Dental consultation in patients planned for/undergoing/post radiation therapy for head and neck cancers: A questionnaire-based survey

Mainali, Apeksha; Kn, Sumanth; Ongole, Ravikiran; Denny, Ceena

doi:10.4103/0970-9290.93454

Cited by 10 publications

(2 citation statements)

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“…Oral health-related management of the patient should commence prior to cancer therapy and then intensified during the treatment phase, thereafter ensuring post cancer treatment support. 28,29 Despite the value and role that oral health services can play in contributing to improved oral health outcomes for patients with HNC, there is paucity of published evidence in this field. Similarly, there is limited publicly available evidence that oral health planning in KwaZulu-Natal takes into account the specific oral health needs of patients with HNC.…”

Section: Introductionmentioning

confidence: 99%

Oral health care for patients undergoing therapy for head and neck cancer in KwaZulu-Natal, South Africa - A qualitative study

Bauluck-Nujoo

Singh

2020

S. Afr. dent. j.

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BACKGROUND: There is limited published evidence in KwaZulu-Natal on access to oral health care for patients undergoing cancer therapy in the head and neck region. OBJECTIVES: This study aimed to assess patients' oral health-related perceptions, practices and needs during cancer therapy. METHODS: This was a descriptive case study. A semi-structured face-to-face interview was conducted with volunteers (n=12) undergoing cancer therapy in head and neck region. Purposive sampling was used to select study participants who were recruited from a public tertiary central referral hospital in KwaZulu-Natal. A semi-structured interview was also conducted with the eThekwini district coordinator for oral health services to gain better insight into oral health service delivery for patients with special needs. RESULTS: The results indicated that oral health care in the sample population was not prioritised. Some of the emergent themes included: participants' knowledge and oral health self-care practices, support for participants to cope with head and neck cancer, barriers in accessing facility-based oral health care (poor access to dental services, failure of the local clinic to provide appropriate care), lack of referral by oncology care practitioners for patients to access dental care, and existing gaps in oral health service delivery The reported non-existence of a specific oral health policy to address cancer and the absence of a risk factor intervention program highlighted some of the shortcomings for quality oral health service delivery in this population group. CONCLUSION: The results indicated that oral health care is important for patients undergoing cancer therapy. There is an urgent need for oral health planning in the province to take into account the specific oral health needs of this vulnerable population.

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Section: Introductionmentioning

confidence: 99%

Oral health care for patients undergoing therapy for head and neck cancer in KwaZulu-Natal, South Africa - A qualitative study

Bauluck-Nujoo

Singh

2020

S. Afr. dent. j.

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“…Hence, nurses can assume a significant role to screen for the oral problems and implement evidence-based oral care interventions to resolve the oral problems. [14] Oral health during cancer treatment necessitates requirement for multidisciplinary team collaboration for the development of oral care protocol. [1516] Nurses reported interest in updating the knowledge in the oral care of cancer patients.…”

Section: Introductionmentioning

confidence: 99%

Oral Care Protocol for Chemotherapy- and Radiation Therapy-Induced Oral Complications in Cancer Patients: Study Protocol

Pai

Ongole

Banerjee³

et al. 2019

Asia-Pacific Journal of Oncology Nursing

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Objective: The purpose of this study is to describe a randomized control trial protocol that assesses the effectiveness of an oral care protocol on chemotherapy- and radiation therapy-induced oral complications in cancer patients. Methods: This study is a randomized, outcome assessor blinded study. For Phase I training phase, one group pretest-posttest design will be implemented for training the staff nurses on oral care in cancer patients and for Phase II Intervention Phase, randomized clinical trial will be used to determine the effectiveness of oral care protocol. Twenty-five staff nurses working in radiation oncology areas hospital will be trained about oral care in cancer patients. Seventy newly diagnosed patients with head and neck cancer admitted to the oncology wards of a tertiary care hospital in South India will be enrolled. Patients will be randomly allotted to a control and intervention group. The primary outcome variables are oral complications and oral health assessment. Results: The results of the preliminary survey conducted among 158 staff nurses showed that 81 (51.3%) of the staff nurses had poor knowledge regarding oral care of cancer patients and majority 128 (81.0%) of them suggested for training in the specific area of oral care of cancer patients. A pilot study conducted by the principal investigator to determine the feasibility of the study among 9 participants (4 experimental and 5 control) revealed that there was slight difference found in the incidence of oral complications among the group in relation to weeks of assessment. Conclusions: The present study may give data regarding the occurrence of oral complications in head and neck cancer patients, and even, it can enlighten on the effectiveness of oral care protocol on oral complications. If this protocol is found effective, then this protocol can be made part of daily nursing care to improve the patient outcome.

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Dental management before radiotherapy of the head and neck region: 4‐year single‐center experience

Hoffmann

Marschner

Kakoschke

et al. 2022

Clinical & Exp Dental Res

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Objective: To review our experience with a standardized dental management approach in patients with planned radiotherapy of the head and neck region based on preradiation and follow-up data.Material and Methods: Records of patients who underwent radiotherapy between June 2016 and November 2020 were reviewed. Data on dental findings and therapeutic recommendations were extracted from a prospectively managed database. Hospital records were used to obtain follow-up data.Results: Two hundred eighty-one patient records were identified. After the exclusion of 81 patients because of incomplete data, 200 patients were included in the study. Dental findings relevant to radiotherapy were found in 144 cases (72.0%). Teeth extractions were recommended in 112 (56.0%) patients. Follow-up data were available for 172 (86.0%) patients (mean follow-up: 16.8 ± 10.7 months).Radiodermatitis was the most frequently observed sequela of radiotherapy (42.4%), followed by dysphagia (38.4%) and stomatitis (36.6%). Osteoradionecrosis was observed in only 2.3% of the patients. Conclusion:Dental findings relevant to planned radiotherapy were frequent and in many cases resulted in recommendations for teeth extraction. Based on our standardized dental management protocol, we observed low rates of late oral complications after radiotherapy of the head and neck region.dental management, follow-up, oral cancer, radiotherapy | INTRODUCTIONRadiotherapy is a standard form of treatment for many head and neck tumors. Depending on the tumor entity, size, stage, localization, grade, resection status, and patient comorbidities, radiotherapy can be applied as an adjuvant or alternative to surgery. Where indicated, it can be combined with chemotherapy (Koga et al., 2008). Radiotherapy leads to a decreased proliferation rate or even apoptosis: the tumor stops growing or decays. Nevertheless, the cell-damaging effects of radiation therapy are nonspecific, and the tumorsurrounding tissue (i.e., oral mucosa, salivary glands, maxillary and mandibular bone, teeth, and masticatory muscles) is affected as well

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Dental consultation in patients planned for/undergoing/post radiation therapy for head and neck cancers: A questionnaire-based survey

Abstract: The study indicated a need for awareness and education among radiation oncologists regarding dental consultation in patients planned/undergoing /post radiation therapy for head and neck cancer.

Cited by 10 publications

References 8 publications

Oral health care for patients undergoing therapy for head and neck cancer in KwaZulu-Natal, South Africa - A qualitative study

Oral health care for patients undergoing therapy for head and neck cancer in KwaZulu-Natal, South Africa - A qualitative study

Oral Care Protocol for Chemotherapy- and Radiation Therapy-Induced Oral Complications in Cancer Patients: Study Protocol

Dental management before radiotherapy of the head and neck region: 4‐year single‐center experience

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