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Influence of preventive dental treatment on mutans streptococci counts in patients undergoing head and neck radiotherapy
Meca, Lívia Buzati; Souza, Fátima Regina Nunes de; Tanimoto, Helio Massaioshi; Castro, Alvimar Lima de; Gaetti-Jardim Júnior, Elerson.
  • Meca, Lívia Buzati; s.af
  • Souza, Fátima Regina Nunes de; s.af
  • Tanimoto, Helio Massaioshi; UNESP. School of Dentistry of Araçatuba. Department of Pathology and Clinic Propedeutics.
  • Castro, Alvimar Lima de; UNESP. School of Dentistry of Araçatuba. Department of Pathology and Clinic Propedeutics.
  • Gaetti-Jardim Júnior, Elerson; UNESP. School of Dentistry of Araçatuba. Department of Pathology and Clinic Propedeutics.
J. appl. oral sci ; 17(spe): 5-12, 2009. tab
Article in English | LILACS | ID: lil-576871
ABSTRACT
The aim of this study was to evaluate the influence of chlorhexidine gluconate, sodium fluoride and sodium iodine on mutans streptococci counts in saliva of irradiated patients. MATERIAL AND

METHODS:

Forty-five patients were separated into three experimental groups and received chlorhexidine (0.12 percent), sodium fluoride (0.5 percent) or sodium iodine (2 percent), which were used daily during radiotherapy and for 6 months after the conclusion of the treatment. In addition, a fourth group, composed by 15 additional oncologic patients, who did not receive the mouthwash or initial dental treatment, constituted the control group. Clinical evaluations were performed in the first visit to dental clinic, after initial dental treatment, immediately before radiotherapy, after radiotherapy and 30, 60, 90 days and 6 months after the conclusion of radiotherapy. After clinical examinations, samples of saliva were inoculated on SB20 selective agar and incubated under anaerobiosis, at 37ºC for 48 h. Total mutans streptococci counts were also evaluated by using real-time PCR, through TaqMan system, with specific primers and probes for S. mutans and S. sobrinus.

RESULTS:

All preventive protocols were able to reduce significantly mutans streptococci counts, but chlorhexidine gluconate was the most effective, and induced a significant amelioration of radiotherapy side effects, such as mucositis and candidosis.

CONCLUSION:

These results highlights the importance of the initial dental treatment for patients who will be subjected to radiotherapy for head and neck cancer treatment.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Oral Hygiene / Streptococcus mutans / Dental Caries / Head and Neck Neoplasms Type of study: Controlled clinical trial / Practice guideline / Observational study Limits: Adult / Female / Humans / Male Language: English Journal: J. appl. oral sci Journal subject: Dentistry Year: 2009 Type: Article / Project document Affiliation country: Brazil

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Full text: Available Index: LILACS (Americas) Main subject: Oral Hygiene / Streptococcus mutans / Dental Caries / Head and Neck Neoplasms Type of study: Controlled clinical trial / Practice guideline / Observational study Limits: Adult / Female / Humans / Male Language: English Journal: J. appl. oral sci Journal subject: Dentistry Year: 2009 Type: Article / Project document Affiliation country: Brazil