From diagnosis to cure: The role os the Dentist in the treatment of oral cancer

Authors

DOI:

https://doi.org/10.33448/rsd-v10i7.16613

Keywords:

Oral cancer; Cancer of mouth; Mouth neoplasm.

Abstract

Squamous cell carcionama (SCC) is a malignat neoplasm of epithelial origin that can affect the entire upper digestive and airways, from the oral cavity to the end of the oropharyngeal region. The dentist plays a major role in preventing oral cancer, especially when acting at the levels of primary and secondary prevention, by proposing actions that facilitate the recognition of individuals belonging to the risk group and by performing practices thet seek to diagnose injuries early suspicions. Objective: Report a case of squamous cell carcinoma, highligting the role of the dentist in the early diagnosis of the lesion and during cancer treatment. Case report: A 64-year-old female pactient, melanoderma, attended to the Dentistry Clinic of the Federal University of Ceará - Campus Sobral, with the main complaint of discomfort caused by prosthesis. The intraoral clinical examination revealed a nodular lesion with erythroleucoplastic color and fibrous consistency, located on the soft palate, measuring about 3 cm in diameter. Final considerations: The early diagnosis of oral cancer can provide an adequate therapeutic management and, consequently, a better prognosis.

References

Almeida, F. C. S. D., Cazal, C., Pucca Júnior, G. A., Silva, D. P. D., Frias, A. C., & Araújo, M. E. D. (2012). Reorganization of secondary and tertiary health care levels: impact on the outcomes of oral cancer screening in the São Paulo State, Brazil. Brazilian dental journal, 23(3), 241-245. 10.1590/s0103-64402012000300010.

Assery M. (2019). Efficacy of Artificial Salivary Substitutes in Treatment of Xerostomia: A Systematic Review. Journal of pharmacy & bioallied sciences, 11(Suppl 1), S1–S12. 10.4103/jpbs.JPBS_220_18.

Bensadoun, R. J., Magné, N., Marcy, P. Y., & Demard, F. (2001). Chemotherapy-and radiotherapy-induced mucositis in head and neck cancer patients: new trends in pathophysiology, prevention and treatment. European archives of oto-rhino-laryngology, 258(9), 481-487. 10.1007/s004050100368.

Bensadoun, R. J., & Nair, R. G. (2012). Low-level laser therapy in the prevention and treatment of cancer therapy-induced mucositis: 2012 state of the art based on literature review and meta-analysis. Current opinion in oncology, 24(4), 363-370. 10.1097/CCO.0b013e328352eaa3.

Bensadoun, R. J., Patton, L. L., Lalla, R. V., & Epstein, J. B. (2011). Oropharyngeal candidiasis in head and neck cancer patients treated with radiation: update 2011. Supportive Care in Cancer, 19(6), 737-744. 10.1007/s00520-011-1154-4.

Bessell, A., Glenny, A. M., Furness, S., Clarkson, J. E., Oliver, R., Conway, D. I., Macluskey, M., Pavitt, S., Sloan, P., & Worthington, H. V. (2011). Interventions for the treatment of oral and oropharyngeal cancers: surgical treatment. The Cochrane database of systematic reviews, (9), CD006205. https://doi.org/10.1002/14651858.CD006205.pub3.

Bjordal, J. M., Bensadoun, R. J., Tunèr, J., Frigo, L., Gjerde, K., & Lopes-Martins, R. A. (2011). A systematic review with meta-analysis of the effect of low-level laser therapy (LLLT) in cancer therapy-induced oral mucositis. Supportive Care in Cancer, 19(8), 1069-1077. 10.1007/s00520-011-1202-0.

Bhullar, R. P. K., Bhullar, A., Vanaki, S. S., Puranik, R. S., Sudhakara, M., & Kamat, M. S. (2012). Primary melanoma of oral mucosa: A case report and review of literature. Dental research journal, 9(3), 353-356.

Choung, H. W., Lee, S. H., Ham, A. R., Lee, N. R., Kim, B., Pang, K. M., ... & Lee, J. H. (2019). Effectiveness of low-level laser therapy with a 915 nm wavelength diode laser on the healing of intraoral mucosal wound: an animal study and a double-blind randomized clinical trial. Medicina, 55(8), 405. Doi:10.3390/medicina55080405.

Conselho Federal de Odontologia, Consolidação das normas para procedimentos nos conselhos de odontologia (2005).

Cooper, J. S., Pajak, T. F., Forastiere, A. A., Jacobs, J., Campbell, B. H., Saxman, S. B., & Fu, K. K. (2004). Postoperative concurrent radiotherapy and chemotherapy for high-risk squamous-cell carcinoma of the head and neck. New England Journal of Medicine, 350(19), 1937-1944. 10.1056/NEJMoa032646.

Cunha, A. R. D., Prass, T. S., & Hugo, F. N. (2019). Mortality from oral and oropharyngeal cancer in Brazil: impact of the National Oral Health Policy. Cadernos de saude publica, 35, e00014319. 10.1590/0102-311X00014319.

DA SILV, L. F., & AS, B. (2017). Ministério Da Saúde Instituto Nacional De Câncer José Alencar Gomes Da Silva.

Dedivitis, R. A., Santoro, P. P., & Arakawa-Sugueno, L. (2017). Manual prático de disfagia. Thieme Revinter Publicações LTDA.

Fang, J., Huang, B., & Ding, Z. (2021). Efficacy of antifungal drugs in the treatment of oral candidiasis: A Bayesian network meta-analysis. The Journal of prosthetic dentistry, 125(2), 257–265. Doi.org/10.1016/j.prosdent.2019.12.025.

