Keywords
Tratamiento multidisciplinario odontología-oncología
How to Cite
Tratamiento odontológico integral del paciente oncológico.: Parte I. (2019). Odontoestomatología, 13(17), 14-25. https://odon.edu.uy/ojs/index.php/ode/article/view/152
Abstract
The odontologic treatment of the oncologic patient maybe one of the largest challenges that a dentist can confront, because it is a very complex situation, which requires a meticulous attention, comprehensive, tidy and coordinated with a multidisciplinary team, whith the aim of the complete cure of the patient with the lowest side eff ects caused by the oncologic treatment. To achieve this is essential to follow an oncologic attention protocol which will be spitted up in 3 stages: pre, intra and post oncologic therapy which include different treatments. This work is directed by the general dentist, who many times is the professional in charge of doing some or all of these treatments because the patient lives far away of the hospital centre and only goes there to do a specifi c oncologic treatment. This paper described the odontologic pathologies generated by oncologic therapy, how to prevent and treat them.
References
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Spielberger R, Stiff P, Bensinger W, et al. Palifermin for oral mucositis after intensive therapy for hematologic cancers. N Engl J Med 2004, 351(25): 2590- 2598.
Epstein J B. Mucositis in the cancer patient and immunosuppressed host. Infect Dis. Clin North Am. 2007; 21(2): 503-522.
Schmid I, Schmitt M, Streiter M, et al. Parenteral nutrition is not superior to replacement fluid therapy for the supportive treatment of chemotherapy induced oral mucositis in children. Eur J Cancer. 2006. 42 (2):205-211.
Jones L R, Torth B B, Keene H J. Eff ects of total body irradiation on salivary gland function and caries-associated oral microfl ora in bone marrow transplant patients. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endod 1992. 73 (6): 670-676.
Napeñas J J, Brennan M T, Mougeot F K, et al. Relationship between mucositis and changes in oral microfl ora during cancer chemotherapy. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endod 2007; 103(1): 48-59.
Gay Escoda C, Berini Aytés L, Sánchez Garcés Mª, Osteorradionecrosis. En:Gay Escoda C, Berini Aytés L. Cirugía Bucal. !ed. Madrid: Ediciones Ergón, 1999. 731-748.
Vassallo J A, Barrios E. Actualización ponderada de los factores de riesgo del cáncer. Las localizaciones de la enfermedad en el Uruguay, su distribución por incidencia y mortalidad. Comisión honoraria de lucha contra el cáncer. Uruguay. 2003. 11-13.
Vassallo J A, Barrios E. III Atlas de mortalidad por cáncer en el Uruguay. Comparación de dos quinquenios, 1994-1998 y 19992003. Comisión Honoraria de lucha contra el cáncer. Uruguay. 2005.
Barasch A, Peterson D E Risk factors for ulcerative oral mucositis in cancer patients: unanswered questions. Oral Oncol. 2003. 39 (2): 91-100.
De Vita Jr V T, Hellman S. Rosenberg, S. A. Cancer. Principles & practice of oncology. 5th. Lippincott-Raven Publishers. 1997.
Langdon J D, Henk J M Malignant tumours of the mouth, jaws et salivary glands. 2nd. England. Edward Arnold Editors. 1995.
Mealey B L, Semba, S E Hallmon W W. Dentistry and the cancer patient: Part 1-Oral manifestations and complications of chemotherapy. Compend. 1994. 15 (10): 12521261.
Rosenthal D I, Trotti A. Strategies for managing radiation-induced mucositis in head and neck cancer. Nat. Rev. Cancer. 2009. 19 (1):29-34.
Regezi J A, Sciubba, J J Patología bucal. Correlaciones clinicopatológicas. 3ª Edición. México. Mc Graw-Hill Interamericana. 2006.
Woo S B, Matin K, Off-site dental evaluation program for prospective bone marrow transplant recipients. I am dent assoc 1997; 128 (2): 189-193.
Silverman S Jr. Oral cancer: Complications of therapy. Oral Surg., Oral Med., Oral Pathol., Oral Radiol., Endod. 1999. 88 (2): 122-126.
