Radiation caries in patients receiving cancer therapy: a review of the literature and their own clinical observations

Обухов, Ю. А.; Жуковская, Е. В.; Karelin, Alexander

doi:10.17650/2311-1267-2018-5-4-40-50

Cited by 6 publications

(1 citation statement)

References 26 publications

(22 reference statements)

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“…The recent years have witnessed an increase in the overall intensive incidence of oral cavity and pharyngeal cancer. Treatment of such patients in most cases is combined; as claimed by the WHO, about 70-75% of such patients need radiation therapy [1,2], which has a number of complications. One of the late effects is radiation caries.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Enamelinfiltration After Radiation Therapy in Patients With Oral Cavity Cance

Mansur¹,

Verstakov²,

Scherbakov³

et al. 2020

AREM

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Prevention and treatment of dental hard tissue pathologies in patients exposed to combined and radiation treatment of oral cavity and pharyngeal malignancies are an urgent and challenging issue for the clinical dentistry. Deterioration of tooth enamel after radiation is similar to caries in the spot stage, which allows using infiltration of tooth enamel. Aim of the study: to identify the effectiveness of enamel infiltration with Icon in patients subjected to radiation therapy for the oral cavity cancer. Materials and methods: enamel infiltration was performed for the vestibular and proximal surfaces of 35 teeth in patients who received radiation therapy for oral cancer (squamous cell tongue carcinoma, squamous cell amygdala carcinoma). The study outcomes were evaluated 6 months, 1 year and 1.5 years following the treatment. Results and discussion: enamel gloss was recovered in 32 teeth; chalky spots disappeared completely in 28 cases, while another 7 cases featured significantly decreased severity. In total, the progression of the carious process was to be observed in 14.3% of the cases within 1.5 years, mainly on the proximal surfaces of the teeth. Conclusion: enamel infiltration with Icon is an effective treatment for enamel demineralization in patients who underwent radiation therapy. K E y w o r d s-radiation caries, enamel infiltration method.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Enamelinfiltration After Radiation Therapy in Patients With Oral Cavity Cance

Mansur¹,

Verstakov²,

Scherbakov³

et al. 2020

AREM

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Treatment of patients with radiation-induced xerostomia using saliva substitutes as an integral part of complex substitution therapy

Afanasjev

Titova

Vinokurov

2021

Russian Journal of Dentistry

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BACKGROUND: Dry mouth (xerostomia) can be a symptom of various diseases of human organs and systems and caused by prolonged intake of medications as well as chemoradiation treatment of malignant tumors of the maxillofacial area. Xerostomia treatment remains a challenging task. AIM: This study aimed to improve the treatment methods of patients with xerostomia. MATERIAL AND METHODS: Fifty patients with xerostomia were treated and distributed into two groups. Group 1 consisted of 23 patients treated with Hiposalix spray (France). Group 2 included 27 patients treated using the Xerostom (Spain) saliva substitute. All patients underwent sialometry, sialography, and study of the secretion viscosity before and after treatment. RESULTS: At 1 month after treatment, 22 (96%) patients of group 1 noted an improvement. At the same time, an objective increase in the secretion level was detected in 2 (9%) patients. All patients of group 2 noted significant improvement in the condition of the oral cavity. However, sialometry showed that the level of saliva secretion remained the same. CONCLUSIONS: Thus, the use of saliva substitutes produced by Hiposalix and Xerostom significantly reduced or prevented the subjective sensation of dry mouth without an objective increase in saliva secretion.

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Dental manifestations of antitumor therapy: literature review and practical recommendations

Esiev,

Kupeeva,

Tsokova

et al. 2024

Russian Journal of Dentistry

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Cancer therapy is accompanied by a wide range of systemic manifestations, including dental ones, including xerostomia, mucositis, muscle trism, osteoradionecrosis, caries, opportunistic infections, dysphagia, hypogeusia, dysgeusia and hyposalivation. The dentist is the most qualified specialist in the field of diagnosis and treatment of diseases of the oral cavity, as well as preventive measures to monitor its condition in cancer patients undergoing radiation or chemotherapy. The purpose of the review is to analyze the domestic and foreign literature on the main dental consequences that may arise as a result of cancer therapy, emphasizing the importance of dental care to improve the quality of life of such patients, as well as to provide practical recommendations for eliminating these consequences. The primary sources were searched in the electronic databases PubMed, eLibrary and Google Scholar. In the end, 55 primary sources were included in this review. Damage to the oral cavity during antitumor therapy, which includes conditions such as mucositis, infections, hyposalivation, taste changes and pain, can be significant. These manifestations are potentially capable of disrupting many aspects of the functioning of the oral cavity and oropharynx, affecting taste sensations, causing dry mouth, difficulty chewing and swallowing and, as a result, affecting nutrition. Moreover, they can negatively affect speech function, the ability to maintain oral hygiene, dental prosthetics and a person's appearance, which can affect oral health, social and emotional well-being. These side effects can also affect adherence to planned anticancer therapy, potentially affecting the outcome of treatment, overall health, and cost of treatment. When examining cancer patients, the dentist should take into account the therapy received by the patient, it is also important to pay attention to possible long-term effects similar to those that may occur in patients receiving bisphosphonates. Thus, the cancer patient will not stop receiving proper medical care, and any new problem will be diagnosed at an early stage.

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Radiation caries in patients receiving cancer therapy: a review of the literature and their own clinical observations

Cited by 6 publications

References 26 publications

Effectiveness of Enamelinfiltration After Radiation Therapy in Patients With Oral Cavity Cance

Effectiveness of Enamelinfiltration After Radiation Therapy in Patients With Oral Cavity Cance

Treatment of patients with radiation-induced xerostomia using saliva substitutes as an integral part of complex substitution therapy

Dental manifestations of antitumor therapy: literature review and practical recommendations

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