Prosthetic challenges in patients submitted to oncological treatment of the head and neck: An integrative review
DOI:
https://doi.org/10.33448/rsd-v12i9.43302Keywords:
Dental prosthesis; Adjuvant radiotherapy; Antineoplastics; Dental implants.Abstract
Objective: To review the literature on the challenges that will be encountered for the oral rehabilitation of patients undergoing oncological treatment of the head and neck. Materials and Methods: An integrative review was carried out in the SciELO, PubMed, VHL and book databases, using articles from the last 10 years with inclusion and exclusion criteria. Results: Head and neck cancer accounts for 3% to 5% of malignant neoplasms. Treatment may involve surgical resection, chemotherapy, radiotherapy, hormone therapy or a combination of more than one form of treatment. There may be side effects to these. Oral rehabilitation in patients undergoing chemotherapy and radiotherapy is different; in chemotherapy it has severe repercussions related to the systemic and oral level, since the tissue response time is related to cell renewal mechanisms and in radiotherapy the placement of implants has proven to be a viable alternative when analyzing the risk factors. The literature has cited successful cases in the placement of implants in cancer patients with good success rates with endoosseous implants and prostheses on implants, showing positive efficacy in osseointegration. Conclusion: Oral rehabilitation for patients undergoing head and neck cancer treatment is still a challenge for dentists, since this type of cancer, as well as its treatment, have different characteristics for each patient. It is imperative that the dental surgeon rehabilitate cancer patients to restore their health, aesthetics and self-esteem.
References
Referências
Alcântara, A. C. F., Melo, R. de O. C. A., Souza, A. V., & Vasconcelos, M. A. C. (2022). The role of the dentist in the diagnosis of mucoepidermoid carcinomas of the parotids glands. Research, Society and Development, 11(10).
Allen, R. J., Nelson, J. Á., Polanco, T. G., shamsunder, M. G., Ganly, I., Boyle, J., Rosen, E., & Matro, E. (2020). Short-term outcomes following virtual surgery-assisted immediate dental implant placement in free fíbula flaps for oncologic mandibular reconstruction. Plastic and reconstructive surgery, 146(6), 768-776.
Anderson, L., Meraw, S., Al-Hezaimi, K., & Wang, H. L. (2013). The influence of radiation therapy on dental implantology. Implant dentistry, 22(1), 31–38.
Bologna-Molina, R., Maglia, A., Castañeda-castaneira, R. E., & Moligna-frechero, N. (2013). Stomatological management of head and neck cancer patients treated with chemotherapy na radiotherapy. World Journal of Stomatology, 2(4), 71-78.
Curi, M. M., Condezo, A. F. B., Ribeiro, K. D. C. B., & Cardozo, C. L. (2018). Long-term sucesso f dental implants in patients witch head and neck câncer after radiation therapy. International Journal of oral and maxillofacial surgery, 47(6), 783-788.
Hermont, A. P., Zina, L. G., da Silva, K. D., da Silva J. M & Martins-Júnior, P.A. (2021). Revisões integrativas: conceitos planejamento e execução. Arq. odontol. 57:3-7
Huang, C. G., Li, M. Z., Wang, S. H., Liu, Y., Zhang, H. L., Haybaeck, J., & Yang, Z. H. (2023). Analysis of Cytological Misdiagnosis and Oversight of Adenoid Cystic Carcinoma of Salivary Gland. Cancer control. Journal of the Moffitt Cancer Center, 30.
Laverty, D. P., Addison, O., Wubie, B. A., Heo, G., Parmar, S., Martin, T., Praveen, P., Pearson, D., Newsum, D., Murphy, M., & Bateman, G. (2019). Outcomes of implant-based oral rehabilitation in head and neck oncology patients-a retrospective evaluation of a large, single regional service cohort. International journal of implant dentistry, 5(1), 8.
Lee, J., Lee, J. J. B., Cha, I. H., Park, K. R., & Lee, C. G. (2022). Risk factor analysis of dental implants in patients with irradiated head and neck cancer. Head & neck, 44(8), 1816–1824.
Lemos, C. A. Jr., Alves, F. A., Torres-Pereira, C., Biazevic, M. G. H., Junior, D. S. P., & Nunes, F. D. (2013). Oral câncer based on scientific evidences. Revista da associação paulista dos cirurgiões-dentistas, 67(3), 178-186.
