Stomatološka skrb bolesnika prije zračenja glave i vrata

master's thesis

• Title (english): Dental preparation for patients with head and neck cancer before radiation therapy
• Author: Ivana Lovrić
• Mentor: Danica Vidović Juras (mentor)
• Committee member: Danica Vidović Juras (predsjednik povjerenstva)
• Committee member: Vanja Vučićević-Boras (član povjerenstva)
• Committee member: Ana Andabak Rogulj (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Oral Medicine); Zagreb
• Defense date and country: 2018-09-24, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Oral Medicine

Abstract

Radioterapija je metoda liječenja malignih tumora u području glave i vrata. Iako pokazuje odlične rezultate liječenja, povezuje se s brojnim nuspojavama u usnoj šupljini koje prilično narušavaju kvalitetu života pacijenata. Njeno djelovanje temelji se na ionizacijskom zračenju koje uzrokuje staničnu smrt. Osim djelovanja na tumorske stanice, zahvaća i zdrave stanice, pogotovo one koje se brže obnavljaju. Stoga su česte oralne komplikacije u usnoj šupljini.
Stomatolozi imaju važnu ulogu u liječenju pacijenata prije, za vrijeme i poslije zračenja. Cilj stomatološke obrade prije početka zračenja je eliminirati patološka stanja i pristupiti radioterapiji s potpuno saniranom usnom šupljinom. Danas postoje brojni protokoli stomatološke obrade prije početka radioterapije čiji je cilj smanjiti i prevenirati oralne komplikacije. Tijekom prvog pregleda stomatolozi moraju uspostaviti dobru komunikaciju s pacijentom te naglasiti važnost redovitih dolazaka. Pacijentima se daju savjeti o održavanju
dobre oralne higijene te ih se educira o mogućim nuspojavama i načinu nihove prevencije. Pacijent po završetku radioterapije treba nastaviti s održavanjem dobre oralne higijene te redovito ići na kontrolne preglede stomatologu. Zaključno, uloga stomatologa je da u potpunosti sanira usnu šupljinu prije početka zračenja, nastavi kontinuirano pratiti pacijenta tijekom cijelog vremena trajanja terapije te nakon njenog završetka, a sve radi naprjeđenja i očuvanja oralnog i općeg zdravlja, kao i poboljšanja kvalitete pacijentova života.

Abstract (english)

Radiation therapy is a method of treating malignant head and neck tumors. Although it shows excellent treatment results, it is connected with numerous side effects in the oral cavity which significantly deteriorate the quality of life of a patient. Its effect is based on ionizing radiation which causes cell death. Apart from having an effect on tumor cells, it also affects healthy cells, especially those that are rapidly dividing. Therefore, frequent oral complications in the
oral cavity are common. Dentists have an especially important roe in the treatment of patients before, during and after radiation. The goal of dental evaluation pior to radiation therapy is to eliminate pathological conditions and approach radiation therapy with a completely healthy
oral cavity. Today, there are numerous protocols of dental assessment prior to radiation whose goal is to reduce and prevent oral complications. During the first valuation, dentists have to establish good communication with a patient and stress the importance of regular visits.
Patients are given advice on maintaining good oral hygiene and are educated on possible side effects and a way of preventing them. When radiation therapy ends, patients must continue maintaining good oral hygiene and have regular visits with their dentist. In conclusion, the
role of a dentist is to completely heal the oral cavity prior to radiation, to continue to monitor the patient during radiation therapy and after it ends. All this is done in order to improve and preserve oral and general health and to improve the quality of life.

• Keywords: radioterapija; oralne nuspojave; stomatolog
• Keywords (english): radiation therapy; oral side effects; dentist
• Language: croatian
• URN:NBN: urn:nbn:hr:127:607189
• 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: 2019-01-11 11:07:17