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头颈部癌症的牙科考量:临床综述

Dental considerations for head and neck cancer: A clinical review.

作者信息

Abed Hassan

机构信息

Department of Basic and Clinical Oral Sciences, Division of Oral Medicine, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia.

出版信息

Saudi Dent J. 2023 Jul;35(5):476-486. doi: 10.1016/j.sdentj.2023.05.009. Epub 2023 May 19.

Abstract

INTRODUCTION

Radiotherapy is one of the treatment modalities for the treatment of head and neck cancer (HNC). However, it leads to the development of chronic and acute side effects. These side effects impact negatively on the patient's quality of life and oral functioning. This clinical review aims to provide basic information about HNC, understand the impact of radiotherapy on oral health, and explain the role of dental care providers for HNC patients during the pre-and post-radiotherapy time.

MATERIALS AND METHODS

Electronic databases (i.e., PubMed, Scopus, and Google Scholar) were searched using defined keywords. The main inclusion criteria were any studies describing and

RESULTS

Thematic analysis was used to summaries the findings of the included studies (n = 102) into main headings and subheadings. All studies were published between 1970 and 2023.

CONCLUSION

The number of HNC patients is increasing. This necessitates the need for raising the awareness of dental care providers to the side-effects of HNC therapy which includes treatment with radiotherapy, chemotherapy, and/or surgery. Dental care providers should understand the common side-effects and their treatments besides their role in the pre- (i.e., dental extraction of teeth with poor prognosis and maintaining good oral hygiene) and post- (i.e., oral rehabilitation and post-HNC dental care) radiotherapy dental care.

摘要

引言

放射治疗是头颈癌(HNC)治疗的方式之一。然而,它会导致慢性和急性副作用的产生。这些副作用对患者的生活质量和口腔功能产生负面影响。本临床综述旨在提供有关头颈癌的基本信息,了解放射治疗对口腔健康的影响,并解释牙科护理人员在放疗前后对头颈癌患者的作用。

材料与方法

使用特定关键词搜索电子数据库(即PubMed、Scopus和谷歌学术)。主要纳入标准为任何描述……的研究。

结果

采用主题分析将纳入研究(n = 102)的结果总结为主要标题和副标题。所有研究均发表于1970年至2023年之间。

结论

头颈癌患者数量正在增加。这就需要提高牙科护理人员对包括放射治疗、化疗和/或手术治疗在内的头颈癌治疗副作用的认识。牙科护理人员除了要了解放疗前后的牙科护理作用(即对预后不良的牙齿进行拔牙和保持良好的口腔卫生)外,还应了解常见的副作用及其治疗方法。 (注:原文中“Materials and Methods”部分有缺失内容)

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