Including dental professionals in the multidisciplinary treatment team of head and neck cancer patients improves long-term oral health status
| Autor: | Edmund Benjamin Kukla, Konstantin Zauza, Corinna Bruckmann, Andreas Stavropoulos, Steffen Schneider, Philippe Savvidis, Kristina Bertl |
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| Rok vydání: | 2021 |
| Předmět: |
Quality of life
medicine.medical_specialty Dentists Oral Health Odontologi Oral hygiene stomatognathic system Multidisciplinary approach Internal medicine medicine Humans Periodontitis General Dentistry business.industry Medical record Head and neck cancer medicine.disease Head and neck squamous-cell carcinoma Dental care stomatognathic diseases Cross-Sectional Studies Head and Neck Neoplasms Dentistry Cohort Dental caries Original Article business |
| Zdroj: | Clinical Oral Investigations |
| ISSN: | 1436-3771 1432-6981 |
| DOI: | 10.1007/s00784-021-04276-x |
| Popis: | Objective To assess in a cross-sectional study the impact of including dental professionals in the multidisciplinary treatment team of head and neck squamous cell carcinoma (HNSCC) patients on the long-term oral health status. Materials and methods Oral health status, dental care behaviours, and oral health–related quality of life were assessed based on a clinical and radiographic examination, interview, and medical records in patients treated for HNSCC ≥ 6 months ago. This patient group (‘cohort 2’) was treated in a multidisciplinary treatment team including dental professionals and compared to a group of HNSCC patients previously treated at the same university, but without dental professionals included in the multidisciplinary treatment team (‘cohort 1’). Results Cohort 2 consisted of 34 patients, who had received a dental check-up and if necessary, treatment by dental professionals prior to the initiation of cancer treatment. This cohort showed significantly improved oral hygiene habits and a better periodontal health status compared to cohort 1. However, cohort 2 still presented high demand for treatment due to active carious lesions; only a few, statistically insignificant improvements were detected compared to cohort 1. Conclusion Including dental professionals in the multidisciplinary treatment team of HNSCC patients has a positive impact on patient oral health status—primarily in terms of periodontal disease—6 months and longer after finishing cancer therapy. Clinical relevance A team-based approach including dental professionals specialised in head and neck cancer improves oral health status. |
| Databáze: | OpenAIRE |
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