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Dental approach of orofacial pain in head and neck cancer patients

BACKGROUND: Orofacial pain (OFP) is an undesirable sensation frequently associated with head and neck cancer (HNC) and its treatment. OFP negatively impacts the quality of life of oncological patients. The approach to OFP diagnosis and management can differ if the patient visits a dentist or physici...

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Autores principales: Arantes, Diele, Costa, Náira, Resende, Tacyana, Mikulas, Karina, da Silva Júnior, Pierre, Brito, Rafael, Noronha, Vladimir, Pedras, Roberto, Corrêa, Luciana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311410/
https://www.ncbi.nlm.nih.gov/pubmed/30607225
http://dx.doi.org/10.4317/jced.55311
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author Arantes, Diele
Costa, Náira
Resende, Tacyana
Mikulas, Karina
da Silva Júnior, Pierre
Brito, Rafael
Noronha, Vladimir
Pedras, Roberto
Corrêa, Luciana
author_facet Arantes, Diele
Costa, Náira
Resende, Tacyana
Mikulas, Karina
da Silva Júnior, Pierre
Brito, Rafael
Noronha, Vladimir
Pedras, Roberto
Corrêa, Luciana
author_sort Arantes, Diele
collection PubMed
description BACKGROUND: Orofacial pain (OFP) is an undesirable sensation frequently associated with head and neck cancer (HNC) and its treatment. OFP negatively impacts the quality of life of oncological patients. The approach to OFP diagnosis and management can differ if the patient visits a dentist or physician. The aim of this study was to present a case series of HNC with OFP managed by a dentist team and to discuss its role in the management of OFP. MATERIAL AND METHODS: We recruited twenty-two adult patients with OFP and previous diagnosis of HNC referred to an academic dental clinic from 2015 to 2017. RESULTS: Nociceptive was more frequent than mixed and neuropathic pain, however 54,4% of the cases showed a neurological component. All types of pain were managed by dentist through removal of pain’s cause and appropriated local and systemic treatment. The intensity of pain was reduced in 86,3% of patients, and 45,4% of them reported absence of pain at the end of treatment. CONCLUSIONS: Dentist’s assessment plays a distinct and crucial role in the diagnosis and management of OFP in HNC patients throughout the oncological treatment. Key words:Pain, orofacial, neoplasm, head and neck, dentist.
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spelling pubmed-63114102019-01-03 Dental approach of orofacial pain in head and neck cancer patients Arantes, Diele Costa, Náira Resende, Tacyana Mikulas, Karina da Silva Júnior, Pierre Brito, Rafael Noronha, Vladimir Pedras, Roberto Corrêa, Luciana J Clin Exp Dent Research BACKGROUND: Orofacial pain (OFP) is an undesirable sensation frequently associated with head and neck cancer (HNC) and its treatment. OFP negatively impacts the quality of life of oncological patients. The approach to OFP diagnosis and management can differ if the patient visits a dentist or physician. The aim of this study was to present a case series of HNC with OFP managed by a dentist team and to discuss its role in the management of OFP. MATERIAL AND METHODS: We recruited twenty-two adult patients with OFP and previous diagnosis of HNC referred to an academic dental clinic from 2015 to 2017. RESULTS: Nociceptive was more frequent than mixed and neuropathic pain, however 54,4% of the cases showed a neurological component. All types of pain were managed by dentist through removal of pain’s cause and appropriated local and systemic treatment. The intensity of pain was reduced in 86,3% of patients, and 45,4% of them reported absence of pain at the end of treatment. CONCLUSIONS: Dentist’s assessment plays a distinct and crucial role in the diagnosis and management of OFP in HNC patients throughout the oncological treatment. Key words:Pain, orofacial, neoplasm, head and neck, dentist. Medicina Oral S.L. 2018-11-01 /pmc/articles/PMC6311410/ /pubmed/30607225 http://dx.doi.org/10.4317/jced.55311 Text en Copyright: © 2018 Medicina Oral S.L. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Arantes, Diele
Costa, Náira
Resende, Tacyana
Mikulas, Karina
da Silva Júnior, Pierre
Brito, Rafael
Noronha, Vladimir
Pedras, Roberto
Corrêa, Luciana
Dental approach of orofacial pain in head and neck cancer patients
title Dental approach of orofacial pain in head and neck cancer patients
title_full Dental approach of orofacial pain in head and neck cancer patients
title_fullStr Dental approach of orofacial pain in head and neck cancer patients
title_full_unstemmed Dental approach of orofacial pain in head and neck cancer patients
title_short Dental approach of orofacial pain in head and neck cancer patients
title_sort dental approach of orofacial pain in head and neck cancer patients
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311410/
https://www.ncbi.nlm.nih.gov/pubmed/30607225
http://dx.doi.org/10.4317/jced.55311
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