Importance of dental care in palliative care of cancer patients: an integrative literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i11.33198

Keywords:

Dentistry; Terminally ill; Palliative treatment.

Abstract

The aim of this study was to highlight the role of the dentist in palliative care of adult cancer patients. This is an integrative review with search on PubMed, SciELO, Scopus, LILACS and Embase platforms. Primary articles published between 2010 and 2022 in English and Portuguese were included. Studies not directly related to the topic were excluded. Among 550 articles found, 11 were selected. Regarding the treatment of cancer patients, therapies such as surgery, radiotherapy and chemotherapy harm oral health, causing the appearance of oral manifestations during and after therapies, with the following problems being more frequent: xerostomia, mucositis or stomatitis, candidiasis, post-radiotherapy caries and osteoradionecrosis. In this sense, dental management is responsible for preventing and treating such complications, and pre-therapeutic evaluations and procedures are essential, as well as education in oral hygiene and periodic consultations with the dentist. The dentist's role is also to prevent opportunistic infections, which are frequent due to immunosuppression caused by radiotherapy or chemotherapy, reducing hospital stay and medication use. In addition, patients may have difficulty swallowing and breathing, as well as aesthetic and phonetic impairment, requiring rehabilitation with prosthetic devices. The dental role in palliative care in cancer patients is very important to promote a better quality of life, in view of the needs in oral care that arise during all stages of treatment. Insufficient training in undergraduate courses makes it difficult for dental surgeons to work in palliative care teams for cancer patients.

References

Amodio, J. et al. (2014). Oral health after breast cancer treatment in postmenopausal women. Clinics, 69, 706-708.

Andrade, K. D. S. et al. (2021). From diagnosis to cure: The role of the Dentist in the treatment of oral cancer. Research, Society and Development, 10(7), e33110716613.

Beech, N. et al. (2014). Dental management of Dental management of patients irradiated for head and neck cancer. Australian Dental Journal, 59(1), 20-28.

Brennan, M. T. et al. (2002). Treatment of xerostomia: a systematic review of therapeutic trials. Dental Clinics, 46(4), 847-856.

Bustillos, H. et al. (2022). Xerostomia: An immunotherapy-related adverse effect in cancer patients. Supportive Care in Cancer, 30(2), 1681-1687.

Carvalho, C. C. et al. (2021). Importância da Biópsia no Diagnóstico Precoce de Carcinoma de Células Escamosas. ARCHIVES OF HEALTH INVESTIGATION, 11(2), 348–351.

Cassolato, S. F. & Turnbull, R. S. (2003). Xerostomia: clinical aspects and treatment. Gerodontology, 20(2), 64-77.

Chowdhury, R. A & Brennan, F. P. (2020). Cancer Rehabilitation and Palliative Care Exploring the Synergies. Journal of Pain and Symptom Management, 60(6), 1239-1252.

Coimbra, F. (2009). Xerostomia. Etiologia e tratamento. Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial, 50(3), 159-164.

Epstein, J. B. Et al. (2014). Appropriate and necessary oral care for people with cancer: guidance to obtain the right oral and dental care at the right time. Support Care Cancer, 22, 1981-1988.

Fischer, D. J. et al. (2014). Oral health conditions affect functional and social activities of terminally ill cancer patients. Supportive Care in Cancer, 22(3), 803-810.

Furuya, J. et al. (2021). Factors affecting the oral health of inpatients with advanced cancer in palliative care. Supportive Care in Cancer.

Galvão, C. M. et al. (2004). Revisão sistemática: recurso que proporciona a incorporação das evidências na prática da enfermagem. Rev. Latino-am Enfermagem, 12(3), 549-56.

Hermes, H. R. & Lamarca, I. C. A. (2013). Cuidados paliativos: uma abordagem a partir das categorias profissionais de saúde. Ciência & Saúde Coletiva, 18(9), 2577-2588.

Hovan, A. J. et al. (2010). A systematic review of dysgeusia induced by cancer therapies. Supportive care in cancer, 18(8), 1081-1087.

Junior, C. A. L. et al. (2013). Câncer de boca baseado em evidências científicas. Revista da Associação Paulista de Cirurgiões-Dentistas, 67(3), 178-186.

Kidd, E. A. M. & Fejerskov, O. (2004). What constitutes dental caries? Histopathology of carious enamel and dentin related to the action of cariogenic biofilms. Journal of dental research, 83(1), 35-38.

Lalla, R. V. et al. (2008). Management of oral mucositis in patients who have cancer. Dental Clinics of North America, 52(1), 61-77.

Marsh, P. D. et al. (2016). Influence of saliva on the oral microbiota. Periodontology, 70(1), 80-92.

Matsuo, K. et al. (2016). Associations between oral complications and days to death in palliative care patients. Support Care Cancer, 24, 157–161.

Mendes, K. D. L. et al. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto Enfermagem, Florianópolis, 17(4), 758-764.

Millsop, J. W. & Fazel, N. (2016). Oral candidiasis. Clinics in dermatology, 34(4), 487-494.

Mirza, N. et al. (2008). Gustatory impairment in patients undergoing head and neck irradiation. The Laryngoscope, 118(1), 24-31.

