구강건강과 두경부 방사선 항암치료에 따른 구강 점막염간의 상관성에 관한 연구
The relationship between oral health and radiation-induced mucositis among patients with head and neck cancer
박은영, 손해옥, 정윤숙, 이은경, 김은경,
소속 상세정보
박은영 ( Park Eun-Young ) - 영남대학교병원 치과
손해옥 ( Sohn He-Ok ) - 칠곡경북대학교병원 치과
정윤숙 ( Jung Yun-Sook ) - 경북대학교 과학기술대학 치위생학과
이은경 ( Lee Eun-Kyung ) - 칠곡경북대학교병원 치과
김은경 ( Kim Eun-Kyong ) - 경북대학교 과학기술대학 치위생학과
Abstract
Objectives: This study evaluated the relationship between oral hygiene and health status and radiationinduced mucositis among patients with head and neck cancer over an 8-week period.
Methods: We recruited 40 patients with head and neck cancer scheduled to receive radiation therapy (RT), and 25 patients were included in the study. Before commencing RT, a dentist examined the patients for plaque, and determined the gingival index and pocket depth. A dental hygienist assessed the patients for radiation-induced mucositis once weekly, for 8 weeks, during RT.
Results: The mean patient age was 60.96 (±8.47) years, and 21 (87.5%) patients were male. Twenty patients (83.3%) had been diagnosed with squamous cell carcinoma. Patients with cancer located in the head region had more severe mucositis than those with cancer in the neck region, but this was not significant statistically (P=0.053). However, toothbrushing frequency, plaque, gingival index, and pocket depth were not related to radiation-induced mucositis. During RT, the severity of mucositis significantly worsened compared to that at baseline.
Conclusions: Mucositis severity worsened during RT, but this was not related to oral hygiene and health status among patients with head and neck cancer.
키워드
Head & neck cancer; Mucositis; Radiotherapy
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