Compliance with fluoride custom trays in irradiated head and neck cancer patients

Thariat, Juliette; Ramus, Liliane; Darcourt, Vincent; Marcy, Pierre-Yves; Guevara, N.; Odin, Guillaume; Poissonnet, G.; Castillo, L.; Ali, Ali Mohammed; Righini, Christian

doi:10.1007/s00520-011-1279-5

Cited by 48 publications

(43 citation statements)

References 24 publications

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“…However, non-adherence rates are extremely high. As many as 81% of survivors do not adhere to oral care recommendations (Thariat et al 2012) and 87% do not adhere to swallowing exercise recommendations (Shinn et al 2013). This is problematic because poorly managed side effects are associated with treatment interruptions, social and emotional problems, and a more complicated and costly rehabilitation (Terrell et al 2004).…”

Section: Self-management Challenges After Ocmentioning

confidence: 99%

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Development and usability testing of a web-based self-management intervention for oral cancer survivors and their family caregivers

et al. 2015

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Oral cancer (OC) survivors experience debilitating side effects that affect their quality of life (QOL) and that of their caregivers. This study aimed to develop and evaluate a dyadic, web-based intervention to improve survivor self-management and survivor/caregiver QOL. A qualitative needs assessment (semi-structured interviews) with 13 OC survivors and 12 caregivers was conducted to discern information and support needs as well as preferences regarding website features and tools. Results using Grounded Theory analysis showed that OC survivors and caregivers: 1) want and need practical advice about managing side effects; 2) want to reach out to other survivors/caregivers for information and support; and, 3) have both overlapping and unique needs and preferences regarding website features. Usability testing (N=6 survivors; 5 caregivers) uncovered problems with the intuitiveness, navigation, and design of the website that were subsequently addressed. Users rated the website favorably on the dimensions of attractiveness, controllability, efficiency, intuitiveness, and learnability, and gave it a total usability score of 80/100. Overall, this study demonstrates that OC survivors and caregivers are interested in using an online program to improve QOL, and that providing tailored website content and features based on the person's role as survivor or caregiver is important in this population.

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Section: Self-management Challenges After Ocmentioning

confidence: 99%

“…As many as 81% of survivors do not adhere to oral care recommendations (Thariat et al . ) and 87% do not adhere to swallowing exercise recommendations (Shinn et al . ).…”

Section: Introductionmentioning

confidence: 99%

Development and usability testing of a web-based self-management intervention for oral cancer survivors and their family caregivers

et al. 2015

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“…Daly et al [7] and Dreizen et al [8] reported the use of 1.0% neutral NaF, or NaF 2 gel (4,500 parts per million fluoride ion), applied daily in custom tray. However, the compliance with fluoride application in carriers by the population of patients with head and neck cancer is generally thought to be poor [9, 10]. …”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Fluoride Varnish Application as Cariostatic and Desensitizing Agent in Irradiated Head and Neck Cancer Patients

Dholam

Somani

Prabhu

et al. 2013

International Journal of Dentistry

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Objective. To evaluate the effectiveness of three-month fluoride varnish application on radiation caries and dental sensitivity and to assess compliance to three-month fluoride varnish application. Materials and Methods. 190 irradiated head and neck cancer patients were randomly selected and reviewed retrospectively. Oral prophylaxis, fluoride varnish application, and treatment of dental caries were done prior to radiation therapy. Patients were followed up at every three months for dental evaluation and fluoride varnish application. Decayed-missing-filling-teeth indices, dental sensitivity, and compliance to fluoride varnish application were noted for fifteen months and analyzed statistically. Results. Significant increase in decayed-missing-filling-teeth index was seen at nine (P = 0.028), twelve (P = 0.003) and fifteen (P = 0.002) months follow-up. However, the rate of increase in decayed-missing-filling-teeth indices was 1.64/month which is less than the rate mentioned in the literature (2.5/month). There was no significant effect of sex (P = 0.952) and surgery (P = 0.672) on radiation caries, but site of disease (P = 0.038) and radiation dose (P = 0.015) were found to have statistically significant effect. Dental sensitivity decreased from 39% at 3 months to 25% at 15 months followup. 99% compliance to fluoride varnish application was seen till six months followup which decreased to 46% at fifteen months. Conclusion. Three-month fluoride varnish application is effective in decreasing radiation caries and sensitivity and has good compliance.

