Conceição et al. [11 Conceição TC, Sanches ACB, Freire TFC, Martins GB, Marques MVC, Dantas JBL. Acute oral manifestations in patients submitted to radiotherapy in the head and neck region: literature narrative review. J Health Sci. 2021;23(1):92-98. http://dx.doi.org/10.17921/2447-8938.2021v23n2p92-98 https://doi.org/10.17921/2447-8938.2021v...
] |
Literature and narrative review |
Address radiotherapy and its main acute oral manifestations. |
Radiotherapy results in devastating side effects. |
Ferreira et al. [22 Ferreira RMOSV, Campos MS, Darze D, Meira R. Oral manifestations associated with radiotherapy: literatura review. Rev Ciênc Atual. 2021;17(1):110-117.] |
Literature review |
Identify the main oral manifestations of radiotherapy, dosage, and dental care service. |
Preventive dental treatment in cancer patients is important to diagnose and treat diseases during and after radiotherapy. |
Paiva et al. [33 Paiva MDEB, Biase RCCG, Moraes JJC, Ângelo AR, Honorato MCTM. Oral complications of cancer therapy. Arq Odontol. 2016;46(1):48-55.] |
Literature review |
Present oral complications resulting from radiotherapy and highlight the importance of DS. |
DS should accompany before, during and after anticancer treatment to prevent or control complications. |
Brasil [44 Brazil. Ministério da Saúde. Relatório sobre o cenário assistencial e epidemiológico do câncer de lábio e cavidade oral no Brasil. Inca. 2020;2(1):1-27.] |
Not informed |
Support SUS management, with emphasis on oral health coordination, during oral cancer control actions planning and concerning service offerings organization. |
Oral cavity cancer may have a favorable prognosis for the patient’s quality of life once treatment starts with small tumors. For this reason, it is essential that information about risk factors and signs, as well as symptoms of the disease be shared to start treatment. |
Sroussi et al. [55 Sroussi HY, Epstein JB, Bensadoun RJ, Saunders DP, Lalla RV, Migliorati CA, et al. Common oral complications of head and neck cancer radiation therapy: mucositis, infections, saliva, chage, fibrosis, sensory dysfunctions, dental caries, periodontal disease, and osteoradionecrosis. Cancer Med. 2017;6(12):2918-2931. http://dx.doi.org/10.1002/cam4.1221 https://doi.org/10.1002/cam4.1221...
] |
Literature review |
Present considerations and recommendations to patients before, during, and after radiotherapy in order to maintain oral health, treat effects, and improve life quality. |
Ionized patients need oral health, for this reason, it is necessary to have in the oncology personnel, trained professionals. In order to provide treatment or support before, during and after therapy. |
Jawad et al. [66 Jawad H, Hodson NA, Nixon PJ. A review of dental treatment of head and neck cancer patients, before, during and after radiotherapy: part 1. Br Dent J. 2015;218(2):65-68. http://dx.doi.org/10.1038/sj.bdj.2015.28 https://doi.org/10.1038/sj.bdj.2015.28...
] |
Literature review |
Review regarding oral manifestations which occur during and after radiotherapy, in addition to describing dental care before, during and after the therapy in question. |
Head and neck radiotherapy interferes with life quality. This interference happens with early or late effects, requiring planned personnel to reduce or prevent them. |
Sen et al. [77 Sen S, Priyadarshini SR, Sahoo PK, Dutta A, Kumar U. Palliative oral care in patients undergoing radiotherapy: Integrated review. J Family Med Prim Care. 2020;9(10):5127-5131. http://dx.doi.org/10.4103/jfmpc.jfmpc_827_20 https://doi.org/10.4103/jfmpc.jfmpc_827_...
] |
integrated review |
Present the importance of oral health care during and after radiotherapy, emphasizing the role of the DS in improving life quality by treating the manifested consequences after the therapy. |
Complications during and after radiotherapy require special care. It must have been treated and prevented by palliative care by specialized dental surgeons. |
Fernandes et al. [88 Fernandes AS, Oliveira BCL, Silva LMC, Ohse DH, Pimenta YS. Dental care for patients undergoing head and neck radiotherapy: literature review. Electr J Collect Health. 2021;13(1):1-7.] |
Narrative review |
Highlight the role of DS at managing cancer patients in order to achieve a better and/or precise diagnose as well as adapt the oral cavity. |
Dental accompaniment is important to prevent and reduce the incidence of oral complications. |
Kawashita et al. [99 Kawashita Y, Soutome S, Umeda M, Saito, T. Oral management strategies for radiotheapy of head and neck câncer. Jpn Dent Sci Rev. 2020;56(1):62-67. http://dx.doi.org/10.1016/j.jdsr.2020.02.001 https://doi.org/10.1016/j.jdsr.2020.02.0...
