Cancer and orofacial pain

Salvemini, Daniela

doi:10.4317/medoral.21515

Cited by 12 publications

(14 citation statements)

References 76 publications

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“…The prevalence rates of IOPMD, clinical characteristics of patients and lesions, and etiological factors differ according to geographic location [ 10 , 17 , 18 ]. Regional differences could potentially affect the prevalence of IOPMD, justifying the importance of surveying the profiles of the lesions and affected patients [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Intraoral Potentially Malignant Disorders in a Brazilian Oral Pathology Service: Epidemiological, Clinical, and Histopathological Findings

Mello

Melo

Meurer

2018

Journal of Oncology

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The aim of this study was to investigate the characteristics of individuals with intraoral potentially malignant disorders (IOPMD) in an oral pathology service in Brazil. Cases were screened based on clinical diagnosis of leukoplakia (LKP), erythroleukoplakia (ELKP), and erythroplakia (EP). Clinical data and information regarding associated factors were gathered from biopsy reports. Histological diagnoses were collected from histopathological records. Among 208 IOPMD cases, 84.13% involved LKP; 11.1%, ELKP; and 4.8%, EP. The most affected sites were the gingiva and buccal mucosa. Histologically, epithelial dysplasia was present in 66.8% of the lesions, acanthosis and hyperkeratosis without epithelial dysplasia were present in 27.9%, and squamous cell carcinoma was present in 2.9%. Most patients were males, fair-skinned, with mean age of 53.4 years. Chronic smokers represented 73% of subjects, of which 30% also consumed alcohol. Smokers and drinkers were mostly males (p < 0.001). EP and ELKP represented histologically more severe degrees of epithelial dysplasia than LKP (p < 0.001). In conclusion, individuals with IOPMD were more frequently fair-skinned men in the sixth decade of life, with smoking habit. Special attention is required to clinical diagnoses of ELKP and EP since the prevalence of severe epithelial dysplasia, in situ carcinoma, and squamous cell carcinoma is higher than in LKP.

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Section: Introductionmentioning

confidence: 99%

Intraoral Potentially Malignant Disorders in a Brazilian Oral Pathology Service: Epidemiological, Clinical, and Histopathological Findings

Mello

Melo

Meurer

2018

Journal of Oncology

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“…One patient of this study complained pain when opening the mouth due to sensibility in white spot lesion in cervical region of all teeth. Definition of OFP's type based on pathophysiological classification is essential to determine its appropriated pain management (28). Intermittent nociceptive somatic pain was the most frequent type of pain observed in this study, with a variety of sensations.…”

Section: Discussionmentioning

confidence: 79%

10 - Dental Approach of Orofacial Pain in Head and Neck Cancer Patients

Arantes¹,

Noronha²,

Pedras³

et al. 2019

Preprint

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Background: Orofacial pain (OFP) is an undesirable sensation frequently associated with head and neck cancer (HNC) and its treatment. OFP negatively impacts the quality of life of oncological patients. The approach to OFP diagnosis and management can differ if the patient visits a dentist or physician. The aim of this study was to present a case series of HNC with OFP managed by a dentist team and to discuss its role in the management of OFP. Material and Methods: We recruited twenty-two adult patients with OFP and previous diagnosis of HNC referred to an academic dental clinic from 2015 to 2017. Results: Nociceptive was more frequent than mixed and neuropathic pain, however 54,4% of the cases showed a neurological component. All types of pain were managed by dentist through removal of pain's cause and appropriated local and systemic treatment. The intensity of pain was reduced in 86,3% of patients, and 45,4% of them reported absence of pain at the end of treatment. Conclusions: Dentist's assessment plays a distinct and crucial role in the diagnosis and management of OFP in HNC patients throughout the oncological treatment.

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“…At the beginning, pain could be associated with neoplasm and its growth or paraneoplastic neuropathy. Perineural spread of HNC can give trigeminal neuropathic symptomatology in up to 80% of patients (28). This occurs due to inflammation within closed spaces that may carry out nerve damage secondary to tumor pressure-induced ischemia (16).…”

Section: Discussionmentioning

confidence: 99%

“…Definition of OFP’s type based on pathophysiological classification is essential to determine its appropriated pain management (28). Intermittent nociceptive somatic pain was the most frequent type of pain observed in this study, with a variety of sensations.…”

Section: Discussionmentioning

confidence: 99%

Dental approach of orofacial pain in head and neck cancer patients

et al. 2018

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BackgroundOrofacial pain (OFP) is an undesirable sensation frequently associated with head and neck cancer (HNC) and its treatment. OFP negatively impacts the quality of life of oncological patients. The approach to OFP diagnosis and management can differ if the patient visits a dentist or physician. The aim of this study was to present a case series of HNC with OFP managed by a dentist team and to discuss its role in the management of OFP.Material and MethodsWe recruited twenty-two adult patients with OFP and previous diagnosis of HNC referred to an academic dental clinic from 2015 to 2017.ResultsNociceptive was more frequent than mixed and neuropathic pain, however 54,4% of the cases showed a neurological component. All types of pain were managed by dentist through removal of pain’s cause and appropriated local and systemic treatment. The intensity of pain was reduced in 86,3% of patients, and 45,4% of them reported absence of pain at the end of treatment.ConclusionsDentist’s assessment plays a distinct and crucial role in the diagnosis and management of OFP in HNC patients throughout the oncological treatment. Key words:Pain, orofacial, neoplasm, head and neck, dentist.

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Cancer and orofacial pain

Cited by 12 publications

References 76 publications

Intraoral Potentially Malignant Disorders in a Brazilian Oral Pathology Service: Epidemiological, Clinical, and Histopathological Findings

Intraoral Potentially Malignant Disorders in a Brazilian Oral Pathology Service: Epidemiological, Clinical, and Histopathological Findings

10 - Dental Approach of Orofacial Pain in Head and Neck Cancer Patients

Dental approach of orofacial pain in head and neck cancer patients

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