Stomatološko liječenje pedijatrijskih onkoloških pacijenata

master's thesis

• Title (english): Dental treatment of pediatric oncology patients
• Author: Petra Domazet
• Mentor: Tomislav Škrinjarić (mentor)
• Committee member: Tomislav Škrinjarić (predsjednik povjerenstva)
• Committee member: Kristina Goršeta (član povjerenstva)
• Committee member: Marko Granić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Paediatric and Preventive Dentistry); Zagreb
• Defense date and country: 2021-09-20, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Children's and Preventive Dental Medicine

Abstract

Doktor dentalne medicine u svom radu može se susretati s onkološkim pacijentima sve životne dobi, pa tako i s djecom koja boluju od neke maligne bolesti. Kako bi pružili najbolju moguću njegu ovim pacijentima, koji zahtijevaju posebnu pažnju i pristup, stomatolozi moraju biti upoznati s osnovama genetike karcinoma, najčešćim vrstama karcinoma kod djece, vrstama terapije i nuspojavama različitih terapija u usnoj šupljini. Zadaća svakog stomatologa je prevenirati komplikacije koje može, olakšati komplikacije koje nastaju tijekom trajanja same terapije te znati koji su stomatološki zahvati rizični i u kojem razdoblju za
svakog pojedinog pacijenta. S obzirom da se radi o pedijatrijskim pacijentima, naša dužnost je uputiti i roditelje u sve zahvate i objasniti im što mogu očekivati u kojoj fazi terapije. Za djecu i roditelje u ovoj teškoj životnoj situaciji treba imati razumijevanja i poseban psihološki pristup. Kod djece se javljaju akutne komplikacije koje se povlače nekoliko tjedana nakon završetka
terapije, a tu spadaju: oralni mukozitis, sekundarne infekcije, promjene okusa i kserostomija. Od kroničnih komplikacija javljaju se: radijacijski karijes, trizmus, osteoradionekroza i kronična bolest presatka protiv primatelja. Specifična komplikacija kod djece je štetan utjecaj zračenja i citostatičkih lijekova na kraniofacijalni razvoj i razvoj zuba, i posljedično nastanak dentalnih anomalija.

Abstract (english)

In his or her practice, every dentist encounteres oncology patients of all ages, including children with different malignant diseases. Doctors of dental medicine must have basic knowledge of cancer genetics, the most common types of childhood cancer, types of cancer therapy and oral complications to provide the best possible care for these patients, who require special approach and attention. The role of evey dentist is to prevent complications when is possible to prevent, to alleviate complications that occur during the therpy and to know which dental procedures are risky for different kind of patients and different stages of disease. Considering that we work with pediatric patients, we must include the parents in each procedure and explain to them what they can expect during different stages of cancer therapy. During this difficult life periods for children and parents, we must show understanding for them and have special psychological approach. Children develop accute complications that withdraw within several weeks after completing the therapy. Those complications are: oral mucositis, secundary infections, taste changes and xerostomia. Chronic complications are: radiation caries, trismus, osteoradionecrosis and chronic Graftversus-Host Disease. Oral complications that are specific for children are distrubances in craniofacial and dental development, and dental anomalies. These complications are result of harmful effects that radiation and cytostatic drugs have on children and their develompent.

• Keywords: zubna njega za djecu; novotvorine; dječja psihologija
• Keywords (english): Dental Care for Children; Neoplasms; Child Psychology
• Language: croatian
• URN:NBN: urn:nbn:hr:127:286847
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-10-28 10:09:52