The effectiveness of an oral health education and prevention program on the incidence and severity of oral mucositis in pediatric cancer patients: a non-randomized controlled study

Impact of COVID-19 on Oral Healthcare for Oncopediatric Patients: The Setting in a Reference Hospital in Northeast Brazil

“…It is noteworthy that the discontinuity in providing oral healthcare and health surveillance can lead to greater frequency and severity of oral comorbidities [22,23], as well as affect the quality of life of children and adolescents undergoing cancer treatment [24]. Therefore, our findings, in addition to being able to be used in further studies to explain unfavorable clinical outcomes due to the disruptions of dental care, could help us understand these patients' health needs and plan for more severe conditions of oral comorbidities and dental emergencies in the future.…”

A Novel Oncodental Collaborative Team: Integrating Expertise for Central Line–Associated Bloodstream Infection Prevention in Pediatric Oncology Patients

“…Treatment-induced side effects, limited access to dental care, nonadherence to oral care guidelines, variation in clinical practice, and lack of dental expertise within a cancer treatment team can contribute to poor oral health with acute and longterm complications, most of which are preventable. [3][4][5][6] Additionally, 80% of pediatric patients with cancer experience chemotherapy-induced oral toxicities that could cause delays in treatment, chemotherapy dose reductions, decreased quality of life, and a higher risk of oral infections and life-threatening central lineassociated bloodstream infections (CLABSIs). 3,[5][6][7][8][9] Mucosal barrier injury (MBI) CLABSIs are an especially dangerous complication of inadequate oral health care, as such infections are associated with a 7% 30day mortality rate for pediatric oncology patients and excessive health care-associated costs.…”

“…10,11 Optimal health care strategies are essential to best prevent oral complications in pediatric cancer care. Nonadherence to oral care treatment and education may risk oral complications 3,4 ; however, the lack of evidence-based intervention guidelines and the identification of proven prevention strategies limit our ability to consistently prevent such issues. 8 Consistent application of prevention strategies is equally as important as having evidence-based guidelines to prevent or reduce the risk of oral complications.…”

“…Patients and families who participate in dental care programs with weekly education and demonstrations had a decreased risk of developing oral complications, and were more likely to adhere to oral care guidelines. 4 Incorporating a dedicated dental professional to consistently provide education and oral surveillance as part of the cancer care delivery model can improve outcomes. 4 The Texas Children's Cancer and Hematology Center has an established CLABSI Prevention Task Force that develops and implements evidence-based best practices to prevent CLABSIs.…”

“…4 Incorporating a dedicated dental professional to consistently provide education and oral surveillance as part of the cancer care delivery model can improve outcomes. 4 The Texas Children's Cancer and Hematology Center has an established CLABSI Prevention Task Force that develops and implements evidence-based best practices to prevent CLABSIs. Our team consists of physicians, nurses, and infection control professionals, each with subteams in place to direct hospital activities.…”