Background: Oral mucositis is the most commonly reported side effect observed in neoplastic patients treated with chemotherapy and radiotherapy of the head and neck region as well as in patients who have received a haematopoietic stem cell transplant. The aim of the study was to assess the oral mucosa status in children with acute lymphoblastic leukaemia (ALL) during antineoplastic therapy.
Material and methods:The clinical examination included 127 children aged 5-15 with ALL. The clinical examination was conducted using the dental diagnostic instrument. The condition of the oral mucosa was determined using the WHO scale for oral mucositis. Results: In the first period of antineoplastic therapy the pathological lesions of the oral mucosa of the mucositis type were observed among the examined patients. The lesions had various levels of intensity. Pain was found to be the primary symptom of oral mucositis. In this study the following were observed: local erythema of the oral mucosa in 10%, ulcerative lesions in 5%.The remaining 85% patient who could not eat or drink because of pain and soreness. Conclusion: Local treatment of oral mucositis with polyantibiotic-antifungal mixture, supporting antifungal systemic treatment, and improving the overall peripheral blood conditions in children suffering from acute lymphoblastic leukaemia improve the condition of the oral mucosa.
The dental field considered being one of the most developing fields in the medical sectors, and being a profession that depend on providing health service, this field include some emergencies and critical clinical complication such as anaphylaxis. Dealing with this type of crisis should be done with high level and accuracy of diagnosis and treatment, as doing that will increase the chances of saving the patients from death possibility. The dental students should have a proper knowledge in how to deal with this type of cases, hence the objective of this study is to assess the level and knowledge of the dental students in dealing with anaphylaxis by application of specialized questionnaire. It concluded that dental students should be more educated and aware about this type of emergency and have the full knowledge about the signs, symptoms, diagnosis and treatment.
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