] |
Literature review |
Show that oral health care strategies before, during and after radiotherapy can avoid the effects. |
It is important that the DS encourages patients to control dental plaque, prescribe medications to increase salivary flow, in addition, to refer them to nutritional monitoring, aiming at improving the patient’s quality of life. |
Santos et al. [1010 Santos, Paulo SS, Cremonesi AL, Quispe RA, Rubira CMF. 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. 2017;30(2):62-67.] |
Literature review |
Demonstrate the importance of oral health care before, during and after radiotherapy treatment and its effect on life quality. |
Some oral manifestations can compromise the quality of life of the ionized patient if the necessary care assistance is not performed. |
Borges et al. [1111 Borges BS, Vale DA, Aoki R, Trivino T, Fernandes KS. Atendi-mento odontológico de paciente submetido à radioterapia em região de cabeça pescoço: relato de caso clínico. Rev Odontol UnivCid. 2018;30(3):332-340.] |
Case related |
Present a clinical case to discuss dental care of a patient irradiated in the head and in the neck, highlighting oral complications, dental management and the importance of the DS performing with the oncological personnel. |
Dental accompaniment before, during and after therapy controls and prevents oral manifestations, improving quality of life. |
Lima et al. [1212 Lima IH, Andrade CES, Silva IVS, Vasconcelos MG, Vasconcelos RG. The main changes of dental development. Salusvita. 2017;36(2):533-563.] |
Literature review |
Present the main dental developmental anomalies, pointing out changes in number, size, structure, and shape of the tooth, emphasizing the importance of the DS throughout the diagnosis. |
Developmental dental alterations are discovered by the DS due to aesthetic dissatisfaction or detection in routine consultation, and it is the professional responsibility to diagnose and outline a treatment proposal. |
Gabe et al. [1313 Gabe C, Almeida DR, Siqueira LO. Evaluation of opportunistic infections in children suffering from leukemia. Rev Bras Hematol Hemoter. 2009;31(2):74-79. http://dx.doi.org/10.1590/S1516-84842009005000017 https://doi.org/10.1590/S1516-8484200900...
] |
Data analysis |
Describe the frequency of leukemia and infectious opportunistic events in children and adolescents in a specific region. |
Opportunistic diseases or infections are susceptible on a certain type of leukemia, population, antineoplastic therapy, ethnicity, and a clinical picture other than immunosuppression. |
Sena et al. [1414 Sena MF, Gondim LAM, Souza GCA, Ferreira MAF, Lima KC. Treatment of oral candidiasis in patients with head and neck cancer: a systematic review. Rev AMRIGS. 2009:53(3):241-245.] |
Systematic Review |
Investigate interventions for oropharyngeal candidiasis treatment in patients with head and neck cancer. |
Fluconazole is more effective to treat oropharyngeal candidiasis, but attention should be paid to the resistance of certain strains of candida to the drug. |
Lima et al. [1616 Lima LCS, Andalécio MM, Andrade RS, Machado FC, Novais VR, Carvalho TA. Oral clinical implications and the importance of dental care in palliative care patients: an integrative literature review. 2021;10(9):1-8. http://dx.doi.org/10.33448/rsd-v10i9.18356 https://doi.org/10.33448/rsd-v10i9.18356...
] |
Integrative Literature review |
Characterize oral implications and contribution of odontology to the life quality of patients in palliative care. |
It is necessary the DS’s presence in order to promote health, prevent disease and recovery from any damage rehabilitation to maintain life quality. |
Rapoport et al. [1717 Rapoport A, Kowalski LP, Herter NT, Brandão LG, Walder F. Rastreamento, diagnóstico e tratamento do câncer de boca. Projeto Diretrizes – Associação Médica Brasileira e Conselho Federal de Medicina. São Paulo: Sociedade Brasileira de Cirurgia de Cabeça e Pescoço; 2001. Disponível em: <https://amb.org.br/files/_BibliotecaAntiga/rastreamento-diagnostico-e-tratamento-do-cancer-de-boca.pdf>. https://amb.org.br/files/_BibliotecaAnti...
] |
Not informed |
Reconciling information from the medical field to standardize behaviors that assist in the physician’s reasoning and decision-making. |
Even though it presents guidelines to advise the physician in his/her evaluation, the information contained in the document must be submitted to the physicians’ evaluation and criticism. |
Silva et al. [1818 Silva JKMC, Rios TLB, Guedes CCFV. Dental care for patients undergoing antineoplasic treatments. Res Soc Develop. 2021;10(12);e99101220231. http://dx.doi.org/10.33448/rsd-v10i12.20231 // https://doi.org/10.33448/rsd-v10i12.2023...
] |
Literature review |
Highlight the importance of the DS performing with the oncological personnel. |
The DS’s role in the personnel provides quality of life. |