Uzhgorod National University, 1Dental faculty, Ukraine.
Uzhgorod National University, 2Medical faculty; Ukraine.
Georgian Med News. 2020 Dec(309):32-37.
One of the most common complications of complex anticancer therapy is the development of various lesions of the oral cavity, including mucositis, which adversely affects the quality of life of the patient, limits the dose of chemotherapy and radiotherapy, and further adversely affects the effectiveness of complex therapy. Objective - to investigate the dental status of patients who are in anticancer chemotherapy and radiotherapy through clinical examination and calculation hygienic indices. During the study, the oral cavity was examined in 130 patients from 2015-2020, during the examination the dental status was registered and complaints were recorded. The dental status of patients on antitumor chemotherapy and radiotherapy by the method of clinical examination and calculation of hygienic indices (CSR (caries: sealed: removed), CPI index, Green Vermilion index, Fedorov-Volodkina index) was studied. A clinical examination of the oral cavity of patients who were on anticancer therapy in a cancer hospital revealed that the patients had poor oral hygiene and needed specialized dental treatment. Burning of the oral mucosa was present in 92.3% of patients, paresthesia - in 97.7%, taste disturbance and xerostomia - in all patients. In 30.0% there was angular cheilitis, in 96.2% bleeding gums, pus from periodontal pockets in - 17.7%, the formation of ulcers of the oral mucosa - 63.9%, mouth opening disorders - in 19.2%. The need for dental care was in 13.1% of patients in the study group. During the year before hospitalization, patients had 0.8±0.4 visits to the dentist per year, rarely used additional personal hygiene products for oral care - in 9.2%. The results indicate the presence of oral problems in 100.0% of patients receiving specialized antitumor chemotherapy and radiotherapy, as well as the presence of a sufficiently high need for specialized dental treatment.
癌症治疗中最常见的并发症之一是口腔各种病变的发生，包括黏膜炎，这会降低患者的生活质量，限制化疗和放疗剂量，并进一步影响综合治疗的效果。目的：通过临床检查和计算卫生指数来研究接受抗癌化疗和放疗的患者的口腔状况。在研究中，检查了 2015-2020 年间 130 名患者的口腔，在检查过程中记录了口腔状况并记录了患者的抱怨。通过临床检查和计算卫生指数（CSR（龋齿：封闭：去除）、CPI 指数、格林·维穆林指数、费多罗夫-沃尔多金娜指数）对接受抗肿瘤化疗和放疗的患者的口腔状况进行了研究。对癌症医院接受抗癌治疗的患者进行口腔临床检查，发现患者口腔卫生状况不佳，需要专业的牙科治疗。92.3%的患者口腔黏膜烧灼感，97.7%的患者感觉异常，所有患者味觉障碍和口干。30.0%的患者有口角炎，96.2%的患者牙龈出血，牙周袋有脓液-17.7%，口腔黏膜溃疡形成-63.9%，张口障碍-19.2%。研究组中有 13.1%的患者需要牙科护理。在住院前一年，患者每年去看牙医 0.8±0.4 次，很少使用额外的口腔保健个人卫生用品-9.2%。结果表明，接受专业抗肿瘤化疗和放疗的患者口腔问题发生率为 100.0%，对专业牙科治疗的需求也较高。
