Impact of Clustering Oral Symptoms in the Pathogenesis of Radiation Caries: A Systematic Review

Vasconcellos, Adriele Ferreira Gouvêa; Palmier, Natália Rangel; Ribeiro, Ana Carolina Prado; Normando, Ana Gabriela Costa; Morais-Faria, Karina; Gomes-Silva, Wagner; Filho, Aljomar José Vechiato; Góes, Mário Fernando de; Leme, Adriana Franco Paes; Brandão, Thaís Bianca; Lopes, Márcio Ajudarte; Marsh, Philip; Santos‐Silva, Alan Roger

doi:10.1159/000504878

Cited by 23 publications

(13 citation statements)

References 41 publications

(171 reference statements)

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“…Radiation caries is known as one of radiation hazards as a result of the head and neck region radiotherapy with a high potential for destruction of the dentition (5) . Scientific proof reports that patients bear a lifetime danger of promoting radiation caries subsequent to radiation therapy (6) .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Therapeutic Role of the Low Level Laser on the Gamma Irradiated Teeth and the Antimicrobial Salivary Biomarkers in Rat’s Model: an Experimental Study

2021

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The aim of the study was to examine the impact of Low-level laser therapy (LLLT) on gamma-irradiated teeth regarding tooth structure hardness, salivary pH and salivary IgA. Material and Methods: Thirty adult male albino rats were separated into three groups, which were control group, irradiated group (animals irradiated with a dose of 6 Gy) and gamma irradiated + Laser (the rats wear exposed to low level laser after three days of gamma radiation). Results: The obtained results revealed that the combination group (Gamma + Laser) recorded the highest salivary IgA followed by Control group while Gamma group recorded the lowest salivary IgA. Also, it was found that the Control group recorded the highest salivary pH followed by the combination group while Gamma group recorded the lowest salivary pH. The combination group (Gamma + Laser) recorded the highest tooth hardness followed by Gamma group while the control group recorded the lowest tooth hardness. Conclusion: With the limitations of this study, it was conducted that the Low-level laser therapy post gamma irradiation reflected a significant increase in salivary pH, salivary IgA and tooth hardness compared to both the control and the gamma-irradiated groups.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Therapeutic Role of the Low Level Laser on the Gamma Irradiated Teeth and the Antimicrobial Salivary Biomarkers in Rat’s Model: an Experimental Study

2021

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“…Além disso, os sintomas causados pelos efeitos colaterais crônicos do tratamento antineoplásico de cabeça e pescoço podem contribuir indiretamente para o início da CRR e sua progressão, compondo um panorama muito mais complexo em termos de patogênese da cárie (Gouvêa et al, 2020). Dessa forma, os protocolos atuais de prevenção e tratamento da CRR devem levar em consideração esse agrupamento mais amplo de toxicidades associado à radioterapia (Gouvêa et al, 2020) (Figura 3). Figura 3.…”

Section: Características Clínicas Da Crrunclassified

Manejo da cárie relacionada à radiação em pacientes oncológicos de cabeça e pescoço: Evidência científica

Rodrigues

Souza

Carvalho

et al. 2021

RSD

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Pacientes diagnosticados com neoplasias malignas na região de cabeça e pescoço frequentemente são tratados por meio de radioterapia. Apesar da eficácia em erradicar células cancerígenas, a radiação ionizante pode atingir tecidos sadios próximos ao tumor acarretando efeitos indesejáveis ao paciente como hipossalivação, xerostomia, mucosites, necrose de tecidos moles e duros e cárie relacionada à radiação (CRR). A CRR é uma doença multifatorial e altamente destrutiva, que compromete a função oral do paciente. O manejo de pacientes com CRR está se tornando cada vez mais comum na prática odontológica, visto que os índices de cura de neoplasias malignas têm sido maiores com os avanços da medicina. Nesse contexto, o presente trabalho objetivou discutir os principais fatores relacionados ao desenvolvimento da CRR, assim como as dificuldades e limitações encontradas no seu tratamento e controle. Foi realizada uma revisão de literatura de caráter narrativo e qualitativo, a partir do levantamento de artigos científicos encontrados nas bases de dados Google Scholar, Pubmed e SciELO, sem restrição de ano de publicação e idioma. Para isto, foram utilizadas as palavras-chave: Cárie Dentária; Dentina; Esmalte Dentário; Neoplasias Bucais; Radioterapia. Conclui-se que não há um protocolo bem definido de tratamento da CRR na literatura, sendo o processo restaurador bastante desafiador ao cirurgião-dentista. Enfatiza-se a necessidade de melhor detalhamento metodológico dos trabalhos avaliados e mais estudos sobre o tema no intuito de estabelecer um protocolo clínico eficaz, buscando, sobretudo, restabelecer saúde e melhorar qualidade de vida.

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“…12 The buffering and tooth remineralization capacity is reduced, leading to the loss of the demineralization/ remineralization balance and facilitating a greater propensity for dental caries. 36 In addition, xerostomia causes discomfort, pain, and irritation related to oral dryness, altering the psychological dimension of patient. 33 One of the late side effects is radiation-related caries, a multifactorial condition with a high potential for tooth destruction.…”

Section: Oral Manifestation In Patients With Head and Neck Cancermentioning

confidence: 99%

Head and neck cancer therapy-related oral manifestation management in the COVID-19 pandemic: a critical review

Miranda

Franco

Cabral³

et al. 2020

Braz. oral res.

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With the onset of the new coronavirus disease (COVID-19) pandemic, the dental treatment of patients at risk of infection has become quite challenging. In view of this, patients with head and neck cancer may present with oral complications due to anticancer therapy, making dental assistance necessary. Thus, the objective of the study was to review the literature and critically discuss important concerns about the treatment of patients with head and neck cancer during the COVID-19 pandemic. Because dental professionals are in close contact with the main viral transmission routes, this study presents recommendations for management and protection during clinical dental care. The main characteristics and transmission routes of COVID-19 are also discussed. Dental professionals should control pain and the side effects of antineoplastic treatment and use preventive measures for infection control. During this pandemic, patients with head and neck cancer should not undergo elective procedures, even if they do not have symptoms or a history of COVID-19; therefore, in asymptomatic or painless cases, only preventive actions are recommended. In symptomatic or painful cases, precautions for safe interventional treatments must be implemented by following the hygiene measures recommended by health agencies and using personal protective equipment. During health crises, new protocols emerge for cancer treatment, and professionals must act with greater attention toward biosafety and updated knowledge. It is important to offer adequate individualized treatment based on the recommendations of preventative and interventional treatments so that patients can face this difficult period with optimized quality of life.

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Impact of Clustering Oral Symptoms in the Pathogenesis of Radiation Caries: A Systematic Review

Abstract: This is a repository copy of Impact of Clustering Oral Symptoms in the Pathogenesis of Radiation Caries: A Systematic Review.

Cited by 23 publications

References 41 publications

Evaluation of the Therapeutic Role of the Low Level Laser on the Gamma Irradiated Teeth and the Antimicrobial Salivary Biomarkers in Rat’s Model: an Experimental Study

Evaluation of the Therapeutic Role of the Low Level Laser on the Gamma Irradiated Teeth and the Antimicrobial Salivary Biomarkers in Rat’s Model: an Experimental Study

Manejo da cárie relacionada à radiação em pacientes oncológicos de cabeça e pescoço: Evidência científica

Head and neck cancer therapy-related oral manifestation management in the COVID-19 pandemic: a critical review

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