Résumé
Objetivo: verificar os principais agravos bucais e o desenvolvimento da dentição em indivíduos diagnosticados com leucemia e submetidos às terapias antineoplásicas. Métodos: trata-se de uma revisão integrativa da literatura fundamentada em artigos científicos, classificados de acordo com o nível de evidência (NE) científica proposto pelo Oxford Centre Evidence Based Medicine, 2009. A pergunta norteadora do presente estudo compreende: Quais as principais manifestações orais e alterações no desenvolvimento da dentição em pacientes com leucemia? Resultados: 14 estudos foram incluídos, publicados entre os anos de 2003 e 2019. As principais alterações bucais apresentadas foram morfologia anormal do esmalte e das raízes (taurodontia, hipodontia, microdontia, hipoplasia, raízes curtas), agenesias, sangramento gengival, mucosites, xerostomia e desenvolvimento dental tardio. Conclusões: torna-se necessário o acompanhamento multidisciplinar em face da condução do tratamento leucêmico, na qual a presença do cirurgião-dentista é crucial para a manutenção da saúde bucal.
Objective: To verify the main oral diseases and the development of dentition in individuals diagnosed with leukemia and submitted to antineoplastic therapies. Methods: This is an integrative review of the literature based on scientific articles, classified according to the level of scientific evidence (NE) proposed by Oxford Center Evidence Based Medicine, 2009. The guiding question of the present study comprises: What are the main oral manifestations disorders and changes in teething development in patients with leukemia? Results: A total of fourteen studies were included, published between 2003 and 2019. The main oral alterations presented were: abnormal enamel and root morphology (taurodontics, hypodontia, microdontia, hypoplasia, short roots), agenesis, gingival bleeding, mucositis, xerostomia and late dental development. Conclusions: It is necessary to have multidisciplinary follow-up when conducting leukemic treatment, in which the presence of the dental surgeon is crucial for maintaining oral health.
Sujets)
Leucémies , Radiothérapie , Transplantation de moelle osseuse , Traitement médicamenteuxRésumé
Objective:To evaluate the oral health conditions of hospitalized children, as well as describe the knowledge and practices of oral health care adopted by their parents/guardians. Material and Methods:The sample was composed of 46 children who had been hospitalized for at least five days, who had erupted teeth in the oral cavity and were accompanied by their parents/guardians. Information was collected in relation to: theoral health status of children (DMFT/DEF), the socioeconomic profile and access to information on health and oral hygiene of the parents/guardians anddata regarding the hospitalization of the children. The data were analyzed using the Fisher, Pearson's and Mann Whitney's Chi-squared tests, with a confidence level of 95%.Results:47.8% of the hospitalized children had experienced caries, and the most relevant component for the determination of the experience of caries was the presence of decayed teeth (0.50 to 1.94). A total of 97.8% of parents/guardians said they had not received information on oral health and hygiene, 100.0% had not received guidance on the sugar contained in medicines or the salivary decrease caused by the medications. 34.8% of the children did not perform oral hygiene during hospitalization. According to medical records, 58.7% took liquid medication orally. Conclusion:The hospitalized children had precarious oral health conditions, with the occurrence of carious lesions of the teeth. The presence of risk factors for dental caries in hospitalized children was observed (poor oral hygiene, low schooling and income of parents/guardians, limited knowledge of parents/guardians regarding health care and oral hygiene, consumption of medicines with cariogenic potential) (AU).