1. Table 1. Preventive Measures
DENTAL CARE IN PREOPERATIVE ELDERLY PATIENTS WITH CANCER OF MOUSE
*Jéssica Gazel1, José Miguel Amenábar Céspedes2, Mariele Pototski3, Nerildo Ulbrich4, Therezinha Pastre3.
Cirurgiã Dentista – Universidad Latina de Costa Rica. Aluna do curso de Especialização em Odontogeriatria –
UFPR, Curitiba, Paraná, telefone: (41)
2) Orientador, Professor Adjunto – UFPR, Professor do curso de Especialização em Odontogeriatria – UFPR
3) Professoras do curso de Especialização em Odontogeriatria – UFPR
4) Professor Adjunto UFPR e Coordenador do curso de Especialização em Odontogeriatria – UFPR
SUMMARY:
The increase in life expectancy as a result has brought an increase in the number of people aged over 60 years, with those above this age have a higher risk for developing cancer. The oral cancer is a disease characterized by uncontrolled growth of abnormal cells that exhibit aggressive behavior and uncontrollable. The dental treatment before the cancer should be as objective the removal of infected farms active, as well as the identification and removal of potential risk factors for the onset of complications such as oral mucositis and Osteoradionecrosis. The dental evaluation should be made in advance to treatment. The severity of complications in patients with oral cancer can be reduced significantly when we started a strategy for maintaining oral hygiene. The treatment of teeth with prognosis uncertain, as injuries or fractures of caries, periodontal or endodontic involvement, tooth extractions and surgeries to be performed at least three weeks before the start of radiotherapy. Prevention would be the removal of the biofilm, topical application of fluoride, an indication of antiseptics, antifungal oral cavity, an indication of physical therapy for prevention of trismus for prevention and treatment of mucositis, as the use of ice and low-intensity laser. The participation of dental specialist in geriatric with knowledge and skills in the treatment of elderly patients with cancer may reduce the risk of dental complications improving the quality of life of patients. The goal of this literature review is to describe the participation of dental surgeons in caring for elderly patients to be subjected to radiation.
KEY WORDS: Oral complications, cancer of head and neck, radiotherapy.
Necessidade
Tratamento
Prótese
Higienização
Abertura da boca
Avaliar abertura, dor , desvio
Exame Radiográfico
Avaliar lesões
Profilaxia
3 semanas antes da radioterapia
Tratamento Periodontal
Antibiótico
Tratamento Endodôntico
Interconsulta média
Tratamento Restaurador
Antes ou após o tratamento
Exodontias e Cirurgias
22 dias antes da radioterapia
Table 1. Preventive Measures
INTRODUCTION
The increase in life expectancy as a result has brought an increase in the number of people aged over 60 years, with people above this age are at greater risk for developing cancer. The oral cancer is one of oral disease that affects people in this age group. The dental treatment prior to cancer should be aimed at the removal of active infectious foci, as well as the identification and removal of possible risk factors for the development of complications such as oral mucositis and osteoradionecrosis.
OBJECTIVE
The purpose of this review is to describe the participation of dentists in the care of elderly patients undergoing radiotherapy.
Need
Treatmentmento
Prosthesis
Opening assess painização
Mouth opening
Assess Injuries , dor , desvio
Radiographic Examination
Avaliar lesões
Prophylaxis
3 weeks before radiotherapy da radioterapia
Periodontal Treatment
Antibioticiótico
Endodontic Treatment
Medical Liaisonulta média
Restorative Treatment
Before or after treatmentou após o tratato
Surgery and extractions
22 days before radiotherapyantes da radioterapia
CONCLUSION
The pre-operative dental treatment in elderly patients with oral cancer should follow the following protocol:
Patients should undergo dental evaluation prior
Remove active infectious foci
Identification and removal of possible risk factors for complications
Extractions and surgery should be performed early enough to allow tissue healing
Using a conservative approach to dentistry.
To evaluate the patient's condition soon after the start of cancer treatment
Encourage the patient to maintain good oral hygiene control
The service must be performed by a dental team with experience.
REVIEW
The oral cancer is a disease characterized by uncontrolled growth of abnormal cells that exhibit aggressive behavior and uncontrollable. Among the risk factors for the onset of oral cancer may mention tobacco use, frequent alcohol consumption and excessive exposure to sunlight (Chambers MS, Garden AS, 2006).
Oral Cancer Treatment consists of surgical removal and radiotherapy, and the latter may cause side effects in the mouth such as mucositis, candidiasis, dysgeusia, xerostomia, dysphagia, soft tissue necrosis, trismus, dental caries, osteoradionecrosis Almeida FCS, Vaccarezza GF Cazal C et al
The severity of complications in patients with oral cancer can be significantly reduced through good dental evaluation prior to treatment (Table 1), in order to prevent future complications. Santos PSS Scramin RCW. In: Dental 2006
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