Dentist Involvement in the Treatment of Radiation-Induced Oral Mucositis—A Pilot Cross-Sectional Study

Author:

Vladić Monika Burja1ORCID,Andabak-Rogulj Ana2ORCID,Gršić Krešimir3,Brailo Vlaho2ORCID,Brzak Božana Lončar1ORCID,Škrinjar Ivana2,Juras Danica Vidović2ORCID

Affiliation:

1. Department of Oral Medicine, University of Zagreb School of Dental Medicine, 10000 Zagreb, Croatia

2. Department of Oral Medicine, University of Zagreb School of Dental Medicine, University Hospital Center Zagreb, 10000 Zagreb, Croatia

3. Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Center Zagreb, 10000 Zagreb, Croatia

Abstract

Objectives: Oral mucositis (OM) occurs in more than 95% of patients irradiated in the head and neck area. This paper aims to determine the occurrence and characteristics of OM in patients with head and neck cancer (HNC), as well as the involvement of dentists/oral medicine specialists in treating such patients. Methods: This study was conducted at the Department of Otorhinolaryngology and Department of Oral Medicine, University Hospital Center Zagreb, from April to August 2022, on patients irradiated in the head and neck area. A unique OM questionnaire was created on the incidence, characteristics, oral care, and involvement of dentists in the overall care. Results: Thirty patients filled out the questionnaire. Of the 22 patients who had developed OM, 14 had grade-three OM. Ten patients were treated for OM in line with the instructions of an oral medicine specialist, eight based on the instructions of a specialist responsible for monitoring of the underlying disease, and four were not treated at all. Sixteen patients had not been referred to a dentist before the start of RT. Conclusions: These results showed insufficient care and treatment of OM, as well as insufficient involvement of dentists in the oncology team.

Publisher

MDPI AG

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