Optimum dental radiography in bone marrow transplant patients

Bishay, N.; Petrikowski, C. Grace; Maxymiw, W.G.; Lee, L.; Wood, Robert E.

doi:10.1016/s1079-2104(99)70227-1

Cited by 15 publications

(12 citation statements)

References 15 publications

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“…Endodontic foci of infection are a common problem during periods of neutropenia and are a recognized source of fevers of unknown origin 1 (Fig 1). Panoramic radiographs have value both in child and adult patients for screening purposes prior to cancer treatment, and have been shown to be more useful than full mouth periapical films for assessing impacted third molars, detecting neoplasms, and identifying lesions of multiple myeloma 2,3 . The patient is likely to undergo additional imaging studies, such as CT scans, MRI, and, occasionally, a nuclear medicine scan of bones, to detect metastatic disease.…”

Section: Introductionmentioning

confidence: 99%

Clinical assessment and management of the oral environment in the oncology patient

Walsh

2010

Australian Dental Journal

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The dental care of oncology patients is an important component of general dental practice. Oncology patients have additional requirements for their outpatient care in the dental office. Intense involvement of the general dental practitioner in the patient's overall plan of care is essential so that appropriate preventive and therapeutic strategies are followed prior to chemotherapy, radiation and other medical treatments. This paper provides an overview of the role of the dental practitioner in the pre-treatment workup and post-treatment maintenance of oncology patients, and discusses the complications which occur during the intensive and in-hospital phases of care, in the context of approaches that show promise for reducing or preventing these. The role of the general dental practitioner in the maintenance of oral health for the remainder of the patient's life is stressed, with evidence-based recommendations given for optimal use of home care products which support oral health and improve quality-of-life.Keywords: Mucositis, prevention, chemotherapy, radiation, oncology.Abbreviations and acronyms: ALL = acute lymphocytic leukaemia; AML = acute myelocytic leukaemia; CLL = chronic lymphocytic leukaemia; CML = chronic myelocytic leukaemia; CPP-ACFP = casein phosphopeptide-amorphous calcium fluoride phosphate; CPP-ACP = casein phosphopeptide-amorphous calcium phosphate; GM-CSF = granulocyte macrophage colony-stimulating factor; GVHD = graftversus-host disease; KGF = keratinocyte growth factor; LLLT = low level laser therapy; OPG = panoramic radiograph; ORN = osteoradionecrosis; TPN = total parenteral nutrition.

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Section: Introductionmentioning

confidence: 99%

Clinical assessment and management of the oral environment in the oncology patient

Walsh

2010

Australian Dental Journal

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“…Root canal infections might have serious consequences during this neutropenic period and can eventually compromise graft success. 20 The high risk of bacterial infection after HSCT is due to severe neutropenia and the damage to the body barriers caused by the conditioning regime. 21 In our study, only 56.5% of the patients in the pre-transplantation stage exhibited neutrophil counts within the reference range; this proportion was lower compared to the transplanted patients (63.4%).…”

Section: Discussionmentioning

confidence: 99%

The need for endodontic treatment and systemic characteristics of hematopoietic stem cell transplantation patients

et al. 2017

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The aim of this study is to investigate the relationship between the epidemiological and clinical profiles of patients before and after hematopoietic stem cell transplantation (HSCT) and the need for endodontic treatment. The subjects included 188 individuals enrolled in the dental care program for transplanted patients of the School of Dentistry, Federal University of Minas Gerais (Faculdade de Odontologia da Universidade Federal de Minas Gerais, FO-UFMG) from March 2011 through March 2016. The patients were subjected to an HSCT conditioning dental regimen based on a thorough clinical and radiographic evaluation. Intraoral periapical and bite-wing X-rays were obtained, and after evaluation, specific dental treatment was planned and performed. The following demographic and clinical data were collected from the patients' medical records: age, gender, transplantation stage, primary disease, transplant type, medication used, complete blood count at the time of visit, and need for endodontic treatment. The Kolmogorov-Smirnov and the chi-square tests were used. Leukemia (31.3%) and multiple myeloma (17.9%) were the most prevalent primary diseases. Most patients were subjected to allogeneic-related transplantation (83.6%). Most patients exhibited platelet counts and hemoglobin concentrations below the reference values in the pre-transplantation stage, while the neutrophil and platelet counts and the hemoglobin levels were within the reference ranges in the post-transplantation stage. The proportions of individuals requiring endodontic treatment were similar between the pre-and post-transplantation groups: 24.3% and 24.7%, respectively. The systemic conditions of the patients referred for dental treatment were compromised.

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“…MM'l› hasta tan› ve takibinde diş hekimleri önemli rol al›rlar (5,8,14,15,22). MM'da kan tablosu anemi ve lösemiye benzer ve iyileşme oldukça güçtür.…”

Section: Discussionunclassified

“…Bu nedenle, hastan›n yaşam kalitesini yükseltecek multidisipliner yaklaş›mlar önem kazan›r (8,10,22,23). MM tan›s› ile takip edilen hastalarda, patolojik fraktür riskini önlemek amac›yla, maksillofasiyal sistemin düzenli radyografik takibi ve diş hekimleri ile konsültasyon, multidisipliner yaklaş›m›n ayr›lmaz bir parças› olmal›d›r.…”

Section: Discussionunclassified

MANDİBULADA MULTİPL MYELOMA (İKİ OLGU SUNUMU) Multiple Myeloma of the Mandible (Report of two cases)

Kocaelli¹

2006

Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Optimum dental radiography in bone marrow transplant patients

Cited by 15 publications

References 15 publications

Clinical assessment and management of the oral environment in the oncology patient

Clinical assessment and management of the oral environment in the oncology patient

The need for endodontic treatment and systemic characteristics of hematopoietic stem cell transplantation patients

MANDİBULADA MULTİPL MYELOMA (İKİ OLGU SUNUMU) Multiple Myeloma of the Mandible (Report of two cases)

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