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Indian J Cancer ; 55(3): 251-256, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30693889

RESUMO

INTRODUCTION: Patients diagnosed with head and neck tumors, are treated by surgery, radiation therapy (RT), chemotherapy (CT) or a combination thereof. The goal is to describe the management protocol for patients subjected to radiation therapy (RT) and to study their long-term oral health status. MATERIALS AND METHODS: A retrospective study was performed in a sample of 50 patients. We analyzed the oral health status and all the variables included applying the adapted protocol of pre-RT. RESULTS: Prior to RT, 84% of patients required scaling and 32% conservative treatment. Around 74% of patients required at least one exodontia. The mean of exodontias for patients presenting Grade 3 of oral hygiene was 6.50 per person (p<0.0001). The pre-RT study of possible candida infection showed that 78% of patients were negative for this infection. The mean resting saliva production was 39.10 (SD: 23.30; range: 13-145), with a stimulated value of 64.78 (SD: 33.92; range: 16-200). CONCLUSIONS: All patients should be protocoled to ensure that they present optimal oral conditions prior to initiating RT treatment.


Assuntos
Assistência Odontológica para Doentes Crônicos/métodos , Neoplasias de Cabeça e Pescoço/radioterapia , Procedimentos Cirúrgicos Bucais , Saliva/fisiologia , Doenças Estomatognáticas/terapia , Idoso , Idoso de 80 Anos ou mais , Feminino , Neoplasias de Cabeça e Pescoço/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Bucal , Índice de Higiene Oral , Estudos Retrospectivos , Doenças Estomatognáticas/diagnóstico
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