scholarly journals Including dental professionals in the multidisciplinary treatment team of head and neck cancer patients improves long-term oral health status

2021 ◽  
Author(s):  
Kristina Bertl ◽  
Philippe Savvidis ◽  
Edmund Benjamin Kukla ◽  
Steffen Schneider ◽  
Konstantin Zauza ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Health Status ◽  
Oral Health ◽  
Head And Neck ◽  
Neck Cancer ◽  
Multidisciplinary Treatment ◽  
Oral Health Status ◽  
Treatment Team ◽  
Dental Professionals

Abstract Objective To assess in a cross-sectional study the impact of including dental professionals in the multidisciplinary treatment team of head and neck squamous cell carcinoma (HNSCC) patients on the long-term oral health status. Materials and methods Oral health status, dental care behaviours, and oral health–related quality of life were assessed based on a clinical and radiographic examination, interview, and medical records in patients treated for HNSCC ≥ 6 months ago. This patient group (‘cohort 2’) was treated in a multidisciplinary treatment team including dental professionals and compared to a group of HNSCC patients previously treated at the same university, but without dental professionals included in the multidisciplinary treatment team (‘cohort 1’). Results Cohort 2 consisted of 34 patients, who had received a dental check-up and if necessary, treatment by dental professionals prior to the initiation of cancer treatment. This cohort showed significantly improved oral hygiene habits and a better periodontal health status compared to cohort 1. However, cohort 2 still presented high demand for treatment due to active carious lesions; only a few, statistically insignificant improvements were detected compared to cohort 1. Conclusion Including dental professionals in the multidisciplinary treatment team of HNSCC patients has a positive impact on patient oral health status—primarily in terms of periodontal disease—6 months and longer after finishing cancer therapy. Clinical relevance A team-based approach including dental professionals specialised in head and neck cancer improves oral health status.

Oral health status of 207 head and neck cancer patients before, during and after radiotherapy

2007 ◽  
Vol 12 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Bruno C. Jham ◽  
Patricia M. Reis ◽  
Erika L. Miranda ◽  
Renata C. Lopes ◽  
Andre L. Carvalho ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Health Status ◽  
Oral Health ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Oral Health Status

scholarly journals Evaluation of oral health status and quality of life of head and neck cancer patients after radiation therapy

2014 ◽  
Vol 61 (1) ◽  
pp. 14-20 ◽  
Author(s):  
Miguel Silva ◽  
Ana Melo ◽  
Kevan Barbosa ◽  
Jozinete Pereira ◽  
Polliana Alves ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radiation Therapy ◽  
Head And Neck Cancer ◽  
Health Status ◽  
Oral Health ◽  
Head And Neck ◽  
Neck Cancer ◽  
Oral Health Status

Introduction. Neoplasm of the head and neck can be treated surgically, by radiation, chemotherapy, or using combination of these methods. In contrast to surgical and radiation treatment which mostly have a local effect, chemotherapy in addition to local have also a systemic effect. Both XRT in oral region and chemotherapy can affect oral health. The aim of this study was to assess the oral health status and quality of life in patients with head and neck cancer after receiving radiation therapy. Material and Methods. Quantitative, analytical and cross-sectional research methods along with the application of UW-QOL questionnaire version 4, were used. Seventy one patients of the outpatient facilities at two cancer hospitals in the state of Para?ba, Brazil, were included in the study. Oral health status was evaluated using the Lockhart and Clark criteria. Linear Poisson and Logistic Regression tests were applied to assess associations between the variables using a significance level of 5%. Results. Of the total number of patients, 71.83% were male, the average age was 62 years and 57.74% were non-Caucasian. The group that received dental monitoring and follow-up attained the highest (830.13) Quality of life scores, including: ?pain? (93.13) and ?taste? (83.07). The highest score for oral health in the group that did not receive dental monitoring and follow-up treatment was 4.08 for ?oral hygiene?. Conclusion. Dental monitoring and follow-up should begin before radiation therapy, given that both the illness and methods used for the treatment negatively affect patients? quality of life.

scholarly journals The oral health status of pre-treatment head and neck cancer patients

BDJ ◽  
2014 ◽  
Vol 216 (1) ◽  
pp. E1-E1 ◽  
Author(s):  
S. B. Critchlow ◽  
C. Morgan ◽  
T. Leung
Keyword(s):  
Head And Neck Cancer ◽  
Health Status ◽  
Oral Health ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Oral Health Status ◽  
Pre Treatment

scholarly journals Long-term change in the oral health related QOL of patients treated with definitive radiotherapy for head and neck cancer

Toukeibu Gan ◽  
2021 ◽  
Vol 47 (3) ◽  
pp. 290-294
Author(s):  
Keiichi Jingu ◽  
Noriyoshi Takahashi ◽  
Shun Tasaka ◽  
Rei Umezawa ◽  
Takaya Yamamoto ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Oral Health ◽  
Head And Neck ◽  
Neck Cancer ◽  
Definitive Radiotherapy ◽  
Term Change ◽  
Health Related Qol ◽  
Health Related

scholarly journals Immune Check-Point Inhibitors and Standard Chemoradiotherapy in Definitive Head and Neck Cancer Treatment

2021 ◽  
Vol 11 (5) ◽  
pp. 393
Author(s):  
Francesca De Felice ◽  
Daniela Musio ◽  
Vincenzo Tombolini
Keyword(s):  
Clinical Trials ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Therapeutic Strategies ◽  
Check Point ◽  
Clinical Tool ◽  
Cancer Management ◽  
Check Point Inhibitors

In head and neck cancer management, there is a need for tailored approaches to optimally implement clinical outcomes. Based on the assumption that efficacy and long-term toxicity are not satisfactory for standard concurrent platinum-based chemoradiotherapy, several trials have been designed to test whether induction immunotherapy and/or concomitant immunotherapy and radiotherapy result in improved survival and toxicity outcomes. Here, we present an overview of the most recent concomitant therapeutic strategies for head and neck cancer, focusing on the knowledge available regarding check-point inhibitors. The aim is to present the characteristics of the main check-point inhibitors and to summarize the clinical trials on the combination of immune check-point inhibitors and (chemo)radiotherapy in the definitive HNC setting, in order to provide a useful clinical tool for further research.

scholarly journals Incidence of Oral Mucositis in Patients Undergoing Head and Neck Cancer Treatment: Systematic Review and Meta-Analysis

2021 ◽  
Vol 5 (1) ◽  
pp. 23
Author(s):  
Raquel Pacheco ◽  
Maria Alzira Cavacas ◽  
Paulo Mascarenhas ◽  
Pedro Oliveira ◽  
Carlos Zagalo
Keyword(s):  
Systematic Review ◽  
Head And Neck Cancer ◽  
Oral Health ◽  
Cancer Treatment ◽  
Head And Neck ◽  
Neck Cancer ◽  
Oral Mucositis ◽  
Negative Impact ◽  
Meta Analysis ◽  
Incidence Rates

This systematic review and meta-analysis aimed to assess the literature about the incidence of oral mucositis and its degrees (mild, moderate, and severe), in patients undergoing head and neck cancer treatment (radiotherapy, chemotherapy, and surgery). Addressing this issue is important since oral mucositis has a negative impact on oral health and significantly deteriorates the quality of life. Therefore, a multidisciplinary team, including dentists, should be involved in the treatment. The overall oral mucositis incidence was 89.4%. The global incidence for mild, moderate, and severe degrees were 16.8%, 34.5%, and 26.4%, respectively. The high incidence rates reported in this review point out the need for greater care in terms of the oral health of these patients.

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