Abstract
Aim: To evaluate the profile of pediatric onco-hematological patients and the outpatient dental care provided to these individuals from January 2016 to December 2019 by the Pediatric Dentistry division of the Dentistry and Stomatology Service of a tertiary hospital. Methods: Data were collected from the medical records of 179 pediatric patients undergoing treatment for onco-hematological diseases, aged between 0 and 19 years, regarding their profile and the outpatient dental care provided by the Pediatric Dentistry Service of the Dentistry and Stomatology Service of a tertiary hospital. Data were tabulated and subjected to descriptive statistical analysis. Results: The majority of the patients were male, with a mean age of 12. Anemia and leukemia were the most prevalent diseases in this study. During the evaluation period, 1548 dental appointments were performed, 696 of which were clinical evaluations. The remaining appointments involved various dental procedures. The most common procedures included the topical application of fluoride and dental prophylaxis, followed by extractions, laser therapy, tooth decay removal, and restorations/sealants. Conclusion: Assessing patient profiles and the dental care provided are important tools for improving dental care protocols and enhancing the quality of life for pediatric onco-hematological patients.
References
Brazilian Ministry of Health. National Cancer Institute. [Estimative 2016: Incidence, mortality and hospital morbidity due to cancer in children, adolescents and young adults in Brazil]. Rio de Janeiro: INCA; 2016 [cited 2021 Mar 17]. Available from: https://www.inca.gov.br/publicacoes/livros/incidencia-mortalidade-e-morbidade-hospitalar-por-cancer-em-criancas-adolescentes. Portuguese.
Brazilian Ministry of Health. National Cancer Institute. [Estimative 2014: Incidence of Cancer in Brazil]. Rio de Janeiro: INCA; 2014 [cited 2019 Sep 22]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/estimativa_2014_incidencia_cancer_brasil.pdf. Portuguese.
Carrillo C, Vizeu H, Soares-Júnior LA, Fava M, Filho VO. Dental approach in the pediatric oncology patient: characteristics of the population treated at the dentistry unit in a pediatric oncology brazilian teaching hospital. Clinics (Sao Paulo). 2010 Jun;65(6):569-73. doi: 10.1590/S1807-59322010000600002.
Goursand D, Borges CM, Alves KM, Nascimento AM, Winter RR, Martins LHPM, et al. [Oral sequelae in children submitted to theantineoplastic therapy: causes and definitionof the dental surgeon’s role]. Arq Odontologia. 2006;42(3):180-9. Portuguese.
Osterne RLV, Brito RGM, Nogueira RLM, Soares ECS, Alves APNN, Moura JFB, et al. [Oral health in patients with malignant neoplasms: a clinical-epidemiological study and analysis of dental needs in 421 patients]. Rev Bras Cancerol. 2008;54(3):221-6. Portuguese. doi: 10.32635/2176-9745.RBC.2008v54n3.1715.
Brazilian Ministry of Health. National Cancer Institute.. [Estimative 2018: Incidence of Cancer in Brazil]. Rio de Janeiro: INCA; 2018. [cited 2019 Sep 22]. Available from: https://portaldeboaspraticas.iff.fiocruz.br/biblioteca/estimativa-2018-incidencia-de-cancer-no-brasil. Portuguese.
Bailey LC, Reilly AF, Rheingold SR. Infections in pediatric patients with hematologic malignancies. Semin Hematol. 2009 Jul;46(3):313-24. doi: 10.1053/j.seminhematol.2009.03.010.
Wisplinghoff H, Seifert H, Wenzel RP, Edmond MB. Current trends in the epidemiology of nosocomial bloodstream infections in patients with hematological malignancies and solid neoplasms in hospitals in the United States. Clin Infect Dis. 2003 May;36(9):1103-10. doi: 10.1086/374339.
Lima BG, de Souza RRP, Botelho MPJ, de Marchi, LM. [Promotion of oral health in pediatric oncology patients. Electronic Annals: VI Internal Exhibition of Scientific Initiation Works]; 2021 Oct 25-28; Maringá: Cesumar; 2011 [cited 2022 jan 6]. Available from: https://rdu.unicesumar.edu.br/handle/123456789/4682. Portuguese.
Ritwik P, Chrisentery-Singleton TE. Oral and dental considerations in pediatric cancers. Cancer Metastasis Rev. 2020 Mar;39(1):43-53. doi: 10.1007/s10555-020-09842-5.
Camargo JDF, Batistella FID, Ferreira SLM. [Immediate oral complications of infant oncotherapy: identifi cation, prevention and treatment]. JBP - Rev Ibero-am Odontopediatr Odontol Bebe. 2004;7(36):177-84. Portuguese.
Sasada INV, Cancino CMH, Petersen RC, Hellwig I, Dillenburg CS. [Prevention of stomatological complications in pediatric oncology]. RFO. 2015;20(1):105-9. Portuguese. doi: 10.5335/rfo.v20i1.4861.
Albuquerque RA, Morais VLL, Sobral APV. [Odontologic protocol of attendance the pediatric oncology patients: review of literature]. Rev Odontol Unesp. 2007;36(3):275-80. Portuguese.
Bittencourt R, Scaletzky A, Boehl JAR. [Epidemiological aspects of cancer at the public health system inPorto Alegre -RS]. Rev Bras Cancerol. 2004;50(2):95-101. Portuguese.
Bleyer A, Budd T, Montello M. Adolescents and young adults with cancer: the scope of the problem and criticality of clinical trials. Cancer. 2006 Oct;107(7 Suppl):1645-55. doi: 10.1002/cncr.22102.
Gordón-Núñez MA, Silva Júnior FL, Galvão HC, Souza LB, Pinto LP. [Neutropenia and oral mucositis: risck factors for candidiasis in children with cancer]. Rev Odontol Brasil Central. 2010,18(48):51-6. Portuguese. doi: 10.36065/robrac.v19i48.416.
Hespanhol FL, Tinoco EM, Teixeira HG, Falabella ME, Assis NM. [Buccal manifestations in patients submitted to chemotherapy]. Cien Saude Colet. 2010 Jun;15 Suppl 1:1085-94. Portuguese. doi: 10.1590/s1413-81232010000700016.
Vaz CC. [Acquired aplastic anemia]. Lisboa: Faculty of Pharmacy, University of Porto; 2016 [citado em 2021 August 23]. Available from: https://repositorio-aberto.up.pt/bitstream/10216/87221/2/162562.pdf. Portuguese.
Lervolino LG, Baldin PE, Picado SM, Calil KB, Viel AA, Campos LA. Prevalence of sickle cell disease and sickle cell trait in national neonatal screening studies. Rev Bras Hematol Hemoter. 2011;33(1):49-54. doi: 10.5581/1516-8484.20110015.
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