Abstract

BackgroundRecent times have witnessed a significant increase in the number of patients affected by problems related to oncological treatment Aims of this study is to evaluate dental affectation among patients awaiting hematopoietic progenitor cell transplant (HPCT), and they showed high caries risk, so it should establish a protocol prior to transplantation.Material and MethodsThe study included 72 patients due for HPCT. Clinical and radiological explorations were performed and oral photos taken. The amount of caries, missing teeth and fillings were registered for each patient. CAO, DMFS and Restoration Indices were calculated.Results83% of patients presented caries. 48 patients (67%) had lost at least one tooth. Only 32 patients (44%) had received some sort of conservative treatment. The average CAO index value obtained was 10.37. The DMFS index showed an average of 27.06 affected surfaces. Of the 72 patients studied, 40 (56%) showed a restoration index value of zero.ConclusionsThese patients presented a high number of carious teeth and a low restoration index. The presence of so many possible septic foci in an individual, who will later become susceptible to infection, highlights the importance of preventative treatment and bucco-dental restoration within this patient population. These patients with a high caries risk can be treated with CAMBRA system. Key words:Hematopoietic progenitor cell transplantation, high caries risk, state of oral health, haematological disease, CAMBRA system.

Highlights

  • Recent times have witnessed a significant increase in the number of patients affected by problems related to oncological treatment [1,2]

  • In order to determine dental affectation among a population awaiting hematopoietic progenitor cell transplant (HPCT), this study examined the bucco-dental health and corresponding treatment needs of these patients, who were candidates for HPCT as treatment for neoplastic processes

  • The DMFS index, like the Caries and Obturations Index (CAO) index, obtained only three patients with the 0 value, in other words, who had no surfaces affected by caries

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Summary

Introduction

Recent times have witnessed a significant increase in the number of patients affected by problems related to oncological treatment [1,2]. Specific strategies for management and assessment should be included in approaches to treating the different types of childhood cancer, and this includes the application of high quality, effective, and safe protocols [13] On this basis, in order to determine dental affectation among a population awaiting HPCT, this study examined the bucco-dental health and corresponding treatment needs of these patients, who were candidates for HPCT as treatment for neoplastic processes. Recent times have witnessed a significant increase in the number of patients affected by problems related to oncological treatment Aims of this study is to evaluate dental affectation among patients awaiting hematopoietic progenitor cell transplant (HPCT), and they showed high caries risk, so it should establish a protocol prior to transplantation. These patients with a high caries risk can be treated with CAMBRA system

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