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Head and neck cancer therapy-related oral manifestation management in the COVID-19 pandemic: a critical review.
Miranda, Rafael Resende de; Lopes, Camila de Carvalho Almança; Franco, Nathália Maria Afonso Silveira; Cabral, Luana Cardoso; Simamoto JÚnior, Paulo Cézar; Novais, Veridiana Resende.
  • Miranda RR; Universidade Federal de Uberlândia - UFU, School of Dentistry , Department of Operative Dentistry and Dental Materials , Uberlândia , MG , Brazil .
  • Lopes CCA; Universidade Federal de Uberlândia - UFU, School of Dentistry , Department of Removable Prosthodontics and Dental Materials , Uberlândia , MG , Brazil .
  • Franco NMAS; Universidade Federal de Uberlândia - UFU, School of Dentistry , Department of Operative Dentistry and Dental Materials , Uberlândia , MG , Brazil .
  • Cabral LC; Faculdade Morgana Potrich - FAMP, School of Dentistry , Department of Oclusion, Fixed Prosthesis and Dental Materials , Mineiros , GO , Brazil .
  • Simamoto JÚnior PC; Universidade Federal de Uberlândia - UFU, School of Dentistry , Department of Oclusion, Fixed Prosthesis and Dental Materials , Uberlândia , MG , Brazil .
  • Novais VR; Universidade Federal de Uberlândia - UFU, School of Dentistry , Department of Operative Dentistry and Dental Materials , Uberlândia , MG , Brazil .
Braz Oral Res ; 34: e120, 2020.
Article in English | MEDLINE | ID: covidwho-910276
ABSTRACT
With the onset of the new coronavirus disease (COVID-19) pandemic, the dental treatment of patients at risk of infection has become quite challenging. In view of this, patients with head and neck cancer may present with oral complications due to anticancer therapy, making dental assistance necessary. Thus, the objective of the study was to review the literature and critically discuss important concerns about the treatment of patients with head and neck cancer during the COVID-19 pandemic. Because dental professionals are in close contact with the main viral transmission routes, this study presents recommendations for management and protection during clinical dental care. The main characteristics and transmission routes of COVID-19 are also discussed. Dental professionals should control pain and the side effects of antineoplastic treatment and use preventive measures for infection control. During this pandemic, patients with head and neck cancer should not undergo elective procedures, even if they do not have symptoms or a history of COVID-19; therefore, in asymptomatic or painless cases, only preventive actions are recommended. In symptomatic or painful cases, precautions for safe interventional treatments must be implemented by following the hygiene measures recommended by health agencies and using personal protective equipment. During health crises, new protocols emerge for cancer treatment, and professionals must act with greater attention toward biosafety and updated knowledge. It is important to offer adequate individualized treatment based on the recommendations of preventative and interventional treatments so that patients can face this difficult period with optimized quality of life.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Pandemics / Betacoronavirus / Head and Neck Neoplasms / Mouth Diseases Type of study: Observational study / Prognostic study / Reviews Limits: Humans Language: English Journal: Braz Oral Res Journal subject: Dentistry Year: 2020 Document Type: Article Affiliation country: 1807-3107bor-2020.vol34.0120

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Pandemics / Betacoronavirus / Head and Neck Neoplasms / Mouth Diseases Type of study: Observational study / Prognostic study / Reviews Limits: Humans Language: English Journal: Braz Oral Res Journal subject: Dentistry Year: 2020 Document Type: Article Affiliation country: 1807-3107bor-2020.vol34.0120