Mol, R. (2010). The role of dentist in palliative care team. Indian Journal of Palliative Care, 16(2), 74-78.

Moore, C. et al. (2020). Dental caries following radiotherapy for head and neck cancer: a systematic review. Oral oncology, 100, 104484.

Morita, T. et al. (2001). Determinants of the sensation of thirst in terminally ill cancer patients. Supportive care in cancer, 9(3), 177-186.

Nakajima, N. (2017). Characteristics of Oral problems and effects of Oral Care in Terminally ill Patients with Cancer. American Journal of Hospice and Palliative Medicine, 34(5), 430-434.

Nery, M. W. (2018). Conhecimento de estudantes de medicina, odontologia e enfermagem sobre o câncer de boca: estudo na cidade de Recife/PE (Dissertação de Mestrado, Universidade Federal de Pernambuco, Recife, Pernambuco, Brasil).

Orcina, B. F. et al. (2021). Prevalence of Oral Manifestations in Cancer Patients Assisted in a Home Care Program in the City of Pelotas-RS. Revista Brasileira de Cancerologia, 67(2), e-081184.

Ohno, T. et al. (2016). The need and availability of dental services for terminally ill cancer patients: a nationwide survey in Japan. Support Care Cancer, 24, 19–22.

Page, M. J. et al. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372(71).

Pati, D. & Lorusso, L. N. (2018). How to Write a Systematic Review of the Literature. HERD Health Environments Research & Design Journal, 11(1), 15-30.

Rocha-Buelvas, A. & Jojoa Pumalpa, A. (2011). Manejo odontológico de las complicaciones orales secundarias al tratamiento oncológico con quimioterapia y radioterapia. CES odontol., 24(2).

Saito, H. et al. (2014). Effects of professional oral health care on reducing the risk of chemotherapy-induced oral mucositis. Support Care Cancer, 22, 2935-2940.

Sampaio, F. C. et al. (2021). Dental Caries in Latin American and Caribbean countries: urgent need for a regional consensus. Brazilian oral research, 35.

Sant’ana, L. G. et al. (2021). A importância do conhecimento dos fatores de risco e do diagnóstico precoce na prevenção do desenvolvimento do câncer bucal: uma revisão de literatura. Facit Business and Technology Journal, 25(1).

Santos, M. C. et al. (2007). A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Revista Latino-Americana de Enfermagem, 15(3).

Silveira, R. C. C. P. (2005). O cuidado de enfermagem e o cateter de Hickman: a busca de evidências (Dissertação de Mestrado, Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, São Paulo, Brasil).

Singh, A. K. et al. (2021). Assessment of Oral Health-Care Needs for Patients under Palliative Care. J. Pharm. Bioallied Sci., 13(1).

Souto, K. C. L. et al. (2019). Dental care to the oncological patient in terminality. Revista Gaúcha de Odontologia, 67.

Souza, M.T. et al. (2010). Integrative review: what is it? How to do it? Einstein, 8(1), 102–106.

Spezzia, S. (2016). Mucosite oral. Journal of Oral Investigations, 4(1), 14-18.

Sung, H. et al. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians.

Thanvi, J. & Bumb, D. (2021). Impact of dental considerations on the quality of life of oral cancer patients. Indian Journal of Medical and Paediatric Oncology, 35(1).

Thylstrup, A. & Fejerskov, O. (1995). Diferentes conceitos da cárie dentária e suas implicações. Cardiologia clínica (2.ª ed). São Paulo: Santos, 209-127.

Venkatasalu, M. R. et al. (2020). Oral health problems among palliative and terminally ill patients: an integrated systematic review. BMC Oral Health, 20(1), 1-11.

Von Roenn, J. H. (2011). Palliative Care and the Cancer Patient: Current State and State of the Art. Revista de Hematologia Pediátrica/Oncologia, 33, 87-89.

Whittemore, R. & Knafl, K. (2005). The integrative review: updated methodology. J. Adv. Nurs., 52(5), 546-553.

Wilberg, P. et al. (2012). Oral health is an important issue in end-of-life cancer care. Supportive Care in Cancer, 20(12), 3115-3122.

Wiseman, M. (2017). Palliative Care Dentistry: Focusing on Quality of Life. Compendium of continuing education in dentistry (Jamesburg, NJ: 1995), 38(8), 529-534.

Wiseman M. (2006). The treatment of oral problems in the palliative patient. J. Can. Dent. Assoc., 72(5), 453-458.

Wu, T. et al. (2020). Professional oral care in end-of-life patients with advanced cancers in a hospice ward: improvement of oral conditions. BMC Palliative Care, 19, 181.

Published

18/08/2022

How to Cite

SOARES, J. B.; TEIXEIRA, B. G.; ALVES, W. C. P.; OLIVEIRA, L. M. de; BASTOS, M. M. B.; LUCENA, L. B. S. de. Importance of dental care in palliative care of cancer patients: an integrative literature review. Research, Society and Development, [S. l.], v. 11, n. 11, p. e142111133198, 2022. DOI: 10.33448/rsd-v11i11.33198. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/33198. Acesso em: 3 oct. 2022.

Issue

Section

Health Sciences