Oral evaluation and procedures performed by dentists in patients admitted to the intensive care unit of a cancer center

Silva, Ana Paula; Caruso, Pedro; Jaguar, Graziella Chagas; Carvalho, Paulo André Gonçalves De; Alves, Fábio Abreu

doi:10.1007/s00520-014-2233-0

Cited by 20 publications

(30 citation statements)

References 26 publications

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“…Fungal and virus infections in the oral cavity are common in immunocompromised patients [10,25,26]. Similarly, our results showed a prevalence of 5.6 and 5.1% for oral candidiasis and oral herpes simplex, respectively; while in previously published retrospective studies evaluating oncologic inpatients, the incidences ranged from 16.6 to 39.1% [3,[9][10][11]. This difference may be attributed to the evaluation of hospitalized patients with several cancer diagnoses as well as the variety of reasons that lead to their hospitalizations.…”

Section: Discussionsupporting

confidence: 84%

“…In this context, impaired dental hygiene and oral lesions may lead to high rates of local (odontogenic infections) and systemic infections, such as respiratory diseases (ventilator-associated pneumonia), which have the potential to cause delays in, or interruptions to cancer treatment, as well as a decrease in the quality of life of patients. These oral complications secondary to cancer progression or related to oncologic treatment may also increase the overall treatment cost, due to the need for special diet (feeding tubes), analgesia with opioids, and prolonged hospitalization [3][4][5][6][7][8][9]. However, most of the previously published studies in this field focused on describing systemic complications in hospitalized cancer patients [8,10,11].…”

Section: Introductionmentioning

confidence: 99%

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Dental treatment needs in hospitalized cancer patients: a retrospective cohort study

Oliveira

Martins

Santos‐Silva

et al. 2019

Support Care Cancer

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Purpose The objectives of this study were to describe the distribution and the clinicopathological features of the most common causes for dental treatment needs during the hospitalization of cancer patients. Methods A retrospective cohort study of 2664 hospitalized cancer patients that analyzed the main dental treatment needs and dental procedures performed from January 2010 to December 2017. Results A total of 2664 medical patients were included in this study. Non-Hodgkin lymphoma (17.2%) was the most common cancer type, followed by leukemia (14.8%), and oral and oropharyngeal squamous cell carcinoma (10.5%). The most common reasons for patients' hospitalization were chemotherapy protocols (18.8%), monitoring head and neck surgeries (9.7%), and febrile neutropenia (9.6%). The main motivation for the medical team to request dental evaluation was oral mucositis (22.8%) followed by oral pain or toothache (10.8%) and fungal, viral oral infections or traumatic oral lesions (9.9%). The dental treatment needs most observed were pain due to oral mucositis (17%), dental treatment prior to radiotherapy (RT), chemotherapy (CT) or bisphosphonate therapy (BP) (10.8%), teeth extractions (6.5%), and prophylactic photobiomodulation therapy (6.3%), whereas the most common dental treatments performed were oral hygiene protocols (30.2%), photobiomodulation therapy (prophylactic and curative) (21.7%), and dental treatment prior to cancer treatment initiation (RT, CT, and BP) (9.5%). Conclusion This study can be considered original in the oncologic context, providing new information about the most frequent dental treatment needs among a large population of hospitalized cancer patients.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Dental treatment needs in hospitalized cancer patients: a retrospective cohort study

Oliveira

Martins

Santos‐Silva

et al. 2019

Support Care Cancer

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“…6 In addition, studying the systematic promotion of good oral health in patients admitted to intensive care units (ICUs) is relevant to studies on ventilator-associated pneumonia. 1,2,[6][7][8] The literature has indicated the possibility of developing ventilator-associated pneumonia 1,2,5,7,9 and that bacterial oropharyngeal colonization is an important risk factor, indicating that care in oral intervention can prevent plaque buildup, promote improvement in immunity, and reduce the possibility of developing these infections. 1,[9][10][11] Finally, it is important to evaluate the effect of research that can establish parallels between oral health factors including components of oral microbial flora immunity and dental plaque and how these variables may influence…”

Section: Introductionmentioning

confidence: 99%

Oral Health of Patients Hospitalized in the Intensive Care Unit

Jl¹,

Gd²,

Ga³

et al. 2016

The Journal of Contemporary Dental Practice

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Aim: Oral hygiene technique is an important factor in maintaining the health and comfort of hospitalized patients given the frequent presence of oral biofilm and pathogens brought on by mouth breathing. This is an important practice to assist patients in intensive care, in particular those who are intubated and under mechanical ventilation because the realization of oral hygiene reduces the patient's risk of complications and length of hospitalization. The objective of this research was to evaluate the oral health condition of patients hospitalized in an intensive care unit (ICU) and to clarify the importance of protocol standardization involving these patients' buccal hygiene. Materials and methods: In this study, the sample consisted of 45 patients admitted to an ICU who were evaluated in relation to the oral biofilm score index. Results: The results indicated that there was no significant difference in the biofilm score associated with the genre (p = 0.091), age group (p = 0.549), or teething profile (p = 0.207). However, the biofilm score was greater in partial and fully edentulous patients when compared with dentulous patients. Conclusion: Based on these results, it is recommended that care providers in ICUs complete the relevant oral health care training programs. Clinical significance: When in the ICU, suitable dental conduct following a protocol of prevention of oral biofilm can lead to earlier diagnosis and can prevent the spread of pathogenic microorganisms, particularly those that are systemic in patients with low immunity.

