[Dental state in patients with head and neck cancers].

Date publication

mai 2015

Auteurs

Membres identifiés du Cancéropôle Est :
Pr ANTONI Delphine , Dr GUIHARD Sébastien , Pr NOEL Georges

Tous les auteurs :
Rouers M, Truntzer P, Dubourg S, Guihard S, Antoni D, Noel G

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/25937188

Résumé

In France, in 2005, there were approximately 16,000 new cases of head and neck cancer. These cancers have an unfavourable prognosis: the survival rates at 3 and 10 years are 50% and 10% respectively. The consumption of alcohol and tobacco is the most important risk factor; in some countries HPV infection was identified as a risk factor of head and neck tumours. Furthermore, a poor oral hygiene seems to raise this risk. We found many decay and periodontium problems in patients with an upper aerodigestive tract cancer. An evaluation of dental state is necessary before any cancer treatment. Treatments by radiotherapy engender noxious effects: hypocellular, hypovascularization, hypoxie of the irradiated tissues, which lead to immediate and chronically oral complications such as mucositis, fibrosis, xerostomia, decay, or osteoradionecrosis. An oral follow-up of these patients can prevent these complications, or reduce the severity of oral complications, and promote a good oral state.

Référence

Cancer Radiother. 2015 May;19(3):205-10; quiz 230, 234