The effect of comprehensive oral care program on oral health and quality of life in patients undergoing radiotherapy for head and neck cancer

Abstract Head and neck cancer damages the oral health and chewing performance, impairing the nutritional status and quality of life even after treatment completion. Objective: This study investigated the effect of treatment on the chewing function, the influence on oral health in chewing function and the relationships between chewing, nutritional status and quality of life in individuals after treatment of head and neck cancer. Methods: The study was conducted on twenty individuals who were evaluated by surface electromyography; nutritional status; evaluation of oral health and quality of life. Results: The results of electromyography showed an asymmetric pattern, with predominance of activity on the working side. The correlations evidenced that the greater the use of upper dentures and caries activity, the greater the asymmetry of muscle activity, while the greater need of lower denture led to more chewing cycles. The lower the body fat percentage, the greater the symmetry of muscle activity; and the lower the recruitment of temporalis muscles, the greater the physical limitation. Conclusions: It was concluded that, in individuals after treatment of head and neck cancer, there was relationship between the correlated variables.

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Evaluation of Oral Health Related Quality of Life in Patients Diagnosed with Head and Neck Cancer Receiving Radiotherapy

10.53350/pjmhs2115113119 ◽

2021 ◽

Vol 15 (11) ◽

pp. 3119-3122

Author(s):

Shahida Maqbool ◽

Sobia Siddique ◽

Ayesha Mehak ◽

Qaiser Ali ◽

Syeda Kinza Asghar ◽

...

Keyword(s):

Quality Of Life ◽

Head And Neck Cancer ◽

Oral Health ◽

Head And Neck ◽

Neck Cancer ◽

Health Related Quality ◽

Cancer Group ◽

Related Quality ◽

Health Related

Objective: To evaluate the oral health related quality of life in patients diagnosed with head and neck cancer receiving radiotherapy. Design of the Study: It’s a case control study. Study Settings: The study was conducted at department of Oncology Holy Family Hospital, Rawalpindi and District Headquarters Hospital, Rawalpindi from Feb 2021 to Sep 2021. Material and Methods: Total 300 patients aged 18 years and above diagnosed with head and neck cancer undergoing radiotherapy for a minimum period of 1 month were included in this study. Oral Health Impact Profile (OHIP-14) is a 14 item pre-validated questionnaire graded on five point Likert scale used to assess Oral Health related Quality of Life based on seven dimensions of impacts of oral conditions on people’s OHRQoL. Pearson correlation and Spearman’s correlation were used to find out correlation between oral health status and quality of life. Results of the Study: Among Head and neck cancer group: 45(30.0%) were 35 to 44 years; 44(29.3%) were 45-64 years and 41(27.4%) were 65-74 years age group. Among Head and neck cancer group: 99(66.0%) were males and 51(34.0%) were females. The overall Mean SF-12 scores of head and neck cancer patients was significantly lower as compare to control patients (30.89±4.66 36.14±3.75<0.001). Mean oral health-related quality of life (OHIP-14) was significantly lower in head and cancer group patients as compared to controls (18.35±7.48 vs. 11.14±8.18; <0.001). Conclusion: It is proved that radiotherapy have a serious influence on oral health of the patients. Considering the influence of radiotherapy on oral health of the patient, assessment of the oral cavity should be done in routine assessment by the dentistry consultant. The OHIP-14 questionnaire has evident to be consistent and valid instrument for assessment of quality of life related to oral health in cancer patients. Among cancer patients this questionnaire should be considered in the protocol of the treatment about complications of oral health and for their optimal well-being. Keywords: cancer, quality of life, oral-health, head and neck cancer

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Oral health and quality of life among patients with head and neck cancer or haematological malignancies

Supportive Care in Cancer ◽

10.1007/s005200100253 ◽

2001 ◽

Vol 9 (7) ◽

pp. 528-538 ◽

Cited By ~ 45

Author(s):

Kerstin E. Öhrn ◽

Per-Olow Sjödén ◽

Ylva-Britt Wahlin ◽

Marie Elf

Keyword(s):

Quality Of Life ◽

Head And Neck Cancer ◽

Oral Health ◽

Head And Neck ◽

Neck Cancer ◽

Haematological Malignancies

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

Stomatoloski glasnik Srbije ◽

10.2298/sgs1401014s ◽

2014 ◽

Vol 61 (1) ◽

pp. 14-20 ◽

Cited By ~ 1

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.

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