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“…Embora a sepse causada por infecção dentária seja rara, podem se disseminar rapidamente para os espaços profundos da face e pescoço e afetar outras estruturas, levando a complicações, como: comprometimento de vias aéreas, mediastinite, trombose de seio cavernoso ou até mesmo o óbito 5,6 . A odontologia hospitalar é uma área de suma importância para a saúde bucal e sistêmica dos pacientes que estão internados nos hospitais, proporcionando melhora no quadro clinico dos pacientes e consequentemente diminuem o tempo de internação.…”

Section: Gráficounclassified

“…A odontologia hospitalar é uma área de suma importância para a saúde bucal e sistêmica dos pacientes que estão internados nos hospitais, proporcionando melhora no quadro clinico dos pacientes e consequentemente diminuem o tempo de internação. Também relatam que suas ações devem ser reconhecidas pela comunidade cientifica e pela população em geral 6 . Os profissionais entrevistados acreditam que devem existir programas de incentivo e apoio a inclusão do Cirurgião-Dentista nas Unidades de Terapia Intensiva.…”

Section: Gráficounclassified

Análise sobre a presença do cirurgião-dentista em Unidades de Terapia Intensiva da região metropolitana do Cariri-CE

Filho¹,

Neto²,

Júnior³

et al. 2018

Arch Health Invest

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ResumoIntrodução: A odontologia hospitalar enfrenta dificuldades que vão além do domínio profissional como o desafio do cirurgião-dentista sair de sua zona de conforto em consultórios até a necessidade de sua aceitação no âmbito hospitalar. OBJETIVOS: Analisar o conhecimento das equipes multidisciplinares/interdisciplinares que atuam em Unidades de Terapia intensivas da região metropolitana do Cariri-CE, sobre a participação e atuação do cirurgião dentista. Material e Método: A amostra foi composta de 40 profissionais atuante nas Unidades de Terapia intensivas da região metropolitana do Cariri-CE, avaliada através da aplicação de questionários estruturados a respeito do conhecimento sobre a atuação do cirurgião dentista na equipe. Resultados: 94,80% acreditam que é importante a presença do cirurgião dentista nas em Unidades de Terapia intensivas. 61% dos profissionais citaram que sepse e infecções bucais podem ocorrer na maioria dos pacientes pela condição bucal precária; 11% citaram quadros de pneumonia, abcessos dentários e endocardite infeciosa. 58,8% acreditam que o cirurgião dentista possa trazer redução dos custos hospitalares. Conclusão: Conclui-se que o entendimento da atuação do profissional de odontologia nas equipes multidisciplinares de em Unidades de Terapia intensivas, torna-se indispensável e imprescindível, para promoção e prevenção de agravos a saúde geral do paciente. Descritores: Unidades de Terapia Intensiva; Endocardite; Doenças da Boca; Doenças da Gengiva. AbstractIntroduction: Hospital dentistry faces difficulties that go beyond the professional domain as the challenge of the dental surgeon to leave his comfort zone in offices until the need for its acceptance in the hospital scope. Objectives: To analyze the knowledge of the multidisciplinary / interdisciplinary teams that work in intensive care units in the metropolitan region of Cariri-CE, about the participation and performance of the dentist surgeon. Methods: The sample consisted of 40 professionals working in the intensive care units of the metropolitan region of Cariri-CE, evaluated through the application of structured questionnaires regarding the knowledge about the performance of the dentist surgeon in the team. Results: 94.80% believe that the presence of the dental surgeon in the intensive care units is important. 61% of the professionals mentioned that sepsis and oral infections may occur in the majority of patients due to precarious oral conditions; 11% cited pneumonia, dental abscesses and infective endocarditis. 58.8% believe that the dental surgeon can reduce hospital costs. Conclusions: It is concluded that the understanding of the performance of the dentistry professional in the multidisciplinary teams of intensive care units is essential and essential for the promotion and prevention of injuries to the general health of the patient. Descriptors: Intensive Care Units; Endocarditis; Mouth Diseases; Gingival Diseases. ResumenIntroducción: La odontología hospitalaria enfrenta dificultades que van más allá del dominio profes...

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Oral evaluation and procedures performed by dentists in patients admitted to the intensive care unit of a cancer center

Abstract: In conclusion, most of the patients presented oral problems related to side effects of oncological treatment. The dentist's participation in the ICU is important for the prevention, diagnosis, and treatment of oral problems.

Cited by 20 publications

References 26 publications

Dental treatment needs in hospitalized cancer patients: a retrospective cohort study

Dental treatment needs in hospitalized cancer patients: a retrospective cohort study

Oral Health of Patients Hospitalized in the Intensive Care Unit

Análise sobre a presença do cirurgião-dentista em Unidades de Terapia Intensiva da região metropolitana do Cariri-CE

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