État dentaire des patients atteints d’un cancer des voies aérodigestives supérieures

Rouers, M.; Truntzer, P.; Dubourg, Sarah; Guihard, S.; Antoni, D.; Noël, G.

doi:10.1016/j.canrad.2015.01.004

Cited by 6 publications

(2 citation statements)

References 38 publications

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“…ключевые слова: слизистая оболочка, полость рта, плоскоклеточный рак, локальные осложнения, стоматологическая помощь, челюстно-лицевая область Подавляющее большинство пациентов с ПКр оПр имеют дефекты твердых и мягких тканей в челюстно-лицевой области (ЧЛо): кариозные поражения и их осложнения, пародонта, заболевания СоПр, а также низкий уровень гигиены полости рта [1,3,49]. несмотря на ведущую роль других специалистов в лечении ПКр оПр, врач-стоматолог также обязан принимать активное участие в ведении данной группы пациентов [4,10].…”

Section: местные осложнения при лучевом и химиотерапевтическом лечени...unclassified

Local Complications of Radiation and Chemotherapy Treatment of Patients With Squamous Cell Carcinoma of the Mucosa of the Oral Cavity

Kochurova¹,

Mukhanov²

2018

Problems in oncology

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Question on comprehensive dental care to patients with squamous cell carcinoma (SCC) of the mucous membrane of the oral cavity (MMOC) showed the importance of a team approach of physicians of allied specializations, careful planning and consistent implementation of rehabilitation treatment stages of cancer. The implementation of preventive measures showed a reduced severity or absence of complications conducted by the primary treatment. The data about the important role of preoperative sanitation of the oral cavity are presented. There are described the pathogenesis of the most common complications and identified effective methods of prevention and treatment, as well as the mechanisms of action of different prevention methods. Characteristic signs of “radiation caries”, oral mucositis, dysgeusia, xerostomia, lockjaw chewing muscles, osteoradionecrosis, dysphagia and neurotoxic effects of chemotherapy drugs are marked. It is necessary to emphasize the considerable effect of such complications on quality of life of patients after treatment. This again proves a need for an integrated approach and participation in the work of the specialists of a number of related disciplines.

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Section: местные осложнения при лучевом и химиотерапевтическом лечени...unclassified

Local Complications of Radiation and Chemotherapy Treatment of Patients With Squamous Cell Carcinoma of the Mucosa of the Oral Cavity

Kochurova¹,

Mukhanov²

2018

Problems in oncology

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“…Indeed, aggressiveness of postirradiation dental care must be prevented because of the weakness of these tissues. 1 2 6 7 8 9 10 11 12 13 14 15 16 In this context, knowledge of dose distribution is key to safely managing dental care. 17 Thanks to dose-volume histograms in healthy tissues, risks of complications can be predicted and dental care can be adapted.…”

Section: Introductionmentioning

confidence: 99%

Ability to Propose Optimal Prosthetic Rehabilitation can be Improved by Discussion between the Dentist and Radiation Oncologist Regarding Upstream Dosimetry

Rouers

Bornert

Truntzer³

et al. 2019

Eur J Dent

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Objective Improvement of dental rehabilitation for patients who have undergone radiation therapy requires knowledge of the dose in the maxillary and mandible bones. Materials and Methods Forty-three patients with head and neck cancers underwent evaluation for dental rehabilitation before radiation treatment dosimetry. The delivered dose to the maxilla and mandible was determined. From the dose data in the literature, three levels of risk of implant failure were defined. According to the delivered doses, the authors calculated the percentage of patients who could be fully rehabilitated with an implant, as proposed by the dentist before radiation planning. Results Before dosimetry calculation, all of the completely edentulous arches and 94 partially edentulous (PESs) sextants could be optimally rehabilitated. After dose calculation, among the 14 arches of 7 patients who were completely edentulous, according to the mean and maximal delivered doses, 11 arches (78.6%) and 7 arches (50%) could receive an optimal prosthesis, respectively. For the three patients, who were PESs but with one arch that was completely edentulous, according to the mean and maximal delivered doses, one arch for each dose condition could receive an optimal prosthesis. Among the 94 PESs sextants, according to the mean and maximal delivered doses, 41 (43.6%) and 24 (25.5%) sextants could receive an optimal prosthesis, respectively. Conclusion By determining the sites of implantation before dosimetry, the radiation oncologist could shield specified areas, potentially improving the possibilities for dental rehabilitation. The dialogue between the dentist and the radiation oncologist can improve the possibilities for implants and decrease the risk of unsafe implantation.

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État buccodentaire des patients avant radiothérapie des voies aérodigestives supérieures : analyse prospective de 48 patients

Rouers¹,

Dubourg

Bornert

et al. 2016

Cancer/Radiothérapie

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État dentaire des patients atteints d’un cancer des voies aérodigestives supérieures

Cited by 6 publications

References 38 publications

Local Complications of Radiation and Chemotherapy Treatment of Patients With Squamous Cell Carcinoma of the Mucosa of the Oral Cavity

Local Complications of Radiation and Chemotherapy Treatment of Patients With Squamous Cell Carcinoma of the Mucosa of the Oral Cavity

Ability to Propose Optimal Prosthetic Rehabilitation can be Improved by Discussion between the Dentist and Radiation Oncologist Regarding Upstream Dosimetry

État buccodentaire des patients avant radiothérapie des voies aérodigestives supérieures : analyse prospective de 48 patients

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