Skip to main content
Top
Published in: Supportive Care in Cancer 8/2018

01-08-2018 | Original Article

Guide for health professionals addressing oral care for individuals in oncological treatment based on scientific evidence

Authors: Caroline Gomes Carvalho, João Batista Medeiros-Filho, Meire Coelho Ferreira

Published in: Supportive Care in Cancer | Issue 8/2018

Login to get access

Abstract

Objective

Oncological treatment can cause changes in the oral cavity compromising oral functions. The aim of the study was, based on a systematic review, to draft a guide directed at the team of health professionals involved in the oral care of oncological patients.

Methods

A systematic search of the literature was performed for articles published between 2000 and April 2017. Searches were made of electronic databases and hand search. The inclusion criteria were systematic reviews of randomized clinical trials (RCTs) and RCTs published in English, involving pediatric and adult oncological patients and focused on the prevention and treatment of oral complications as well as studies addressing the maintenance of oral health. Among the 1237 studies identified, 129 were pre-selected and 54 were selected to form the basis for the clinical guide.

Results

The studies analyzed stress the need for oral assessments as well as preventive and curative actions prior to oncological treatment. To minimize the severity of oral problems, the studies emphasize daily oral care, the treatment of xerostomia with saliva substitute and hydration, and low-level laser therapy, nystatin, acyclovir, respectively, for the prevention and treatment of oral mucositis, oral candidiasis, and infection by herpes simplex virus. Thus, the guide produced addresses oral assessments and professional and home care before, during, and after oncological treatment.

