[Dental state in patients with head and neck cancers].
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.
Faculté de chirurgie dentaire, 8, rue Sainte-Élisabeth, 67000 Strasbourg, France.
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Rouers
Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67065 Strasbourg, France.
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Truntzer
Faculté de chirurgie dentaire, 8, rue Sainte-Élisabeth, 67000 Strasbourg, France.
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Dubourg
Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67065 Strasbourg, France.
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Guihard
Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67065 Strasbourg, France; Laboratoire de radiobiologie, EA 3430, fédération de médecine translationnelle de strasbourg (FMTS), faculté de médecine, université de Strasbourg, 4, rue Kirschleger, 67085 Strasbourg cedex, France.
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Antoni
Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67065 Strasbourg, France; Laboratoire de radiobiologie, EA 3430, fédération de médecine translationnelle de strasbourg (FMTS), faculté de médecine, université de Strasbourg, 4, rue Kirschleger, 67085 Strasbourg cedex, France. Electronic address: gnoel@strasbourg.unicancer.fr.
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Noël
D000428:Alcohol Drinking / Q000009:adverse effects / Q000453:epidemiology; D003731:Dental Caries / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D003945:Diagnosis, Oral; D005260:Female; D005602:France / Q000453:epidemiology; D006258:Head and Neck Neoplasms / Q000453:epidemiology* / Q000532:radiotherapy; D006801:Humans; D007571:Jaw Diseases / Q000209:etiology / Q000517:prevention & control; D008297:Male; D009059:Mouth Diseases / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D009909:Oral Health; D009910:Oral Hygiene; D058958:Organs at Risk; D010025:Osteoradionecrosis / Q000209:etiology / Q000517:prevention & control; D030361:Papillomavirus Infections / Q000453:epidemiology; D011832:Radiation Injuries / Q000209:etiology / Q000517:prevention & control; D011878:Radiotherapy / Q000009:adverse effects; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects / Q000453:epidemiology; D013280:Stomatitis / Q000209:etiology / Q000517:prevention & control; D014076:Tooth Diseases / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D014313:Trismus / Q000209:etiology / Q000517:prevention & control; D014987:Xerostomia / Q000209:etiology / Q000517:prevention & control
Complications buccodentaires; Oral care; Oral complications; Radiotherapy; Radiothérapie; Soins buccodentaires; Traitement; Treatment