The positive impact of dental care on the patient's quality of life after cancer treatment: a case report
DOI:
https://doi.org/10.33448/rsd-v9i9.7639Keywords:
Quality of life; Oral health; Aftercare; Radiotherapy; Drug TherapyAbstract
Objective: To report the case of a patient after cancer treatment and evaluate the impact of oral health on quality of life, through the Oral Health Impact Profile (OHIP-14) before, during, and after dental treatment. Methodology: A patient after antineoplastic treatment attended the clinic specialized. In all consultations, OHIP-14 was applied. Case report: A 68-year-old man diagnosed with keratinizing squamous cell carcinoma of the larynx (T3N0MX), undergoing chemotherapy and adjuvant radiotherapy (2878.2 Grays) and vertical partial laryngectomy surgery without ganglionic emptying. After CT, he complained of tooth loss and discomfort in the tongue after radiotherapy. Ex-drinker for 5 years, ex-smoker for 6 months, but alcoholic for> 10 years and smoker <50 years. Side effects of antineoplastic treatment included labial dryness, hyposalivation, dental fractures, residual roots, changes in swallowing, pain during mouth opening, and cervical movement. The results OHIP-14 was medium (17.85), weak (3.52), weak (2.84) and null impact of oral health on quality of life in the initial consultation, throughout the dental treatment, at the end of dental treatment and 1 year and 2 months after dental treatment, respectively. There was a high impact on psychological discomfort (3.55), medium on psychological disability (1.6), and functional limitation (2.04), in 2015, 2017, and 2018, respectively. Conclusion: The performance of the dentist on the late oral effects of chemotherapy and radiotherapy had a positive impact on improving the quality of life after cancer treatment, with the help of the multidisciplinary team.
References
Abed, H., Reilly, D., Burke, M. & Daly, B. (2019). Patients with head and neck cancers’ oral health knowledge, oral health-related quality of life, oral health status, and adherence to advice on discharge to primary dental care: A prospective observational study. Spec Care Dentist, 39, 593–602. doi: 10.1111/scd.12418
Allen, P. F. (2003). Assessment of oral health related quality of life. Health Qual LifeOutcomes, 8, 1–40. doi: 10.1186/1477-7525-1-40
Barrios, R., Bravo, M., Gil-Montoya, J. A., Martínez-Lara, I., García-Medina, B. & Tsakos, G. (2015). Oral and general health-related quality of life in patients treated for oral cancer compared to control group. Health Qual Life Out, 13 (1), 1–8.
Barrios, R., Tsakos, G., García-Medina, B., Martínez-Lara, I. & Bravo, M. (2014). Oral health-related quality of life and malnutrition in patients treated for oral cancer. Support Care Cancer, 22 (11), 2927–33.
Becker, S. T., Menzebach, M., Kuchler, T., Hertrampf, K., Wenz, H. J. & Wil, T. (2012). Quality of life in oral cancer patients and effects of mandible resection and socio-cultural aspects. J Cranio Maxill Surg, (40), 24-27.
Biazevic, M. G. H., Antunes, J. L. F., Togni, J., Andrade, F. P., Carvalho, M. B. & Wunsch-Filho, V. (2010). Survival and quality of life of patients with oral and oropharyngeal cancer at 1-year follow-up of tumor resection. J Appl Oral Sci, 18 (3), 279-84.
Bissinger, O., Rau, A., Koerdt, S., Wolf, K. D., Kesting, M. R. & Gotz, C. (2017). Evaluating tumour after care in oral squamous cell carcinoma: Insights into patients' health related quality of life. J Cranio Maxill Surg, 45, 262e266. doi: 10.1016/j.jcms.2016.12.002
De Oliveira, B. H. & Nadanovsky, P. (2005). Psychometric properties of the Brazilian version of the Oral Health Impact Profile–short form. Community Dent Oral Epidemiol, 33, 307–14. doi: 10.1111/j.1600-0528.2005.00225.x
Epstein, J. B., Robertson, M., Emerton, S., Phillips, N. & Stevenson-Moore, P. (2001). Quality of life and oral function in patients treated with radiation therapy for head and neck cancer. Head Neck, 23 (5), 389-398.
Epstein, J. B., Thariat, J., Bensadoun, R.J., Barasch, A., Murphy, B. A., Kolnick, L., Popplewll, L. & Maghami, E. (2012). Oral Complications of Cancer and Cancer Therapy: From Cancer Treatment to Survivorship. CA Cancer J Clin, 62 (6), 400-22.
Fromm, L., Gotfredsen, K., Wessel, I. & Ozhayat, E. B. (2019). Oral health‐related quality of life, oral aesthetics and oral function in head and neck cancer patients after oral rehabilitation. J Oral Rehabil, 46, 738–746. doi: 10.1111/joor.12806
Ghazali, N., Roe, B., Lowe, D. & Rogers, S. N. (2015). Patients concerns inventory highlights perceived needs andconcerns in head and neck cancer survivors and its impacton health-related quality of life. Brit J Oral Max Surg, 53, 371–379. doi: 10.1016/j.bjoms.2015.01.022
Gotfredsen, K. & Abdullah, S. (2015). Oral prosthetic rehabilitation with and without implants after radiation therapy and ablative surgery. Int J Dentistry Oral Sci, S2, 21‐25.
Karimi, A. M., Gairola, M., Ahlawat, P., Tandon, S., Pal, M., Sachdeva, N., Sharief, M. I. & Dobriyal, K. (2019). Health-related quality of life assessment for head-and-neck cancer patients during and at 3 months after radiotherapy – A prospective, analytical questionnaire-based study. Natl J Maxillofac Surg, 10, 134-40.
Leitão, B. F. B., Duarte, I. V. & Bettega, P. B. (2013) Patients with cancer of oral cavity undergoing surgery: social representations about the treatment. Rev SBPH, 16 (1), 113-40.
Locker, D. (1997). Concepts of oral health, disease and the quality of life. In: Slade G. Measuring oral health and quality of life. Chapel Hill: University of North Carolina, Dental Ecology, 11-24.
Mesquita, F. A. B. & Vieira, S. (2009). Impacto da condição autoavaliada de saúde bucal na qualidade de vida. RGO, 57 (4), 401–6.
Santos, P. S. S., Cremonesi, A. L., Quispe, R. A. & Rubira, C. M. (2017). The impact of oral health on quality of life in individuals with head and neck cancer after radiotherapy: the importance of dentistry in psychosocial issues. Acta Odontol Latinoam, 30 (2), 62–7.
Shavi, G. R., Thakur, B., Bhambal, A., Jain, S., Singh, V. & Shukla, A. (2015). Oral Health Related Quality of Life in Patients of Head and Neck Cancer Attending Cancer Hospital of Bhopal City, India. J Int Oral Health, 7 (8), 21–217.
Slade, G. D. (1997). Derivation and validation of a short-fortn oral health impact profile. Community Dent Oral Epidetniol, 25, 284-90.
Stuani, V. T., Santos, P. S. S., Damante, C. A., Zangrando, M. S. R., Greghi, S. L. A., Rezende, M. L. R. & Sant’Ana, A. C. P. (2018). Oral health impact profile of head and neck cancer patients after or before oncologic treatment: an observational analytic case-control study. Support Care Cancer, 26 (7), 2185–9.
Viet, C. T., Corby, P. M., Akinwande, A. & Schmidt, B. L. (2014). Review of Preclinical Studies on Treatment of Mucositis and Associated Pain. J Dent Res, 93 (9), 868–875.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Caroline Gomes Carvalho; João Victor Frazão Câmara; Paulo Sérgio da Silva Santos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
