BAŞ-BOYUN KANSERLERİNDE TEDAVİ ÖNCESİ DENTAL GİRİŞİMLER

Yıl 2012, Cilt: 46 Sayı: 2, 1 - 12, 04.09.2012

Kıvanç Bektaş Kayhan Kıvanç Bektaş Kayhan Meltem Özdemir-karataş Meltem Özdemir Karataş Meral Ünür Yaren Keskin Yaren Keskin Musa Altun Musa Altun Özlem Bayrak Oktay Yazıcıoğlu Oktay Yazıcıoğlu

Öz

Amaç: Baş-boyun kanserlerinin tedavisinde uygulanan cerrahi, radyoterapi ve kemoterapi
sonucunda tat almada bozukluk, mukozit, ağız kuruluğu, radyasyon çürükleri, trismus, yara iyileşmesinde
gecikme ve osteoradyonekroz gibi yan etkiler oluşabilmektedir. Çalışmamızın amacı,
bu yan etkilerin önlenmesi ve/veya en aza indirilmesi için hastaların, tedavi öncesi ve sonrası
durumlarını karşılaştırmak ve dental değerlendirmenin önemini vurgulamaktır.
Gereç ve Yöntem: Bu çalışmada Ekim 2006-Kasım 2007 tarihleri arasında kliniğimize ağız
diş sağlığı konsültasyonu için başvuran 35 primer baş-boyun kanseri hastasının değerlendirilmesi,
uygulanan tedaviler ve ortalama 16,9 aylık takiplerinin sonuçları bildirilmiştir.
Bulgular: Hastaların onkoloji tedavisine dental olarak hazırlanmaları için tüm hastalara
periodontal olarak başlangıç tedavisi yapılmıştır. Ayrıca 9 hastanın toplam 28 dişine konservatif
restorasyonlar yapılırken, 9 hastaya sabit protez, 13 hastaya da hareketli protez uygulamaları
yapılmıştır.
Sonuç: Onkoloji tedavisine başlamadan önce yapılacak dental hazırlıklar, tedavi esnasında
ve sonrasında devam edecek düzenli kontroller, hastaların tedavi sonrasındaki dönemde ağız ve
diş sağlığı yönünden yaşayacakları problemleri en aza indirecek ve hayat kalitelerini arttıracaktır.

Anahtar Kelimeler

Baş-boyun kanserleri, kemo-radyoterapi, dental değerlendirme, oral komplikasyonlar

Kaynakça

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