Comparison between the effect of three mouthwrins on the therapeutic and prevention of chemo-induced mucositis – double blind study
DOI:
https://doi.org/10.33448/rsd-v11i3.26182Keywords:
Stomatitis; Mucositis; Phytotherapeutic Drugs; Antineoplastic Agents; Chamomile; Calendula; Aloe.Abstract
Cancer treatment results in considerable adverse effects, with oral mucositis being the most reported complication. This study aimed to compare the effect of three mouthwashes formulated from herbal medicines in the prevention and therapy of oral lesions caused by mucositis. Patients who were undergoing chemotherapy treatment at the Santa Terezinha de Joaçaba/SC University Hospital were used as a sample. After approaching the interviewees, a free and informed consent form was signed, followed by an interview to collect information related to the patient and his current cancer-related condition. Patients were divided into 03 groups with 11 participants, each group receiving one of the three solutions studied. The participants were then instructed to rinse their mouths with 10ml of the solution, 04 times a day for 05 days. After the application, information was collected through telephone calls, based on the Oral Mucositis and Daily Questionnaire. As for the pain reported by the patients, 22 (71%) answered "no pain" and 17 (55%) rated their pain, on a scale from 0 to 10, with a score of 1. Only 1 patient (3%) answered "a lot of pain", classifying it as a score of 9. Regarding the reported limitations, 22 (71%) had no limitations in eating and speaking. Only 1 (3%) reported difficulty speaking and "very limited" in drinking and eating. No patient reported disability. It was concluded that the herbal solutions used as a therapeutic form showed similar effectiveness. However, no patient developed mucositis during the period of mouthwash use, suggesting an effect also as a preventive factor.
References
Baharvand, M., Jafari, S., & Mortazavi, H. (2017). Herbs in oral mucositis. In Journal of Clinical and Diagnostic Research. 11(3), ZE05-ZE11. https://doi.org/10.7860/JCDR/2017/21703.9467
Braga, F. T. M. M., Santos, A. C. F., Bueno, P. C. P., Silveira, R. C. C. P., Santos, C. B., Bastos, J. K., & Carvalho, E. C. (2015). Use of chamomilla recutita in the prevention and treatment of oral mucositis in patients undergoing hematopoietic stem cell transplantation: A randomized, controlled, phase II clinical trial. Cancer Nursing, 38(4), 322–329. https://doi.org/10.1097/NCC.0000000000000194
Cidon, E. U. (2018). Chemotherapy induced oral mucositis: Prevention is possible. Chinese Clinical Oncology, 7(1). https://doi.org/10.21037/cco.2017.10.01
Cuba, L. de F., & de Figueiredo, M. A. Z. (2015). Aplicação tópica de aloe verae vitamina eem úlceras induzidas nalíngua de ratassubmetidas à radioterapia:avaliação clínica e histológica.
Curra, M., Soares Junior, L. A. V., Martins, M. D., & Santos, P. S. da S. (2018). Chemotherapy protocols and incidence of oral mucositis. An integrative review. In Einstein (Sao Paulo, Brazil) 16(1), eRW4007. https://doi.org/10.1590/s1679-45082018rw4007
Daugėlaitė, G., Užkuraitytė, K., Jagelavičienė, E., & Filipauskas, A. (2019). Prevention and treatment of chemotherapy and radiotherapy induced oral mucositis. In Medicina (Lithuania) 55(2). MDPI AG. https://doi.org/10.3390/medicina55020025
do Nascimento, P. B. L., dos Santos, L. C. O., Carvalho, C. N., Alves, C. A. L., Lima, S. M., & Cabral, M. M. S. (2013). Avaliação das manifestações orais em crianças e adolescentes internos em um hospital submetidos à terapia antineoplásica. Pesquisa Brasileira Em Odontopediatria e Clinica Integrada, 13(3), 279–285. https://doi.org/10.4034/PBOCI.2013.133.09
Elad, S., Cheng, K. K. F., Lalla, R. v., Yarom, N., Hong, C., Logan, R. M., Bowen, J., Gibson, R., Saunders, D. P., Zadik, Y., Ariyawardana, A., Correa, M. E., Ranna, V., Bossi, P., Arany, P., Al-Azri, A. R., Blijlevens, N., Hovan, A., Fregnani, E., & Zur, E. (2020). MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy. Cancer, 126(19), 4423–4431. https://doi.org/10.1002/cncr.33100
Figueiredo, A. L. P., Lins, L., Cattony, A. C., & Falcão, A. F. P. (2013). Laser terapia no controle da mucosite oral: um estudo de metanálise. Revista Da Associacao Medica Brasileira, 59(5), 467–474. https://doi.org/10.1016/j.ramb.2013.08.003
Firmino, F. (n.d.). Prevention and treatment of oral mucositis Malignant fungating wounds int he breasts cancer View project Topical therapy in wound healing View project. https://www.researchgate.net/publication/287784763
Hespanhol, F. L., Tinoco, E. M. B., Teixeira, H. G. de C., Falabella, M. E. V., & Assis, N. M. de S. P. (2010). Manifestações bucais em pacientes submetidos à quimioterapia. Ciência & Saúde Coletiva, 15(suppl 1), 1085–1094. https://doi.org/10.1590/S1413-81232010000700016
