Nuñez-Aguilar Jesus, Fernández-Olavarría Ana, Oliveros-López Luis-Guillermo, Torres-Lagares Daniel, Serrera-Figallo Maria-Angeles, Gutiérrez-Corrales Aida, Gutiérrez-Pérez Jose-Luis
PhD, DDS, MSc. University of Seville.
DDS, MSc. Oral Surgery Residents. University of Seville.
J Clin Exp Dent. 2018 Feb 1;10(2):e158-e165. doi: 10.4317/jced.54608. eCollection 2018 Feb.
This study aims to evaluate the influence of two dental treatment protocols, outpatient non-regulated treatment versus supervised hospital treatment, on the oral health of patients undergoing oral cancer (only radiochemotherapy treatment, not surgical) treatment.
The study used a quasi-experimental approach justified on ethical grounds. A total of 41 patients were included in the control group (outpatient non-regulated treatment) and 40 patients in the experimental group (in-hospital supervised treatment). The patients were treated only with chemotherapy (not surgical treatment was made) for oral cancer. This decision was taken by the oncology committee of the hospital without being influenced by this study. Data regarding plaque index, daily brushing habits, appearance of new cavities, need for extractions, appearance of candidiasis and use of prosthetics in both groups were collected at three points throughout the study: before starting cancer treatment, during treatment and after treatment. The values obtained using the Student's t-test and chi-squared were compared.
Based on similar patient backgrounds, throughout cancer treatment the intervention under study resulted in a decrease in plaque index, necessary extractions, and incidence of decay, as well as an increase in daily brushing among other improvements in oral health observed in the experimental group versus the control group.
From our data, we can confirm that supervised dental treatment performed during oral cancer treatment produced an improvement in the oral health of patients with oral cancer. Oral cancer, dental treatment, quality of life, oncology, dentistry.
本研究旨在评估两种牙科治疗方案，即门诊非规范治疗与医院监督治疗，对接受口腔癌（仅放化疗，未手术）治疗患者口腔健康的影响。
本研究采用基于伦理依据的准实验方法。对照组（门诊非规范治疗）纳入41例患者，实验组（住院监督治疗）纳入40例患者。患者仅接受口腔癌化疗（未进行手术治疗）。该决定由医院肿瘤委员会做出，不受本研究影响。在研究的三个时间点收集两组患者的菌斑指数、每日刷牙习惯、新龋出现情况、拔牙需求、念珠菌病出现情况及假牙使用情况等数据：癌症治疗开始前、治疗期间及治疗后。对使用学生t检验和卡方检验获得的值进行比较。
基于相似的患者背景，在整个癌症治疗过程中，与对照组相比，实验组所研究的干预措施使菌斑指数、必要拔牙次数和龋齿发病率降低，每日刷牙次数增加，同时在口腔健康的其他方面也有所改善。
根据我们的数据，我们可以确认在口腔癌治疗期间进行的监督牙科治疗改善了口腔癌患者的口腔健康。口腔癌、牙科治疗、生活质量、肿瘤学、牙科学。
