颈部放疗对霍奇金淋巴瘤患者牙周状况和致龋菌群的远期影响。
Late effect of the cervical irradiation on periodontal status and cariogen flora in hodgkin lymphoma patients.
作者信息
Simon Zsófia, Tar Ildikó, Gáll Katalin, Ivancsó Borbála, Szabó Judit, Illés Arpád
机构信息
3rd Department of Institute for Internal Medicine, University of Debrecen, 4032 Debrecen, Hungary.
出版信息
ISRN Hematol. 2011;2011:823926. doi: 10.5402/2011/823926. Epub 2011 Mar 6.
Cervical radiotherapy may leads to elevated caries risk in Hodgkin-lymphoma (HL) patients. Our aim was to estimate the late effect of cervical irradiation on periodontal status in HL patients. Patients filled out query-form, their clinical data were collected, periodontal status was examined, decayed-missing-filled-teeth and periodontal-indexes were calculated. We examined 68 patients who received, 64 patients who did not received cervical radiotherapy and 51 control person. 23.5% of cervical irradiated, 18.15% of not irradiated patients and 17.64% of controls had subjective xerostomia, but it was not objective by sialometry. Mean decayed-missing-filled-teeth-index was 22.53 among irradiated, 21.54 among not irradiated patients while it was 17.23 in control group. Periodontal index was 2.47, 2.42, and 2.14 in different groups. Difference between decayed-missing-filled-teeth indexes of irradiated patients and controls was significant. We have to emphasize the importance of prevention and closer dental observation of HL patients.
颈部放疗可能会增加霍奇金淋巴瘤（HL）患者的龋齿风险。我们的目的是评估颈部放疗对HL患者牙周状况的远期影响。患者填写问卷，收集其临床数据，检查牙周状况，计算龋失补牙数和牙周指数。我们检查了68例接受颈部放疗的患者、64例未接受颈部放疗的患者和51名对照者。23.5%接受颈部放疗的患者、18.15%未接受放疗的患者和17.64%的对照者有主观口干，但唾液测量未证实存在客观口干。接受放疗患者的平均龋失补牙数为22.53，未接受放疗患者为21.54，而对照组为17.23。不同组的牙周指数分别为2.47、2.42和2.14。接受放疗患者与对照者的龋失补牙数差异有统计学意义。我们必须强调HL患者预防和密切牙科观察的重要性。
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