Maier H, Zoeller J, Kreiss M, Sennewald E, Heller W D
Universitäts-HNO-Klinik Heidelberg.
HNO. 1991 Jun;39(6):227-32.
Dental status and oral hygiene were investigated in a case-control study of 100 patients suffering from head and neck cancer and 214 age- and sex-matched controls. The dental status and paradontal status are poor in cancer patients. The number of decayed or missing teeth was significantly higher in our patients compared with controls. Furthermore, in the tumour group the rate of moderate or severe gingivitis and the presence of extensive tartar were significantly higher. These findings are mainly due to poor oral hygiene. Few of the cancer patients ever brushed their teeth, and the number of dental check-ups was significantly lower than in control subjects. Poor oral hygiene is predominantly an expression of self-neglect due to chronic alcohol consumption, which was present in nearly all of our patients. Furthermore, it seems to be related to an unsatisfactory health education in the lower social strata, to which most of cancer patients belong.
在一项病例对照研究中，对100例头颈癌患者和214例年龄及性别匹配的对照者的牙齿状况和口腔卫生进行了调查。癌症患者的牙齿状况和牙周状况较差。与对照组相比，我们的患者中龋坏或缺失牙齿的数量明显更多。此外，肿瘤组中中度或重度牙龈炎的发生率以及广泛牙垢的存在明显更高。这些发现主要归因于口腔卫生不良。几乎没有癌症患者刷牙，而且牙科检查的次数明显低于对照对象。口腔卫生不良主要是由于长期饮酒导致自我忽视的一种表现，几乎所有我们的患者都存在这种情况。此外，这似乎与大多数癌症患者所属的较低社会阶层健康教育不令人满意有关。