Lodders, J. N., Leusink, F. K. J., Ridwan-Pramana, A., Winters, H. A. H., Karagozoglu, K. H., Dekker, H., Forouzanfar, T., & Schulten, E. A. J. M. (2021). Long-term outcomes of implant-based dental rehabilitation in head and neck cancer patients after reconstruction with the free vascularized fibula flap. Journal of cranio-maxillo-facial surgery: official publication of the European Association for Cranio-Maxillo-Facial Surgery, 49(9), 845–854.
Micelli, L. C. (2018). Reabilitação oral em pacientes transplantados, Faculdade de odontologia Universidade federal de Minas Gerais, 37.
Pellegrino, G., Tarsitano, A., Ferri, A., Corinaldesi, G., Bianchi, A., & Marchetti, C. (2018). Long-term results of osseointegrated implant-based dental rehabilitation in oncology patients reconstructed with a fibula free flap. Clinical implant dentistry and related research, 20(5), 852–859.
Petrovic, I., Rosen, E. B., Matros, E., Huryn, J. M., & Shah, J. P. (2018). Oral rehabilitation of the cancer patient: A formidable challenge. Journal of surgical oncology, 117(8), 1729–1735.
Pieralli, S., Spies, B. C., Schweppe, F., Preissner, S., Nelson, K., Heiland, M., & Nahles, S. (2021). Retrospective long-term clinical evaluation of implant-prosthetic rehabilitations after head and neck cancer therapy. Clinical oral implants research, 32(4), 470–486.
Reolon, L. Z., Rigo, L., Conto, F. de., & Cé, L. C. (2017). Impacto da laserterapia na qualidade de vida de pacientes oncológicos portadores de mucosite oral. Revista de odontologia da UNESP, 46(1), 19-27.
Sari, J., Nasiloski, K. S., & Gomes, A. P. N. (2014). Oral complications in patients receiving head and neck radiation therapy: a literature review. Revista Gaúcha de odontologia, 62(4), 395-400.
Schiegnitz, E., Reinicke, K., Sagheb, K., König, J., Al-Nawas, B., & Grötz, K. A. (2022). Dental implants in patients with head and neck cancer-A systematic review and meta-analysis of the influence of radiotherapy on implant survival. Clinical oral implants research, 33(10), 967–999.
da Silva, F. A., Roussenq, S. C., Gonçalves de Souza Tavares, M., Pezzi Franco de Souza, C., Barreto Mozzini, C., 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).
da Silva, I. F. D., Omaña-Cepeda, C., Marí-Roig, A., López-López, J., & Jané-Salas, E. (2020). Survival of Dental Implants in Oncology Patients versus Non-Oncology Patients: A 5-Year Retrospective Study. Brazilian dental journal, 31(6), 650–656.
Tamimi, K., Al-Ekresh, S., Bajunaid, S., Angel, & Chenin. (2016). Especialidades em imagens-implantes dentários. GEN Guanabara Koogan.
Tommasi, M. H. M. (2014). Diagnóstico em patologia bucal. GEN Guanabara Koogan.
Usman, S., Ahmed, S., Iqbal, S., & Aslam, A. (2022). Pleomorphic Adenoma of Minor Salivary Gland. Journal of the College of Physicians and Surgeons--Pakistan: JCPSP, 32(4), S70–S72.
Wolf, F., Spoerl, S., Gottsauner, M., Klingelhöffer, C., Spanier, G., Kolbeck, C., Reichert, T. E., Hautmann, M. G., & Ettl, T. (2021). Significance of site-specific radiation dose and technique for success of implant-based prosthetic rehabilitation in irradiated head and neck cancer patients-A cohort study. Clinical implant dentistry and related research, 23(3), 444–455.
Yousra, Z., & Saliha, C. (2021). Pleomorphic adenoma of hard palate: a case report. The Pan African medical journal, 38, 146.
Zelik, V., Grassi, E. F., & Zonta, F. N. S. (2022). O odontólogo frente aos cuidados paliativos na oncologia. Arquivo de ciências da saúde Unipar, 26(3), 927-948.
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Copyright (c) 2023 Milena Viviane de Lima; Gabriel Mendonça Bezerra; Taysnara Ismaeley de Andrade; Mariana de Lyra Vasconcelos Cavalcante
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