Oral Health Needs of the Head and Neck Radiotherapy Patient: 1. Epidemiology, Effects of Radiotherapy and Role of the GDP in Diagnosis

MacCarthy, Denise; Omer, O. H.; Nunn, June; Cotter, Edward

doi:10.12968/denu.2005.32.9.512

Cited by 9 publications

(6 citation statements)

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“…The risk of development of periodontal disease and, consequently, ORN is diminished in patients receiving topical fluoride applications and also maintaining good oral hygiene [41]. On the basis of the present results, a demand for further education is evident, especially a transfer of head–neck-tumour patients to special care programs is needed as is performed for patients after transplantation for example [14, 21, 27, 32]. Consolidated and collective concepts of all involved disciplines are now important [2, 6].…”

Section: Discussionmentioning

confidence: 97%

Dental therapy before and after radiotherapy–an evaluation on patients with head and neck malignancies

Sennhenn-Kirchner

Freund²,

Grundmann³

et al. 2008

Clin Oral Invest

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The present investigation evaluates the dental care situation of patients with head and neck cancer before and after radiotherapy. The situations of these patients in 1993 and 2005 were compared to detect similarities, differences and developments. In the years 1993 and 2005, 37 and 36 patients, respectively, with head and neck cancer treated by the local departments of otorhinolaryngology and of radiotherapy were examined consecutively according to their aftercare appointments. Time points of radiotherapy treatment of the patients evaluated in 1993 varied from 1984 to 1993. The patients evaluated in 2005 had received radiotherapy between 1998 and 2005. Therefore the applied radiotherapeutic regimen differed not only between the two groups of patients, but also within each group. The information for these investigations was provided anonymously. It was evaluated with descriptive statistics. The evaluation of the data shows distinct differences with respect to preventive and therapeutic dental care measures. In 2005, 35 out of 36 patients (97.2%) had a dental consultation before radiotherapy (1993, 65%). All 27 dentate patients (100%) obtained a splint for fluoride application (1993, none). 29% fewer edentulous patients were seen than in 1993. The number of teeth destroyed decreased from 19.2% (1993) to 7.8% in 2005. Mycoses due to Candida spp. and chronic failures in wound healing were rare (5.5%). In the course of the 12 years, prophylactic measures, such as the application of splints for fluoride treatment, were intensified. However, concepts for the dental care of patients undergoing radiotherapy, especially following the radiation, should be widened to avoid ruined teeth and long delayed wound healings.

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Section: Discussionmentioning

confidence: 97%

Dental therapy before and after radiotherapy–an evaluation on patients with head and neck malignancies

Sennhenn-Kirchner

Freund²,

Grundmann³

et al. 2008

Clin Oral Invest

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“…26 Educational campaigns to raise public and professional awareness of HNC have long been advocated. 3,7,10,22 In…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Pathway of Head & Neck Cancer Patients in Ireland: Audit of patterns of first attendance 1983-2019.

O’Sullivan¹,

MacCarthy²

2022

Journal of the Irish Dental Association

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##Objectives: This audit explores patterns of HNC patient presentation in primary care in Ireland over four decades and reflects on the possible impact of a 10-year national HNC awareness campaign. ##Materials and Methods: Trends in patient presentation and diagnosis are presented for 920 HNC patients across three time periods: 1983-1990, 2010 and 2018-2019. Descriptive analysis was undertaken using SPSS-v27 on basic demographic details, tumour-related details and primary care referral patterns. ##Results: Patients were generally male (71%), aged 54+ (71%), and 84% were diagnosed with squamous cell carcinoma (SCC). Larynx, tongue and tonsil were the most common sub-sites. General Medical Practitioners (GPs) were the first healthcare contact for 75% cases, with only13% referred by General Dental Practitioners (GDPs). This pattern remained consistent across four decades. GDP role was higher for tongue, floor of mouth and intra-oral tumours (30-47%), with some increase seen in recent years. While symptomology varied by site, symptom burden remained high across the decades with 99.9% exhibiting 1+ NICE ‘red flag signs’ of HNC, suggesting considerable diagnostic delay, despite a 10-year national campaign to raise public and professional awareness. ##Conclusions: This audit highlights the role of GPs in HNC diagnosis, but reveals sub-optimal use of the dental pathway. The high symptom burden reported suggests considerable diagnostic delay. Increased and sustained efforts are required to raise public and professional awareness, encourage regular dental attendance, upskill HCP in opportunistic screening and ensure appropriate responses to symptomatic patients.

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“…17,19 A regime that involves a 1.5-MHz sine wave, a 200-s pulse duration in each cycle, followed by an 800-s intermission (1:4 pulse wave), 1,000 cycles in 1 second (repeated frequency, 1 kHz), mean pulse duration intensity of 30 m/cm 2 , and a pulse intensity of 150 mW/cm 2 can effectively accelerate bone healing. [20][21][22] Although low-intensity pulse ultrasound has shown excellent performance in the inflammatory, healing, and reconstruction stages 23 and in the acceleration of revascularization in bone tissues, 10 it has not been reported whether low-intensity ultrasound can prevent and treat ORNM.…”

Section: Low-intensity Ultrasound In Bone Reconstructionmentioning

confidence: 99%

Ultrasonic Treatment of Canine ORNM

Chen

et al. 2013

Journal of Oral and Maxillofacial Surgery

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Oral Health Needs of the Head and Neck Radiotherapy Patient: 1. Epidemiology, Effects of Radiotherapy and Role of the GDP in Diagnosis

Abstract: The aim of this paper is to review the rationale for the different treatment modalities and the oral/dental side-effects of each.

Cited by 9 publications

References 0 publications

Dental therapy before and after radiotherapy–an evaluation on patients with head and neck malignancies

Dental therapy before and after radiotherapy–an evaluation on patients with head and neck malignancies

Diagnostic Pathway of Head & Neck Cancer Patients in Ireland: Audit of patterns of first attendance 1983-2019.

Ultrasonic Treatment of Canine ORNM

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