ABSTRACT
Seventy three head and neck cancer patients were radiated between 1987 and 1993 at the Faculty of Medicine, Ramathibodi Hospital, Mahidol University. The incidence of dental extraction was much decreased after fluoride treatment regardless of the method of treatment with 54.8 per cent of the patients followed-up for more than 36 months. There was no significant difference of the dental status between application of fluoride gel, fluoride solution month rinse and combination of gel and solution. The incidence of dental extraction decreased to 6.9-22.7 per cent but dental filling increased to 54.5-68.2 per cent. We would like to conclude that continuing dental care with daily home fluoride month rinse and 3-6 months follow-up by the dentists will be the proper way to prevent radiation dental caries.
Subject(s)
Adolescent , Adult , Aged , Carcinoma, Squamous Cell/radiotherapy , Dental Care , Dental Caries/etiology , Dosage Forms , Female , Follow-Up Studies , Head and Neck Neoplasms/radiotherapy , Humans , Male , Middle Aged , Radiotherapy/adverse effects , Sodium Fluoride , Tooth ExtractionABSTRACT
Controlling hemorrhage from dental treatment in bleeding disorder patients is one of the most serious procedures encountered by the dentist. In the Dental Division, Ramathibodi hospital, dentists use local hemostatic technics combined with replacement therapy, local hemostatic agents and antifibrinolytics in the management of bleeding disorders in dental patients, such as leukemia, ITP, hemophilia. Celluloid splints as an adjunct therapy is very beneficial in controlling hemorrhage in dental procedures as shown by 5 years experience with 278 patients. The advantages are: less expensive, lesser days hospitalized, better outcomes. Presently it is used as a routine technic in dental treatment.
Subject(s)
Blood Coagulation Disorders/complications , Blood Platelet Disorders/complications , Dental Care/adverse effects , Hemostatic Techniques , Humans , Oral Hemorrhage/etiology , Periodontal SplintsABSTRACT
To provide effective dental treatments for patients with bleeding disorders, it is necessary to educate them about the existence and recognition of dental diseases and the effective way in dental preventive care, such as proper brushing, nutrition, good care for dental hygiene. Good and close cooperation among patients, patient's family, physicians, dentists and other medical personnel will provide successful management. Patients with bleeding disorders should have routine preventive dental treatment in the hospital or clinic on a regular basis. Most patients should be on a six months recall program. Some should be seen more frequently, according to their dental health.