Oral health after breast cancer treatment in postmenopausal women

Abstract

OBJECTIVE:Oral health can affect a patient's general health and quality of life. Given the increase in breast cancer survival rates, investigations of factors influencing the quality of life of survivors have gained importance. Therefore, the objective of our study was to characterize oral health in postmenopausal breast cancer survivors.METHODS:We conducted a matched case-control study. Forty-eight women who survived breast cancer (age 62.1±9.1 years) and 48 healthy controls (age 61.8±8.6 years) were included. For each case and control, a complete oral evaluation chart was completed.RESULTS:The prevalence of chronic periodontal disease was 98% in breast cancer survivors and 87% in controls. The breast cancer survivors had a median of 16 remaining teeth, whereas controls had a median of 22 remaining teeth (p = 0.03). The percentage of sites with gingival bleeding was 16.05% (0-100%) in breast cancer survivors and 0% (0-72%) in controls (p = 0.04).CONCLUSION:Chronic periodontal disease and tooth loss were highly prevalent in postmenopausal breast cancer survivors. To improve survivors' quality of life, a preventive oral health evaluation should be available prior to cancer treatment.

Oral health problems among palliative and terminally ill patients: an integrated systematic review

“…Studies reporting on oral conditions among palliative patients are summarized in Table 1. Of the included studies, 16 were quantitative studies [5,[11][12][13][14][15][16][17][18][19][20][21][22][23][24], and 3 were qualitative studies [25][26][27] (Table 2).…”

“…Four studies reported taste changes [5,23,25,28] and two reported ulceration [5,26], coughing [17,18] and oral discomfort [25,26]. Other oral conditions reported are stomatitis [11], salivary hypofunction [5], mucosal erythema [5], fungal infection [5], periodontitis [12], cold sores [14], dental caries [16], gingival inflammation [16], tongue coating and inflammation [16], bleeding spots [16], plaque [17], food particles and fungus infection [17], sores and scabs [17], viscous ropy saliva and chapped lips [17], halitosis [17], problems using dentures [17], problems with oral secretions [18], dysarthria [19], oral yeast carriage [24], mucosal friction [25], and bouts of ulceration and infection [27]. Table 3 presents our findings associating the social and functional impact of oral conditions [5,[25][26][27][28].…”

Psychological symptoms in adult Saudi Arabian cancer patients: prevalence and association with self-rated oral health

“… 1 , 2 Similar attention to poor oral health was also documented among cancer patients. 3 , 4 The psychological distress and poor oral health were negatively related with time, because of the diagnoses of cancer, 3 , 5 treatment, 4 , 6 and poor prognosis in cancer patients. 7 , 8 In Saudi Arabia, due to a wide array of national screening programs and diagnosis of new cancer cases at an early stage, 9 the survival rate among cancer patients continues to increase.…”

Perfil de citocinas no fluido crevicular gengival de pacientes portadoras de câncer de mama com periodontite crônica

“…Many studies investigating the association of PD and cancer have correlated tooth loss with increased risk of malignancy. [32][33][34][35][36] Amodio et al, 37 also found fewer remaining dental units in a population with the same characteristics of this study. In this context, Michaud et al, (16) suggest that PD may be a marker of susceptibility of the compromised immune system and/or can directly affect the risk of cancer.…”

“…Entretanto, vale ressaltar que essa perda pode ocorrer por outros fatores além da DP, os quais, geralmente, também envolvem infecções crônicas, como cáries e abscessos endodônticos. Assim, esse estudo foi baseado no paradigma infecção/inflamação crônica versus câncer e futuras investigações são necessárias(SÖDER et al, 2011).Em um estudo transversal do tipo caso-controle,Amódio et al (2014) avaliaram o efeito do câncer de mama e de seu tratamento na saúde oral, em 48 mulheres pós-menopausa com câncer de mama (casosidade média: 62 anos) comparadas com 48 mulheres sem histórico de câncer (controlesidade média: 61 anos). Observou-se que o tratamento oncológico associado às mudanças orais durante a menopausa e a condição de higiene oral das pacientes pode ser responsável pelo agravamento da condição periodontal das mesmas.…”