Modern treatment of symptomatic apical periodontitis after chemotherapy in a breast cancer patient. Case report
DOI:
https://doi.org/10.12775/JEHS.2019.09.11.028Keywords
endodontic treatment, periapical inflammation, oncology, root canal system, chemotherapy complicationsAbstract
The problem of providing dental care to patients with cancer has been and remains very relevant. According to the National Cancer Institute, in Ukraine there are more than a million people suffering from cancer. Every 3-4 men and every fifth woman are at risk of developing cancer. Studies of the state of the oral cavity in this category of patients have established a high prevalence of dental diseases and, as a result, a significant need for dental care (1, 2). There is a direct correlation between the state of oral hygiene and the severity of cancer (3, 4).
The results confirm that the destruction of the infection in the root canal leads to the regeneration of periapical bone damage. The size of the lesion does not affect the treatment tactics. Large-scale periapical inflammatory processes are amenable to therapeutic treatment. Chemotherapy has been shown to significantly affect the condition of the oral cavity and exacerbate chronic inflammatory processes. This issue is subject to further study and development of special dental treatment for cancer patients.
References
Taichman LS, Gomez G, Inglehart MR. Oral Health-Related Complications of Breast Cancer Treatment: Assessing Dental Hygienists' Knowledge and Professional Practice. J Dent Hyg. 2015 Jun;
Almendra Mattos RM, de Mendonça RMH, Dos Santos Aguiar . Adherence to dental treatment reduces oral complications related to cancer treatment in pediatric and adolescent patients. Support Care Cancer. 2019 May
Taichman LS, Griggs JJ, Inglehart MR. Periodontal health, perceived oral health, and dental care utilization of breast cancer survivors. J Public Health Dent. 2015;75:148–56.
Hai Ming Wong. Oral Complications and Management Strategies for Patients Undergoing Cancer Therapy. Scientific World Journal. 2014;
Alkan A, Cakmak O, Yilmaz S, Cebi T, Gurgan C. Relationship between psychological factors and oral health status and behaviours. Oral Health Prev Dent. 2015;13:331–9.
O. V. Denga, E. S. Shumilina. SE The Institute of Stomatology NAMS of Ukraine. The Dental state of the patients with breast cancer after chemotherapy. Bulletin of dentistry № 4, 2012
Willershausen I, Schmidtmann I, Azaripour A, Kledtke J, Willershausen B, Hasenburg A. Association between breast cancer chemotherapy, oral health and chronic dental infections: a pilot study. Odontology. 2019 Jul;107(3):401-408.
Van Sebille YZ, Stansborough R, Wardill HR, Bateman E, Gibson RJ, Keefe DM. Management of mucositis during chemotherapy: from pathophysiology to pragmatic therapeutics. Curr Oncol Rep. 2015;17:50.
Mayor S. Side-effects of cancer drugs are under-reported in trials. Lancet Oncol. 2015;16:e107.
Jerome Rothstein, DDS, MHA.: J Dentistry Today, Volume 23, № 12, December 2004
Amodio J, Palioto DB, Carrara HH, Tiezzi DG, Andrade JM, Reis FJ. Oral health after breast cancer treatment in postmenopausal women. Clinics (Sao Paulo Brasil). 2014;69:706–8.
Kisely S, Sawyer E, Siskind D, Lalloo R. The oral health of people with anxiety and depressive disorders—a systematic review and meta-analysis. J Affect Disord. 2016;200:119–32.
Pereira LJ, Braga Caputo J, Midori Castelo P, et al. Oral physiology and quality of life in cancer patients. Nutr Hosp. 2015;31:2161–6.
P. N. R. Nair. On the causes of persistent apical periodontitis: a review. International endodontic journal. 249-281, 10 March 2006
Del Fabbro M, Corbella S, Sequeira-Byron P, Tsesis I, Rosen E, Lolato A, Taschieri S. Endodontic procedures for retreatment of periapical lesions. Cochrane Database Syst Rev. 2016 Oct 19;10:CD005511.
Olcay K, Eyüboglu TF, Özcan M. Clinical outcomes of non-surgical multiple-visit root canal retreatment: a retrospective cohort study. Odontology. 2019 Oct;107(4):536-545
Pirani C, Friedman S, Gatto MR, Iacono F, Tinarelli V, Gandolfi MG, Prati C. Survival and periapical health after root canal treatment with carrier-based root fillings: five-year retrospective assessment. Int Endod J. 2018 Apr;51 Suppl 3:e178-e188
Thomas K, T PD, Simon EP. Management of large periapical cystic lesion by aspiration and nonsurgical endodontic therapy using calcium hydroxide paste. J Contemp Dent Pract. 2012 Nov 1;13(6):897-901.
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