Frydrych A M, Slack-Smith L M, Parsons R
School of Dentistry, The University of Western Australia, Perth, Western Australia, Australia.
School of Occupational Therapy and Social Work, Curtin University, Perth, Western Australia, Australia.
Aust Dent J. 2017 Jun;62(2):192-199. doi: 10.1111/adj.12491.
Caries prevention is paramount in safeguarding the life quality of head and neck cancer patients and is dependent on patient compliance with caries preventive protocols. The purpose of this study was to examine this compliance.
All records of patients referred to one public oral medicine clinic servicing a head and neck oncology unit of one major Western Australian hospital, between January 2005 and December 2011, were examined. Data extracted included patient and cancer characteristics and compliance with dietary advice, dental care, oral hygiene instruction and fluoride use over a follow-up period of at least 12 months. Compliance was assessed against various oral health outcomes and patient characteristics.
Of the 116 participants, 75.9% complied with all caries preventive measures over a mean follow-up period of 45 months. Non-compliance with regular dental attendance (P = 0.004), oral hygiene instruction (P = 0.009), dietary advice (P = 0.034) and daily fluoride use (P = 0.018) were associated with the development of dental caries post-treatment. The presence of dental caries at the time of cancer diagnosis was predictive of poorer compliance.
High compliance with caries preventive measures is attainable in the head and neck cancer patient group. Factors other than fluoride use seem important in caries prevention.
预防龋齿对于保障头颈癌患者的生活质量至关重要，且取决于患者对龋齿预防方案的依从性。本研究旨在调查这种依从性。
对2005年1月至2011年12月期间转诊至西澳大利亚一家大型医院头颈肿瘤科室的一家公立口腔内科诊所的所有患者记录进行了检查。提取的数据包括患者和癌症特征，以及在至少12个月的随访期内对饮食建议、牙齿护理、口腔卫生指导和使用氟化物的依从性。根据各种口腔健康结果和患者特征评估依从性。
在116名参与者中，75.9%在平均45个月的随访期内遵守了所有龋齿预防措施。未定期看牙医（P = 0.004）、未遵守口腔卫生指导（P = 0.009）、未遵循饮食建议（P = 0.034）和未每日使用氟化物（P = 0.018）与治疗后龋齿的发生有关。癌症诊断时存在龋齿可预测依从性较差。
头颈癌患者群体对龋齿预防措施的高依从性是可以实现的。在预防龋齿方面，使用氟化物以外的因素似乎很重要。
