title: [Orodental status before radiation therapy of the head and neck area: A prospective analysis on 48 patients].
abstract: OBJECTIVE
  The treatment by irradiation of tumours of the upper head and neck tract cause many complications on the oral sphere, such as mucositis, dysphagia, asialia and tooth decay. Associated manifestations are frequent and their severity has been poorly studied. However, the patient's quality of life is directly correlated with their oral health.
  
  
  METHODS
  We carried out an evaluation of the oral health of 48 patients with an upper head and neck tract cancer treated by irradiation at the Paul-Strauss Centre in Strasbourg. The inclusion criteria of this study concerned the localization of the tumour in the upper head and neck tract and a treatment by irradiation associated or not to chemotherapy.
  
  
  RESULTS
  The patients of the study were concerned by alcohol and smoking intoxication, on average, 22.2 pack-year and 2.2 glasses of alcohol per day. They received an irradiation of 60.9Gy on average. Their oral health was characterized by a DMFT (decayed, missing, filled teeth) index of 16.1, with, in mean, eight missing teeth and eight filling teeth and, by the presence of dental plaque in 70% of cases. Along the treatment by irradiation, the oral complications evaluation showed that on average, patients developed mucositis 18 days after the beginning of radiotherapy, xerostomia after 20 days, and dysphagia after 17 days. At the end of the treatment, we noted an oral hygiene improvement, with teeth brushing more frequent (two to three per day), mouthwash use, and daily fluoride prophylaxis.
  
  
  CONCLUSIONS
  This study provides insights of the dental status of patients irradiated in the oral cavity. This series lays the groundwork for the study of prosthesis requirement and dosimetry calculation.
authors.affiliation: Faculté de chirurgie dentaire de Strasbourg, 8, rue Sainte-Élisabeth, 67000 Strasbourg, France.
authors.forename: M
authors.initials: M
authors.lastname: Rouers
authors.affiliation: Faculté de chirurgie dentaire de Strasbourg, 8, rue Sainte-Élisabeth, 67000 Strasbourg, France; Unité de pathologie-chirurgie buccale, pôle de médecine et de chirurgie buccodentaires, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, 67000 Strasbourg, France.
authors.forename: S
authors.initials: S
authors.lastname: Dubourg
authors.affiliation: Faculté de chirurgie dentaire de Strasbourg, 8, rue Sainte-Élisabeth, 67000 Strasbourg, France; Unité de pathologie-chirurgie buccale, pôle de médecine et de chirurgie buccodentaires, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, 67000 Strasbourg, France.
authors.forename: F
authors.initials: F
authors.lastname: Bornert
authors.affiliation: Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67065 Strasbourg cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Truntzer
authors.affiliation: Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67065 Strasbourg cedex, France; Fédération de médecine translationnelle de Strasbourg (FMTS), laboratoire EA 3430, université de Strasbourg, 67065 Strasbourg, France.
authors.forename: D
authors.initials: D
authors.lastname: Antoni
authors.affiliation: Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67065 Strasbourg cedex, France.
authors.forename: J
authors.initials: J
authors.lastname: Couchot
authors.affiliation: Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67065 Strasbourg cedex, France.
authors.forename: V
authors.initials: V
authors.lastname: Ganansia
authors.affiliation: Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67065 Strasbourg cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Bourrier
authors.affiliation: Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67065 Strasbourg cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Guihard
authors.affiliation: Département universitaire de radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67065 Strasbourg cedex, France; Fédération de médecine translationnelle de Strasbourg (FMTS), laboratoire EA 3430, université de Strasbourg, 67065 Strasbourg, France. Electronic address: gnoel@strasbourg.unicancer.fr.
authors.forename: G
authors.initials: G
authors.lastname: Noël
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006258:Head and Neck Neoplasms / Q000532:radiotherapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D011446:Prospective Studies; D011878:Radiotherapy / Q000009:adverse effects
keywords: Cancer ORL; Effets secondaires; Head and neck cancer; Oral complications; Oral health; Radiotherapy; Radiothérapie; Santé buccodentaire