Oral hygiene protocol for maxillofacial cancer patients treated with or without adjuvant radiotherapy

Pompa, Giorgio; Papi, Piero; Jamshir, Sara; Guarino, G; Brauner, Edoardo

doi:10.1007/s12548-014-0117-z

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…Patients with a periodontitis history less than 3 years include some individuals with late diagnosis of periodontitis, and their risk of pharyngeal cancer showed an obvious increase (aOR, 1.85 and 1.47; 95% CI, 1.07 to 3.19 and 1.09 to 1.98, respectively; Table 4). Regarding the results mentioned previously, the concept of oral hygiene and routine dental procedures as well as general health education should be increasingly advocated and promoted [61]. Even though National health insurance in Taiwan covers the costs of SRP, the utilization rate of dentist and oral health care remain low (lower than 50% in Taiwan).…”

Section: Discussionmentioning

confidence: 99%

Effect of Periodontitis and Scaling and Root Planing on Risk of Pharyngeal Cancer: A Nested Case—Control Study

Chen

Lin

et al. 2020

IJERPH

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This study investigated the association between periodontitis and the risk of pharyngeal cancer in Taiwan. For this population-based nested case–control study using the Longitudinal Health Insurance Database derived from Taiwan’s National Health Insurance Research Database, we identified patients (n = 1292) who were newly diagnosed with pharyngeal cancer between 2005 and 2013 and exactly paired them with propensity score matched control subjects (n = 2584). Periodontitis and scaling and root planing (SRP) were identified before the index date. Pharyngeal cancer was subdivided into 3 subgroups on the basis of anatomic location: nasopharyngeal cancer, oropharyngeal cancer, and hypopharyngeal cancer. A multiple conditional logistic regression model was applied to analyze the adjusted odds ratio (aOR). Periodontitis was associated with an increased risk of pharyngeal cancer (aOR, 1.57; 95% confidence interval (CI), 1.17 to 2.10), especially oropharyngeal cancer (aOR, 2.22; 95% CI, 1.07 to 4.60). We found a decreased risk of pharyngeal cancer in patients who had undergone SRP (aOR, 0.77; 95% CI, 0.61 to 0.96). In conclusion, this study showed that periodontitis was associated with an increased risk of pharyngeal cancer and SRP exerted a protective effect against pharyngeal cancer. Our results suggest that treating periodontitis and performing SRP, which are modifiable factors in oral health, in clinical practice may provide an opportunity to decrease the disease burden of pharyngeal cancer in Taiwan.

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Section: Discussionmentioning

confidence: 99%