Palliative dental care for head and neck cancer patients in Intensive Care Units: an integrative review of the literature

Authors

DOI:

https://doi.org/10.33448/rsd-v10i15.22902

Keywords:

Dental Care; Intensive Care Units; Head and Neck Neoplasms; Palliative care.

Abstract

Palliative care dentistry is described as the study and management of patients with active, progressive and very advanced disease, in whom the oral cavity has been compromised by the disease directly or by its treatment. The head and neck oncology patients that are submitted to ICU in most cases already have the neoplasm in more advanced stages of the disease. Antineoplastic therapies and the advanced stage of head and neck cancer itself may lead patients to progressive or sudden oral deterioration. Considering these aspects, the aim of this study was to establish which are the palliative dental care in patients with head and neck cancer who are in intensive care units. This is a bibliographic study, basic, with integrative analysis, for which the databases platforms Pubmed (MEDLINE), Scielo and EBSCO were used, including articles from the year 2010, besides classic articles, where the following descriptors were searched: "dental care", "intesive care units", "head and neck neoplasms", "palliative care" besides the Boolean descriptor "AND". The literature shows that the oral conditions that most affect these patients are xerostomia, mucositis and candidiasis among others. We conclude then that the presence of the dental surgeon in the ICU is an important factor for these patients with regard to the maintenance of oral structures and oral palliative treatments that aim to improve pain among other functions.

References

Bellissimo-Rodrigues, W. T., Menegueti, M. G., Gaspar, G. G., Nicolini, E. A., Auxiliadora-Martins, M., Basile-Filho, A., ... & Bellissimo-Rodrigues, F. (2014). Effectiveness of a dental care intervention in the prevention of lower respiratory tract nosocomial infections among intensive care patients: a randomized clinical trial. Infection Control & Hospital Epidemiology, 35(11), 1342-1348.

Blum, D. F. C., Silva, J. A. S. D., Baeder, F. M., & Della Bona, Á. (2018). A atuação da Odontologia em unidades de terapia intensiva no Brasil. Revista Brasileira de Terapia Intensiva, 30, 327-332.

Eduardo, F. D. P., Bezinelli, L. M., & Corrêa, L. (2019). Odontologia hospitalar. Editora Manole.

Estimativa, I. N. C. A. (2020). Incidência de Câncer no Brasil.[sl: sn].

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Franco, J. B., Jales, S. M. D. C. P., Zamboni, C. E., Fujarra, F. J. C., Ortegosa, M. V., Guardieiro, P. F. R., ... & de Melo Peres, M. P. S. (2014). Higiene bucal para pacientes entubados sob ventilação mecânica assistida na unidade de terapia intensiva: proposta de protocolo/Oral hygiene for intubated patients assisted with mechanical ventilation in intensive care unit: proposal protocol. Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo, 126-131.

Hui, D., Kim, S. H., Kwon, J. H., Tanco, K. C., Zhang, T., Kang, J. H., ... & Bruera, E. (2012). Access to palliative care among patients treated at a comprehensive cancer center. The oncologist, 17(12), 1574.

Jensen, S. B., Vissink, A., Limesand, K. H., & Reyland, M. E. (2019). Salivary gland hypofunction and xerostomia in head and neck radiation patients. JNCI Monographs, 2019(53), lgz016.

Ledoux, M., Tricou, C., Roux, M., Dreano-Hartz, S., Ruer, M., & Filbet, M. (2018). Pacientes com câncer morrendo em unidades de terapia intensiva e acesso a cuidados paliativos. Journal of paliativa medicina , 21 (5), 689-693.

Matsuda, A., Yamada, Y., Ishizuka, N., Matsushima, E., Kobayashi, K., Ohkubo, T., & Yamaoka, K. (2019). Effectiveness of a self-monitoring quality of life intervention for patients with cancer receiving palliative care: a randomized controlled clinical trial. Asian Pacific journal of cancer prevention: APJCP, 20(9), 2795.

Mercadante, S., Gregoretti, C., & Cortegiani, A. (2018). Palliative care in intensive care units: why, where, what, who, when, how. BMC anesthesiology, 18(1), 1-6.

Mol, R. P. (2010). The role of dentist in palliative care team. Indian journal of palliative care, 16(2), 74.

Mulk, B. S., Raja Lakshmi Chintamaneni, P. M., Gummadapu, S., & Salvadhi, S. S. (2014). Palliative dental care-a boon for debilitating. Journal of clinical and diagnostic research: JCDR, 8(6), ZE01.

Mun, E., Nakatsuka, C., Umbarger, L., Ruta, R., McCarty, T., Machado, C., & Ceria-Ulep, C. (2017). Use of improving palliative care in the ICU (Intensive Care Unit) guidelines for a palliative care initiative in an ICU. The Permanente Journal, 21.

Ritwik, P., & Chrisentery-Singleton, T. E. (2020). Oral and dental considerations in pediatric cancers. Cancer and Metastasis Reviews, 39(1), 43-53.

Romano, A. M., Gade, K. E., Nielsen, G., Havard, R., Harrison Jr, J. H., Barclay, J., ... & Dillon, P. M. (2017). Early palliative care reduces end‐of‐life intensive care unit (ICU) use but not ICU Course in patients with advanced cancer. The oncologist, 22(3), 318.

Saito, H., Watanabe, Y., Sato, K., Ikawa, H., Yoshida, Y., Katakura, A., ... & Sato, M. (2014). Effects of professional oral health care on reducing the risk of chemotherapy-induced oral mucositis. Supportive Care in Cancer, 22(11), 2935-2940.

da Silva, F. A., Roussenq, S. C., de Souza Tavares, M. G., de Souza, C. P. F., Mozzini, C. B., Benetti, M., & Dias, M. (2020). Perfil epidemiológico dos pacientes com câncer de cabeça e pescoço em um centro oncológico no sul do Brasil. Revista Brasileira de Cancerologia, 66(1).

Shishodia, N. P., Divakar, D. D., Al Kheraif, A. A., Ramakrishnaiah, R., Pathan, A. A. K., Parine, N. R., ... & Purushothaman, B. (2015). End stage palliative care of head and neck cancer: a case study. Asian Pacific Journal of Cancer Prevention, 16(3), 1255-1258.

Wong, T. S. C., & Wiesenfeld, D. (2018). Oral cancer. Australian dental journal, 63, S91-S99.

Westgaard, K. L., Hynne, H., Amdal, C. D., Young, A., Singh, P. B., Chen, X., ... & Jensen, J. L. (2021). Oral and ocular late effects in head and neck cancer patients treated with radiotherapy. Scientific reports, 11(1), 1-11.

Wu, T. Y., Liu, H. Y., Wu, C. Y., Chen, H. C., Huang, S. T., & Chen, P. H. (2020). Professional oral care in end-of-life patients with advanced cancers in a hospice ward: improvement of oral conditions. BMC palliative care, 19(1), 1-15.

Published

22/11/2021

How to Cite

DIAS, H. M. .; ALVES , M. C. de O.; SILVA, I. A. P. S. .; SANTOS, G. A. .; ALMEIDA, A. L. P. de; ANDRADE , R. S. de . Palliative dental care for head and neck cancer patients in Intensive Care Units: an integrative review of the literature . Research, Society and Development, [S. l.], v. 10, n. 15, p. e143101522902, 2021. DOI: 10.33448/rsd-v10i15.22902. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/22902. Acesso em: 26 nov. 2024.

Issue

Section

Review Article