Alterações estomatológicas de pacientes em preparo para transplante de células-tronco hematopoiéticas

Abstract

disponibilidade, por abrir meus olhos para uma nova e dinâmica Odontologia, me levando a questionar e aprender a desaprender conceitos e protocolos. Agradeço as oportunidades concedidas, as ocasiões em que trabalhamos juntos, os exemplos de dedicação familiar e profissional e o esmero no cuidado com os pacientes.Um verdadeiro educador, que transmite muito mais que informação científica. (61%) men and 39 (39%) women with a median age of 39 years. The most frequent underlying diseases were acute lymphoblastic leukemia (20%) and acute myeloid leukemia (19%). It was found that 45% of patients had some stomatological alterations. The most prevalent were tongue coating, petechiae, bruising and dry lips. AGRADECIMENTOSPeriodontal disease was found in 62% of patients. The most common manifestations were gingival bleeding among young patients and the more severe forms of periodontitis occurred after 35 years. The caries activity was high (DMFT=14.04), only 09 patients were caries free and 14% of patients had indication for extraction.The overall mean of OHIP-14 was very low (4.62), however there was correlation with the presence of severely compromised teeth due to caries and periodontal disease (p<0.05), indicating a significant impact on quality of life. The most impacting factors were caries activity (p<0.05), restorations with caries (p<0.05) and edentulism (p<0.05). In severe cases with indication for extraction, the impact was significant in psychological distress (p<0.05), psychological incapacity (p<0.01) and deficiency (p<0.01), the greatest degree of impairment of quality of life. We conclude that patients referred for HSCT have several stomatological alterations. Only the cases of aplastic anemia have oral manifestations of primary disease. However, the frequency of gingivitis, periodontitis, and caries activity were high, revealing shortage in dental support during the patient preparation in their hometowns. The impact of oral health problems on quality of life is weak, but in severe cases there is psychological impairment.

Função mastigatória, estado nutricional e saúde oral em indivíduos após tratamento do câncer de cabeça e pescoço

“…Para necessidade de prótese o serviço de reabilitação pode ter um acesso difícil e o tratamento por radiação ou por cirurgia pode afetar a estrutura oral, o que dificulta a reabilitação protética desses pacientes (ARAÚJO, 2013;SCHOEN et al, 2007). Porém, no caso dos pacientes estudados, após avaliação realizada na presente pesquisa todos foram encaminhados para os profissionais odontólogos do próprio Centro de Pesquisa Clínica da FOB/USP, mesmo que alguns pacientes já estivessem em processo de reabilitação oral, pois alguns não haviam passado até aquele momento com os profissionais da área de prótese.…”