Demarosi F, Bez C, Carrassi A. Prevenzione e trattamento della mucosite orale da chemio e radioterapia. Minerva Stomatol. 2002, 51 (5): 173-186.
Semba S E, Mealey B L, Hallmon W W. Dentistry and the cancer patient: Part 2-Oral health management of the chemotherapy patient. Compend. 1994. 15 (1): 1378-1387.
Akintoye S O, Brennan M T, Graber C J, et al. A retrospective investigation of advanced periodontal disease as a risk factor for septicaemia in hematopoietic stem cell and bone marrow transplant recipients. Oral Surg,Oral Med, Oral Pathol, Oral Radiol, Endod. 2002. 94 (5) p : 581- 588.
Lalla R V, Sonis S T, Peterson D E. Management of oral mucositis in patients who have cancer. Dent. Clin. North Am. 2008. 52 (1): 61-77.
Rubenstein E B, Peterson D E, Schubert M et al. Clinical practice guidelines for the prevention and treatment of cancer therapy-induced oral and gastrointestinal mucositis. Cancer. 2004. 100:2026-46.
Epstein J B, Vickars L, Spinelli J, et al. Efficacy of chlorhexidine and nystatin rinses in prevention of oral complications in leukemia and bone marrow transplantation. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endod. 1992, 73 (6): 682-689.
Epstein, J B, Schubert M M. Orophryngeal mucositis in cancer therapy. Review of patho-genesis, diagnosis and management. Oncology. 2003; 17:1767-1779.
Peterson D E, Lalla R V. Oral mucositis: the new paradigms. Curr. Opin. Oncol. 2010. 22 (4): 318-22.
Garfunkel A A. Oral mucositis. Th e search for a solution. N. Eng. J. Med. 2004. 351 (25), 2649-2651
Peterson D E, Bensadoun R J, Roila F, et al. Management of oral and gastrointestinal mucositis: ESMO clinical recommendations. Ann. Oncol. 2009. (Suppl 4): 174-7.
Robbins S L, Cotran R S. Patología estructural y funcional. 7ª Ed. Barcelona: Elsevier. 2005.
Peterson D E, Barker N P, Akhmadullina L I, et al. Phase II, randomized, double-blind, placebo-controlled study of recombinant human intestinal trefoil factor oral spray for prevention of oral mucositis in patients with colorectal cancer who are receiving fl uorouracil-based chemotherapy. J. Clin. Oncol. 2009. 27 (26): 4333-8.
Vera-Llonch M, Oster G, Hagiwara M, et al. Oral mucositis in patients undergoing radiation treatment for head and neck carcinoma. Risk factors and clinical consequences. Cancer. 2006. 106 (2): 329-336.
Lugliè P F, Mura G, Mura A, et al. Prevenzione delle paradontopatie e delle stomatomuco siti in corso di chemoterapia antineoplastica. Studio clinico. Minerva Stomatol. 2002, 51 (6): 231-239.
Clarkson J E, Worthington H V, Furness S et al. Interventions for treating oral mucositis for patients with cancer receiving treatment. Cancer. 2010, 4(8): 15-19.
Spielberger R, Stiff P, Bensinger W, et al. Palifermin for oral mucositis after intensive therapy for hematologic cancers. N Engl J Med 2004, 351(25): 2590- 2598.
Epstein J B. Mucositis in the cancer patient and immunosuppressed host. Infect Dis. Clin North Am. 2007; 21(2): 503-522.
Schmid I, Schmitt M, Streiter M, et al. Parenteral nutrition is not superior to replacement fluid therapy for the supportive treatment of chemotherapy induced oral mucositis in children. Eur J Cancer. 2006. 42 (2):205-211.
Jones L R, Torth B B, Keene H J. Eff ects of total body irradiation on salivary gland function and caries-associated oral microfl ora in bone marrow transplant patients. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endod 1992. 73 (6): 670-676.
Napeñas J J, Brennan M T, Mougeot F K, et al. Relationship between mucositis and changes in oral microfl ora during cancer chemotherapy. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endod 2007; 103(1): 48-59.