Endodontic implications in cancer patients irradiated in head and neck: an integrative review
DOI:
https://doi.org/10.33448/rsd-v12i2.40011Keywords:
Dentistry; Head and neck cancer; Radiotherapy; Endodontics.Abstract
Head and neck cancer is a chronic disease considered a public health problem. Among therapeutic modalities, radiotherapy implies oral complications and structural changes in the dental organ, including pulp modifications. In the presence of pulpoperiapical involvement, the atraumatic endodontics is a treatment of choice since it is more conservative and is able to eliminate the infection, avoiding an extraction with potential risk of osteoradionecrosis. In view of this, the objective of this study was to review the literature on the dental surgeons’ conduct with regard to the endodontic treatment in cancer patients irradiated in head and neck. This is an integrative literature review, with qualitative nature and a descriptive approach, carried out between February and August 2022, in Virtual Health Library portal and in the Scientific Electronic Library Online and PubMed databases, using the search strategy “((endodontics AND radiotherapy AND cancer AND treatment) OR (endodontia AND radioterapia AND câncer AND tratamento))”. All of the nine studies included in this research addressed that every patient irradiated in head and neck area that required endodontic treatment in order to eradicate infections and/or prevent extractions, should be treated following the guiding principles of atraumatic endodontics, and so guaranteeing minimum inflammatory tissue reaction. For this, the dental surgeons should have full control of the atraumatic endodontic treatment, providing a more conservative treatment, excellent prognosis and quality of life to such affected individuals.
References
Adorno, G. F., & Mendes, I. R. (2020). Tratamento endodôntico em pacientes oncológicos. Trabalho de Conclusão de Curso (TCC), Universidade de Uberaba, Minas Gerais, Brasil.
Araújo, D. A. de, Martins, V. da M., & Carvalho, B. F. (2021). Tratamento Endodôntico em Pacientes Submetidos a Radioterapia: Revisão de Literatura. Research, Society and Development, 10(7), e1010716127.
Borges, B. S., Vale, D. A. do,Aoki, R., Trivino, T., & Fernandes, K. S. (2019). Atendimento odontológico de paciente submetido à radioterapia em região de cabeça e pescoço: relato de caso clínico. Revista de Odontologia Da Universidade Cidade de São Paulo, 30(3), 332-340.
Castagnola, R., Minciacchi, I., Rupe, C., Marigo, L., Grande, N. M., Contaldo, M., Pesce, A., & Lajolo, C. (2020). The Outcome of Primary Root Canal Treatment in Postirradiated Patients: A Case Series. Journal of Endodontics, 46(4), 551–556.
Fernandes, I. S., & Fraga, C. P. T. (2019). 2. A importância do cirurgião-dentista nos efeitos adversos na cavidade bucal do tratamento oncológico de cabeça e pescoço. Revista Científica UMC, 4(1).
Fonseca, M. B., Vale, M. C. S., Silva, R. C., Alencar, S. F., Bernal, S. R. B. G., & Seroli, W. (2022). Principais sequelas bucais da radioterapia de cabeça e pescoço. E-Acadêmica, 3(1), e2631123–e2631123.
Galindo, J. K. S. N., Arruda, M. F., Duque, T. M., & Neris, C. W. D. (2016). Relação osteorradionecrose e tratamento endodôntico para pacientes oncológicos: revisão de literatura. Uningá Review, 25(1), 59–63.
Gupta, N., Grewal, M. S., Gairola, M., Grewal, S., & Ahlawat, P. (2018). Dental Pulp Status of Posterior Teeth in Patients with Oral and Oropharyngeal Cancer Treated with Radiotherapy: 1-year Follow-up. Journal of Endodontics, 44(4), 549–554.
Instituto Nacional de Câncer José Alencar Gomes da Silva. (2019). Julho Verde: INCA debate linha de cuidado e diagnóstico precoce de tumores de cabeça e pescoço. https://www.inca.gov.br/noticias/julho-verde-inca-debate-linha-de-cuidado-e-diagnostico-precoce-de-tumores-de-cabeca-e
Instituto Nacional de Câncer José Alencar Gomes da Silva. (2020). Estimativa 2020: incidência de câncer no Brasil. https://www.inca.gov.br/publicacoes/livros/estimativa-2020-incidencia-de-cancer-no-brasil
Instituto Nacional de Câncer José Alencar Gomes da Silva. (2021). INCA promove campanha de prevenção ao câncer de cabeça e pescoço. https://www.inca.gov.br/imprensa/inca-promove-campanha-de-prevencao-ao-cancer-de-cabeca-e-pescoco
Kataoka, S. H. H., Setzer, F. C., Gondim-Junior, E., Fregnani, E. R., Moraes, C. J. P., Pessoa, O. F., Gavini, G., & Caldeira, C. L. (2016). Late Effects of Head and Neck Radiotherapy on Pulp Vitality Assessed by Pulse Oximetry. Journal of Endodontics, 42(6), 886–889.
Lima, J. F., Machado, G. L. N., & Rodrigues, C. T. (2020). Tratamento endodôntico envolvendo perfuração radicular em paciente submetido à terapia antineoplásica: relato de caso. Revista Odontológica Do Brasil Central, 29(88), 60–64.
Lopes, H. P.; Siqueira Júnior, J. F. Endodontia: biologia e técnica. (5a ed.), Guanabara Koogan, 2020.
Madani, Z. S., Azarakhsh, S., Shakib, P. A., & Karimi, M. (2017). Histopathological changes in dental pulp of rats following radiotherapy. Dental Research Journal, 14(1), 19–24.
Mattos, F. P. S., & Marchionni, A. M. T. (2021). Endodontia e sepultamento radicular como tratamento conservador em paciente submetido à radioterapia: Relato de caso. Brazilian Journal of Development, 7(12), 114300–114314.
Mattos, P. C. (2015) Tipos de revisão de literatura. Faculdade de Ciências Agronômicas- UNESP, Botucatu, Brasil.
Miura, F. L., Cardoso, E. M. F. S., & Guedes, C. do C. F. V. (2021). Cuidados durante o tratamento endodôntico no paciente oncológico. Research, Society and Development, 10(11), e446101119789.
Silva, C. Q., & Gouvêa, T. S. (2018). Prevenção e controle das manifestações bucais em pacientes irradiados com tumores de cabeça e pescoço. Trabalho de Conclusão de Curso (TCC) Universidade de Taubaté, São Paulo, Brasil.
Silva, F. A., Roussenq, S. C., Tavares, M. G. S., 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).
Yanaguizawa, W. H., Velasco, S. K., Gialain, I. O., Caldeira, C. L., & Cavalcanti, M. G. P. (2019). Endodontic treatment in patients previously subjected to head and neck radiotherapy: a literature review. Journal of Oral Diagnosis, 4(1), 1–6.
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Copyright (c) 2023 Thayse Gomes da Silva Oliveira; Lucas Estrêla de Amorim; Joana Dourado Martins Cerqueira; Edla Carvalho Lima Porto; Maria do Carmo Vasquez Fernandes Bastos Nagahama; Rêuder Nascimento Cerqueira Costa
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