Cost analysis of dental services needed before hematopoietic cell transplantation

Abstract

Dental evaluation before HCT is an economical way for patients to minimize the risk of localized infection and possibly reduce the risk of bacteremia that may prolong the length of hospitalization.

Periodontal status of candidates for allogeneic hematopoietic stem cell transplantation

“…The results suggest HSCT protocols should always include oral health in the check list of essential care before transplantation. The implementation of dental consultations aimed at preventing oral disease, through professional bacterial plaque control and removal of infection foci, can be a feasible way to avoid odontogenic pain during the hematologic therapy and reduce the impact of other outcomes after HSCT, such as oral mucositis and bacteremia …”

What haematopoietic stem cell transplant patients think about health and oral care: A qualitative study in a Brazilian health service

“…Regarding the importance that patients give to dental treatment in the conditioning phase for transplantation, it was observed that most interviewees had, even if in a different form than the scientific concept (Mawardi et al., ; Nuernberg et al., ), a notion of the importance of conducting the dental treatment in the pre‐haematopoietic stem cell transplant stage. Although the desire and/or need to undergo dental treatment was expressed by some patients, these individuals affirmed having attended for care only after the doctor's staff requested it, and access had been granted to dental treatment in the pre‐transplant stage.…”

“…Regarding the importance that patients give to dental treatment in the conditioning phase for transplantation, it was observed that most interviewees had, even if in a different form than the scientific concept (Mawardi et al, 2014;Nuernberg et al, 2016), a notion of the importance of conducting the dental treatment in the pre-haematopoietic stem cell transplant stage.…”

“…Haematopoietic stem cell transplantation is the treatment of choice for many types of haematological and other tissue disturbances and includes the elimination of malignant cells through high doses of chemotherapy and subsequent infusion of healthy cells. Since the first successful cases of this type of transplant in the 1960s, improvements in the techniques and conditioning treatments have resulted in an increase in this treatment, the sources from which the healthy cells are taken, and the long‐term survival of transplanted individuals (Logue & Savani, ; Mawardi et al., ).…”

“…Knowing how patients who have already undergone this type of transplant perceive their own oral health and dental treatment makes it possible for the dental healthcare team to assess the impact of the dental treatment upon the patient's life, thus adjusting the approach in such a way as to make this stage of the treatment as comfortable as possible, and encouraging the patient's involvement in his/her own oral health care, in turn guaranteeing a better quality of life (Cohen-Carneiro, Souza-Santos, & Rabelo, 2011;Logue & Savani, 2013;Mawardi et al, 2014;Schulmeister et al, 2005;Shortell, 1999). To the best of our knowledge, this is the first study of its kind to examine this theme.…”