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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Compliance with fluoride custom trays in irradiated head and neck cancer patients
Supportive Care in Cancer, Volume 20, No. 8, Year 2012
Notification
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Description
Purpose The purpose of this study is to assess compliance with fluoride gel custom trays in irradiated head and neck cancer patients. Methods and materials One hundred fifty-five consecutive patients on remission following radiation therapy of head and neck cancers were assessed retrospectively for dental care practices prior to radiation and prospectively for long-term compliancewith customtrays fromNovember 2009 to January 2010. A five-item questionnaire was filled in by patients in the waiting room, and a 15-item questionnaire by the physician in charge during the corresponding follow-up visit. Results Ten percent of patients were edentulous at inclusion. Among dentate patients, 17% had total extractions. With a mean follow-up of 24 months, 19% of patients used custom trays for over a year. Primary stage, age, and tobacco consumption were correlated with compliance with custom trays. More than half of dentate patients developed carious lesions, and 8% had stage 1-3 osteoradionecrosis of the whole population of edentulous and dentate patients. Conclusion Compliance with custom trays was poor in this series. Specific postirradiation dental care follow-up visits and education have demonstrated their utility in the era of 2D irradiation. We currently advocate an 18-month compliance with custom trays in IMRT patients on the basis of the Parsport trial, after which we assess the quality of salivary recovery before recommending prolonged use or interruption. Data with innovative irradiation techniques are however required. © 2011 Springer-Verlag.
Authors & Co-Authors
Thariat, Juliette O.
France, Nice
Centre Antoine Lacassagne
Ramus, Liliane
France, Cachan
Dosisoft sa
France, Sophia Antipolis
Centre Inria Sophia Antipolis - Méditerranée
Darcourt, Vincent
France, Nice
Centre Antoine Lacassagne
Marcy, Pierre Yves R.
France, Nice
Centre Antoine Lacassagne
Guevara, Nicholas
France, Nice
Centre Hospitalier Universitaire de Nice
Odin, Guillaume
France, Nice
Centre Hospitalier Universitaire de Nice
Poissonnet, Gilles
France, Nice
Centre Antoine Lacassagne
Castillo, Laurent
France, Nice
Centre Hospitalier Universitaire de Nice
Ali, Ali M.
Egypt, Sohag
Faculty of Medicine
Righini, Christian Adrien
France, La Tronche
Albert Bonniot Institute Iab: Ontogenesis and Molecular Oncogenesis
Statistics
Citations: 45
Authors: 10
Affiliations: 6
Identifiers
Doi:
10.1007/s00520-011-1279-5
ISSN:
09414355
e-ISSN:
14337339
Research Areas
Cancer
Health System And Policy
Substance Abuse
Study Design
Cross Sectional Study
Cohort Study