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The impact of radiation caries in the quality of life of head and neck cancer patients

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ARTICLE DOWNLOAD

The impact of radiation caries in the quality of life of head and neck cancer patients

10$

Mariana de Pauli Paglioni, Natalia Rangel Palmier, Ana Carolina Prado-Ribeiro, Eduardo Rodrigues Fregnani, Maria Beatriz Duarte Gavião, Thaís Bianca Brandão, Marcio Ajudarte Lopes, Ana Paula Dias Ribeiro, Cesar Augusto Migliorati & Alan Roger Santos-Silva 

Abstract

Purpose

The objective of this multicentre study was to verify the relationship between the scores of quality of life (QoL) and the decayed, missing and filled teeth (DMFT) and radiation caries (RC) in patients treated with radiation therapy (RT) for head and neck cancer, and through this to determine if RC is capable of causing a significant decrease in the QoL.

Methods

One hundred patients were divided into 2 groups: patients with at least 1 year of RT completion who developed RC (study group, n = 50); and patients with at least 1 year of RT completion who did not develop RC (control group, n = 50). All patients answered the Brazilian–Portuguese version of the University of Washington quality of life (UW-QoL) questionnaire, which was divided into physical and social–emotional functioning domains and evaluated the DMFT index score.

Results

The mean score of QoL was 927.2 in the control group and 878.1 in the study group (P = 0.24). The mean score of DMFT was 30.5 in the study group and 20.7 in the control group (P = 0.001). The items recreation and saliva, which belong to the physical function domain, showed a statistically significant difference between the study and control groups (P = 0.031 and P = 0.047, respectively). Saliva was the item with the higher number of patient complaints in both groups.

Conclusion

RC had a negative impact on the QoL of HNC patients.

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Year 2020
Language English
Format PDF
DOI 10.1007/s00520-019-05171-8