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“…Nas publicações incluídas na revisão, foi mostrada a importância do uso do flúor e do Dental Maps para planejamento de tratamento odontológico pré e pós-radioterapia. 19,20 No E10 a adesão dos pacientes ao uso de moldeiras personalizadas foi pobre, 12 pacientes desenvolveram ORN e o estudo mostrou que o acompanhamento do paciente melhora essa adesão. O E11 mostrou que o Dental Maps seria uma importante ferramenta para o planejamento odontológico em pacientes pré e pós-radioterapia uma vez que ele é capaz de estimar a dose para cada dente e osso subjacente.…”

Section: Discussionunclassified

Manejo terapêutico e preventivo da osteorradionecrose: revisão integrativa da literatura

David

Ribeiro

Macedo

et al. 2016

Rev. Bras. Odontol.

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Revista Brasileira de Odontologia 150Manejo terapêutico e preventivo da osteorradionecrose: revisão integrativa da literatura Therapeutic and preventative management of osteoradionecrosis: integrative literature review IntroduçãoA s neoplasias malignas que acometem a região de cabeça e pescoço são compreendidas pelos seguintes sítios anatômicos: cavidade oral, faringe, cavidade nasal e seios paranasais, laringe e glândulas salivares. Em 2012, foram estimados cerca de 300 mil novos casos dessas neoplasias no mundo. No Brasil, em 2016, foram estimados 15.490 casos novos de câncer oral.¹ O tratamento antineoplásico desses tumores consiste nas modalidades de cirurgia, radioterapia e/ ou quimioterapia. A modalidade de tratamento escolhida ou suas associações irão depender da localização e do tipo do tumor, do estadiamento e da condição de saúde do indivíduo.2 A radioterapia (RT) é uma modalidade de tratamento eficaz, loco-regional, que provoca alterações visíveis nos tecidos sadios adjacentes às áreas irradiadase que tem um papel fundamental no tratamento do câncer de cabeça e pescoço. As doses de radiação empregadas para o tratamento desses tumores podem chegar a 7.000 cGy, podendo levar a alterações nos tecidos adjacentes, que são classificadas como injúrias agudas e tardias. 2Dentre as injúrias agudas produzidas pela RT destacam-se: mucosite, disgeusia, xerostomia e descamação da pele. E as injúrias tardias que são mais prováveis de acontecer são: ulceração da mucosa, lesões vasculares, atrofia dos tecidos, perda ou mudança do paladar, fibrose, edema, necrose dos tecidos moles, perda de dentes, diminuição do fluxo salivar, osteorradionecrose (ORN) e cárie de radiação. 3Dentre as complicações supracitadas a ORN é uma das mais graves sendo definida como uma exposição óssea através de uma abertura na pele ou mucosa, persistindo como uma ferida que não se cura por três meses ou mais.4,5 Na literatura, existe uma oscilação da frequência da ORN de 1% a 40% de casos, a mesma acomete sete vezes mais a mandíbula quando comparado com o osso maxilar, isso ocorre, devido à alta densidade óssea e menor vascularização desse osso. 6 A prevenção da ORN é fundamental, sendo indicado, antes da RT, exodontia ou restauração dos dentes comprometidos, com o intuito de eliminar focos de infecção. 7O tratamento da ORN, ainda, é um desafio para o clínico. Atualmente, parece consenso que a ORN deve ser manipulada, inicialmente, de maneira conservadora, por debridamento e limpeza das feridas cirúrgicas com soluções antimicrobianas, por antibioticoterapia e por sequestrectomia.8 Técnicas alternativas de tratamento para a ORN têm sido estudadas, uma vez que seu tratamento é extremamente difícil e de resultados imprevisíveis.O presente estudo tem como objetivo realizar uma revisão integrativa da literatura com o intuito de descrever sobre as terapias existentes para o manejo da ORN e sobre sua prevenção. Edielly Fernanda David ResumoObjetivo: O objetivo deste estudo foi realizar uma revisão integrativa da literatura com o intuito de discutir ...

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Compliance with fluoride custom trays in irradiated head and neck cancer patients

Cited by 48 publications

References 24 publications

Development and usability testing of a web-based self-management intervention for oral cancer survivors and their family caregivers

Development and usability testing of a web-based self-management intervention for oral cancer survivors and their family caregivers

Effectiveness of Fluoride Varnish Application as Cariostatic and Desensitizing Agent in Irradiated Head and Neck Cancer Patients

Manejo terapêutico e preventivo da osteorradionecrose: revisão integrativa da literatura

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