Jesus, L. G. de, Cicchelli, M., Martins, G. B., Pereira, M. C. C., Lima, H. S., & Medrado, A. R. A. P. (2016). Repercussões orais de drogas antineoplásicas: uma revisão de literatura. Revista Da Faculdade de Odontologia - UPF, 21(1). https://doi.org/10.5335/rfo.v21i1.5052
Lalla, R. v., Sonis, S. T., & Peterson, D. E. (2008). Management of Oral Mucositis in Patients Who Have Cancer. Dental Clinics of North America, 52(1), 61–77. https://doi.org/10.1016/j.cden.2007.10.002
Miranda, S. S., Queiroz, L. R., & Freitas, V. S. (2017a). Prevenção E Tratamento Das Mucosites Orais: Uma Revisão Sistemática. Revista de Saúde Coletiva Da UEFS, 6(2), 66. https://doi.org/10.13102/rscdauefs.v6i2.1189
Moura, J. F. B., Lima, V. de, & Ribeiro, R. de A. (2012). Envolvimento de citocinas (TNF-α, IL-1β E IL-10) e óxido nítrico na patogênese da mucosite oral experimental induzida por radioterapia de megavoltagem : efeito protetor da pentoxifilina, inibidor da óxido nítrico sintase induzida e de fitoterápicos. http://www.repositorio.ufc.br/handle/riufc/7712
Nagi, R., Patil, D. J., Rakesh, N., Jain, S., & Sahu, S. (2018). Natural agents in the management of oral mucositis in cancer patients-systematic review. In Journal of Oral Biology and Craniofacial Research 8(3), 245–254). https://doi.org/10.1016/j.jobcr.2017.12.003
Pulito, C., Cristaudo, A., Porta, C. la, Zapperi, S., Blandino, G., Morrone, A., & Strano, S. (2020). Oral mucositis: The hidden side of cancer therapy. In Journal of Experimental and Clinical Cancer Research. 39(1). https://doi.org/10.1186/s13046-020-01715-7
Radha, M. H., & Laxmipriya, N. P. (2015). Evaluation of biological properties and clinical effectiveness of Aloe vera: A systematic review. In Journal of Traditional and Complementary Medicine. 5(1), 21–26. https://doi.org/10.1016/j.jtcme.2014.10.006
Ramos, J. C., de Almeida, M. L. D., de Alencar, Y. C. G., Filho, L. F. de S., Figueiredo, C. H. M. da C., & Almeida, M. S. C. (2018). Epidemiological study of bucomaxilofacial trauma in a Paraíba reference hospital. Revista Do Colegio Brasileiro de Cirurgioes, 45(6), 1–9. https://doi.org/10.1590/0100-6991e-20181978
Sahebjamee, M., Mansourian, A., Mohammad, M. H. M., Zadeh, M. T., Bekhradi, R., Kazemian, A., Manifar, S., Ashnagar, S., & Doroudgar, K. (2015). Comparative efficacy of aloe vera and benzydamine mouthwashes on radiation-induced oral mucositis: A triple-blind, randomised, controlled clinical trial. Oral Health & Preventive Dentistry, 13(4), 309–315. https://doi.org/10.3290/j.ohpd.a33091
Shankar, A., Roy, S., Bhandari, M., Rath, G. K., Biswas, A. S., Kanodia, R., Adhikari, N., & Sachan, R. (2017). Current trends in management of oral mucositis in cancer treatment. In Asian Pacific Journal of Cancer Prevention. 18(8), 2019–2026. https://doi.org/10.22034/APJCP.2017.18.8.2019
Souza, B. C. de. (2019). Bocheco de Camomila (Chamomilla recutita) como auxiliar no tratamento da mucosite. Brazilian Journal of Surgery and Clinical Research-BJSCR, 29(1), 68–74.
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Valduga, F., Oltramari, E., Lemes, L. T. de O., Mattos, C. E. de, Stefenon, L., & Mozzini, C. B. (2019). Prevenção da Mucosite Oral em Pacientes submetidos à Quimioterapia. Revista Brasileira de Cancerologia, 64(2), 189–194. https://doi.org/10.32635/2176-9745.rbc.2018v64n2.77
Volpato, L. E. R., Silva, T. C., Oliveira, T. M., Sakai, V. T., & Machado, M. A. A. M. (2007). Mucosite bucal rádio e quimioinduzida. Revista Brasileira de Otorrinolaringologia, 73(4), 562–568. https://doi.org/10.1590/S0034-72992007000400017
Yarom, N., Hovan, A., Bossi, P., Ariyawardana, A., Jensen, S. B., Gobbo, M., Saca-Hazboun, H., Kandwal, A., Majorana, A., Ottaviani, G., Pentenero, M., Nasr, N. M., Rouleau, T., Lucas, A. S., Treister, N. S., Zur, E., Ranna, V., Vaddi, A., Barasch, A., … Elad, S. (2020). Systematic review of natural and miscellaneous agents, for the management of oral mucositis in cancer patients and clinical practice guidelines — part 2: honey, herbal compounds, saliva stimulants, probiotics, and miscellaneous agents. Supportive Care in Cancer, 28(5), 2457–2472. https://doi.org/10.1007/s00520-019-05256-4
Zeni, A. L. B., Parisotto, A. V., Mattos, G., & Helena, E. T. de S. (2017). Utilização de plantas medicinais como remédio caseiro na Atenção Primária em Blumenau, Santa Catarina, Brasil. Ciencia e Saude Coletiva, 22(8), 2703–2712. https://doi.org/10.1590/1413-81232017228.18892015
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Copyright (c) 2022 João Francisco Barbosa Cordeiro; Waleska Tychanowicz Kolodziejwski; Acir José Disrchnabel; Claudia Elisa Grasel; Soraia Almeida Watanabe Imanishi; Shaline Ferla Baptistella; Lea Maria Franceschi Dallanora; Grasieli de Oliveira Ramos
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