Conclusion

The guide drafted has the function of assisting health professionals involved in the oral care of patients with cancer, enabling the prevention or treatment of oral complications stemming from oncological treatment.
Appendix
Available only for authorised users
Literature
1.
go back to reference Cabrerizo MC, Oñate RE (2005) Aspectos odontoestomatológicos en oncología infantil. Med Oral Patol. Cir Bucal 10:41–47 Cabrerizo MC, Oñate RE (2005) Aspectos odontoestomatológicos en oncología infantil. Med Oral Patol. Cir Bucal 10:41–47
2.
go back to reference Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) (2016) Incidência, mortalidade e morbidade hospitalar por câncer em crianças, adolescentes e adultos jovens no Brasil: Informações dos registros de câncer e do sistema de mortalidade Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) (2016) Incidência, mortalidade e morbidade hospitalar por câncer em crianças, adolescentes e adultos jovens no Brasil: Informações dos registros de câncer e do sistema de mortalidade
5.
go back to reference Barberia E, Hernandez C, Miralles V, Maroto M (2008) Paediatric patients receiving oncology therapy: review of the literature and oral management guidelines. Eur J Paediatr Dent 9:188–194PubMed Barberia E, Hernandez C, Miralles V, Maroto M (2008) Paediatric patients receiving oncology therapy: review of the literature and oral management guidelines. Eur J Paediatr Dent 9:188–194PubMed
10.
go back to reference Sadler GR, Stoudt A, Fullerton JT, Oberle-Edwards LK, Nguyen Q, Epstein JB (2003) Managing the oral sequelae of cancer therapy. Medsurg Nurs 12:28–36PubMed Sadler GR, Stoudt A, Fullerton JT, Oberle-Edwards LK, Nguyen Q, Epstein JB (2003) Managing the oral sequelae of cancer therapy. Medsurg Nurs 12:28–36PubMed
18.
go back to reference Scottish Intercollegiate Guidelines Network (SIGN) (2014) SIGN 50: a guideline developers’ handbook. Edinburgh: SIGN. (SIGN publication no. 50). http://www.sign.ac.uk. Accessed 25 May 2015 Scottish Intercollegiate Guidelines Network (SIGN) (2014) SIGN 50: a guideline developers’ handbook. Edinburgh: SIGN. (SIGN publication no. 50). http://​www.​sign.​ac.​uk. Accessed 25 May 2015
20.
go back to reference Ministry of Health, Singapura (2004) Nursing management of oral hygiene. MOH Nursing Clinical Practice Guidelines Ministry of Health, Singapura (2004) Nursing management of oral hygiene. MOH Nursing Clinical Practice Guidelines
24.
go back to reference Knox JJ, Puodziunas ALV, Feld R (2000) Chemotherapy-induced oral mucositis. Drugs Aging 17:257–267CrossRefPubMed Knox JJ, Puodziunas ALV, Feld R (2000) Chemotherapy-induced oral mucositis. Drugs Aging 17:257–267CrossRefPubMed
26.
go back to reference Kolahi J, Soolari A (2006) Rinsing with chlorhexidine gluconate solution after brushing and flossing teeth: a systematic review of effectiveness. Quintessence Int 37:605–612PubMed Kolahi J, Soolari A (2006) Rinsing with chlorhexidine gluconate solution after brushing and flossing teeth: a systematic review of effectiveness. Quintessence Int 37:605–612PubMed
28.
go back to reference American Academy of Pediatric Dentistry (2015-2016) Guideline on dental management for pediatric patients receiving chemotherapy, hematopoietic cell transplantation, and/or radiation therapy. American Academy of Pediatric Dentistry, Chicago. Reference Manual 37:298–306 American Academy of Pediatric Dentistry (2015-2016) Guideline on dental management for pediatric patients receiving chemotherapy, hematopoietic cell transplantation, and/or radiation therapy. American Academy of Pediatric Dentistry, Chicago. Reference Manual 37:298–306
32.
go back to reference Arbabi-Kalati F, Arbabi-Kalati F, Moridi T (2013) Evaluation of the effect of low level laser on prevention of chemotherapy-induced mucositis. Acta Med Iran 51:157–162PubMed Arbabi-Kalati F, Arbabi-Kalati F, Moridi T (2013) Evaluation of the effect of low level laser on prevention of chemotherapy-induced mucositis. Acta Med Iran 51:157–162PubMed
34.
go back to reference Moffa EB, Izumida FE, Jorge JH, Mussi MCM, Siqueira WL, Giampaolo ET (2016) Effectiveness of chemical disinfection on biofilms of relined dentures: a randomized clinical trial. Am J Dent 29:15–19PubMed Moffa EB, Izumida FE, Jorge JH, Mussi MCM, Siqueira WL, Giampaolo ET (2016) Effectiveness of chemical disinfection on biofilms of relined dentures: a randomized clinical trial. Am J Dent 29:15–19PubMed
36.
go back to reference Bow EJ, Vanness DJ, Slavin M, Cordonnier C, Cornely OA, Marks DI, Pagliuca A, Solano C, Cragin L, Shaul AJ, Sorensen S, Chambers R, Kantecki M, Weinstein D, Schlamm (2015) Systematic review and mixed treatment comparison meta-analysis of randomized clinical trials of primary oral antifungal prophylaxis in allogeneic hematopoietic cell transplant recipients. BMC Infect Dis 15:128. https://doi.org/10.1186/s12879-015-0855-6 CrossRefPubMedPubMedCentral Bow EJ, Vanness DJ, Slavin M, Cordonnier C, Cornely OA, Marks DI, Pagliuca A, Solano C, Cragin L, Shaul AJ, Sorensen S, Chambers R, Kantecki M, Weinstein D, Schlamm (2015) Systematic review and mixed treatment comparison meta-analysis of randomized clinical trials of primary oral antifungal prophylaxis in allogeneic hematopoietic cell transplant recipients. BMC Infect Dis 15:128. https://​doi.​org/​10.​1186/​s12879-015-0855-6 CrossRefPubMedPubMedCentral
37.
go back to reference Elad S, Ranna V, Ariyawardana A, Correa MEP, Tilly V, Nair RG, Rouleau T, Logan RM, Pinto A, Charette V, Saunders DP, Jensen SB (2016) A systematic review of oral herpetic viral infections in cancer patients: commonly used outcome measures and interventions. Support Care Cancer 25:687–700. https://doi.org/10.1007/s00520-016-3477-7 CrossRefPubMed Elad S, Ranna V, Ariyawardana A, Correa MEP, Tilly V, Nair RG, Rouleau T, Logan RM, Pinto A, Charette V, Saunders DP, Jensen SB (2016) A systematic review of oral herpetic viral infections in cancer patients: commonly used outcome measures and interventions. Support Care Cancer 25:687–700. https://​doi.​org/​10.​1007/​s00520-016-3477-7 CrossRefPubMed
41.
go back to reference Gautam AP, Fernandes DJ, Vidyasagar MS, Maiya AG (2012) Low level helium neon laser therapy for chemoradiotherapy induced oral mucositis in oral cancer patients—a randomized controlled trial. Oral Oncol 48:893–897CrossRefPubMed Gautam AP, Fernandes DJ, Vidyasagar MS, Maiya AG (2012) Low level helium neon laser therapy for chemoradiotherapy induced oral mucositis in oral cancer patients—a randomized controlled trial. Oral Oncol 48:893–897CrossRefPubMed
44.
go back to reference Scheibler E (2017) Efeito do uso concomitante de clorexidina e nistatina sobre a atividade antifúngica da droga: Estudo in vitro. Dissertação, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Brasil Scheibler E (2017) Efeito do uso concomitante de clorexidina e nistatina sobre a atividade antifúngica da droga: Estudo in vitro. Dissertação, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Brasil
47.
51.
go back to reference Lilly JP, Cox D, Arcuri M, Krell KV (1998) An evaluation of root canal treatment in patients who have received irradiation to the mandible and maxilla. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:224–226CrossRefPubMed Lilly JP, Cox D, Arcuri M, Krell KV (1998) An evaluation of root canal treatment in patients who have received irradiation to the mandible and maxilla. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:224–226CrossRefPubMed
Metadata
Title
Guide for health professionals addressing oral care for individuals in oncological treatment based on scientific evidence
Authors
Caroline Gomes Carvalho
João Batista Medeiros-Filho
Meire Coelho Ferreira
Publication date
01-08-2018
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 8/2018
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-018-4111-7

Other articles of this Issue 8/2018

Supportive Care in Cancer 8/2018 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine