directions and then stored in water distilled for 24 h. Surface wettability (water contact angle), Vickers microhardness, and micromorphology through scanning electron microscopy (SEM) before and after exposition to ionizing radiation (60 Gy) were obtained. The data were statistically evaluated using the two-way ANOVA and Tukey posthoc test (p < 0.05). Baseline and post-radiation values of contact angles were statistically similar for CRC, BFRC, and RMGIC, whilst post-radiation values of contact angles were statistically lower than baseline ones for CGIC. Exposition to ionizing radiation statistically increased the microhardness of CRC, and statistically decreased the microhardness of CGIC. The surface micromorphology of all materials was changed post-radiation. Exposure to ionizing radiation negatively affected the conventional glass ionomer tested, while did not alter or improved surface properties testing of the resin composites and the resin-modified glass ionomer cement tested.

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A randomized clinical trial to evaluate the impact of a dental care program in the quality of life of head and neck cancer patients

Abstract: Provision of continuous dental care for head and neck cancer patients can reduce deleterious side effects of the oncological treatment.

Cited by 9 publications

References 41 publications

The effect of comprehensive oral care program on oral health and quality of life in patients undergoing radiotherapy for head and neck cancer

The effect of comprehensive oral care program on oral health and quality of life in patients undergoing radiotherapy for head and neck cancer

Trismus and reduced quality of life in patients with oral squamous cell carcinoma, who received post-operative radiotherapy alone or combined with chemotherapy

Effects of ionizing radiation on surface properties of current restorative dental materials

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