Necessidades de atendimento odontológico em pacientes com câncer durante a pandemia de COVID-19 - uma revisão
DOI:
https://doi.org/10.33448/rsd-v9i12.11120Palavras-chave:
Câncer; Coronavírus; COVID-19; Cuidado dental; Oncologia.Resumo
O risco de contaminação por SARS-Cov-2 em pacientes com câncer é alto devido à imunossupressão. O objetivo do estudo é investigar evidências que demonstrem as necessidades de tratamento relacionados às principais doenças que se manifestam na cavidade bucal e também, os fundamentos que suportam os protocolos de atendimento odontológico em pacientes com câncer durante a pandemia de COVID-19. Foram pesquisados artigos publicados nas bases de dados Lilacs, PubMed, Scopus e Web of Science. Os artigos incluídos foram apresentados na língua inglesa e abordaram o risco e associação entre COVID-19, câncer e suas complicações orais, com recomendações para manejo e tratamento desses pacientes durante o período de pandemia. Além disso, também foram incluídos estudos sobre complicações orais decorrentes da terapia antineoplásica. 386 estudos sobre câncer, COVID-19 e atendimento odontológico foram considerados no banco de dados. Após aplicação dos critérios de inclusão e exclusão, foram incluídos 45 artigos. Além dos artigos envolvendo COVID-19, foram incluídos 31 artigos envolvendo complicações orais da terapia antineoplásica e possíveis associações entre câncer e cavidade oral. Os resultados revelaram que as principais doenças bucais nos pacientes com câncer foram mucosite, xerostomia e doença periodontal. As complicações bucais podem estar relacionadas a uma pior evolução do COVID-19. Para o manejo das complicações bucais, o cirurgião dentista deve estar incluído na equipe de interdisciplinar para desenvolver estratégias de prevenção e promoção de saúde bucal. A assistência odontológica é crucial para prevenir e tratar lesões orais decorrentes do tratamento do câncer que podem afetar o prognóstico da COVID-19.
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