Franco, E. L., Kowalski, L. P., Oliveira, B. V., Curado, M. P., Pereira, R. N., Silva, M. E., & Torloni, H. (1989). Risk factors for oral cancer in Brazil: a case‐control study. International journal of cancer, 43(6), 992-1000. 10.1002/ijc.2910430607.

Genden, E. M., Ferlito, A., Silver, C. E., Takes, R. P., Suárez, C., Owen, R. P., & Rinaldo, A. (2010). Contemporary management of cancer of the oral cavity. European Archives of Oto-Rhino-Laryngology, 267(7), 1001-1017. 10.1007 / s00405-010- 1206-2.

He, M., Zhang, B., Shen, N., Wu, N., & Sun, J. (2018). A systematic review and meta-analysis of the effect of low-level laser therapy (LLLT) on chemotherapy-induced oral mucositis in pediatric and young patients. European journal of pediatrics, 177(1), 7-17. 10.1007/s00431-017-3043-4.

Hirota, S. K., Migliari, D. A., & Sugaya, N. N. (2006). Carcinoma epidermóide oral em paciente jovem: relato de caso e revisão da literatura. Anais brasileiros de dermatologia, 81(3), 251-254. Doi:10.1590/S0365-05962006000300007.

Huang, S. H., & O’Sullivan, B. (2017). Overview of the 8th edition TNM classification for head and neck cancer. Current treatment options in oncology, 18(7), 1-13. 10.1007/s11864-017-0484-y.

Lambert, R., Sauvaget, C., de Camargo Cancela, M., & Sankaranarayanan, R. (2011). Epidemiology of cancer from the oral cavity and oropharynx. European journal of gastroenterology & hepatology, 23(8), 633-641. 10.1097/MEG.0b013e3283484795.

Marchioni, D. M. L. (2003). Fatores dietéticos e câncer oral: um estudo caso controle na região metropolitana de São Paulo (Doctoral dissertation, Universidade de São Paulo). 10.11606/T.6.2016.tde-21072016-155342.

Nakahara, H., Kitamura, R., & Shirasuna, K. (1995). Simultaneous malignant melanoma and squamous cell carcinoma of the oral cavity: a case report. Journal of oral and maxillofacial surgery, 53(12), 1455-1457. 10.1016/0278-2391(95)90676-2.

Neville, B. (2016). Patologia oral e maxilofacial (4a ed.). Elsevier Brasil.

Parulekar, W., Mackenzie, R., Bjarnason, G., & Jordan, R. C. K. (1998). Scoring oral mucositis. Oral oncology, 34(1), 63-71. 10.1016 / s1368-8375 (97) 00065-1.

Patel, S. G., & Shah, J. P. (2005). TNM staging of cancers of the head and neck: striving for uniformity among diversity. CA: a cancer journal for clinicians, 55(4), 242-258. 10.3322/canjclin.55.4.242.

Pignon, J. P., Le Maitre, A., Maillard, E., Bourhis, J., & Mach-Nc Collaborative Group. (2009). Meta-analysis of chemotherapy in head and neck cancer (MACH-NC): an update on 93 randomised trials and 17,346 patients. Radiotherapy and oncology, 92(1), 4-14. 10.1016/j.radonc.2009.04.014.

Pinna, R., Campus, G., Cumbo, E., Mura, I., & Milia, E. (2015). Xerostomia induced by radiotherapy: an overview of the physiopathology, clinical evidence, and management of the oral damage. Therapeutics and clinical risk management, 11, 171–188. 10.2147/TCRM.S70652.

Pucca Jr, G. A., Gabriel, M., De Araujo, M. E., & De Almeida, F. C. S. (2015). Ten years of a National Oral Health Policy in Brazil: innovation, boldness, and numerous challenges. Journal of dental research, 94(10), 1333-1337. 10.1177/0022034515599979.

Sierra, S. O., Deana, A. M., Bussadori, S. K., da Mota, A. C. C., Motta, L. J., Ferrari, R. A. M., ... & Fernandes, K. P. S. (2015). Effect of low-intensity laser treatment on pain after extraction of impacted mandibular third molars: a randomised, controlled, clinical trial. British Journal of Oral and Maxillofacial Surgery, 53(10), 996-1000. Doi:10.1016/j.bjoms.2015.09.006.

Specht, L. (2002). Oral complications in the head and neck radiation patient. Supportive care in cancer, 10(1), 36-39. 10.1007/s005200100283.

Torres-Pereira, C. C., Angelim-Dias, A., Melo, N. S., Lemos Jr, C. A., & Oliveira, E. M. F. D. (2012). Abordagem do câncer da boca: uma estratégia para os níveis primário e secundário de atenção em saúde. Cadernos de Saúde Pública, 28, s30-s39. 10.1590/S0102-311X2012001300005.

Wolff, K. D., Follmann, M., & Nast, A. (2012). The diagnosis and treatment of oral cavity cancer. Deutsches Ärzteblatt International, 109(48), 829. 10.3238 / arztebl.2012.0829.

Published

23/06/2021

How to Cite

ANDRADE, K. D. S.; MARTINS, C. A.; BENEVIDES, R. R.; ARAGÃO, A. V.; OLIVEIRA, D. H. I. P. de; CHAVES, F. N.; AMADEI, L. P. de P.; SAMPIERI, M. B. da S. . From diagnosis to cure: The role os the Dentist in the treatment of oral cancer. Research, Society and Development, [S. l.], v. 10, n. 7, p. e33110716613, 2021. DOI: 10.33448/rsd-v10i7.16613. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/16613. Acesso em: 14 nov. 2024.

Issue

Section

Health Sciences