Post-terapijski oralno kirurški zahvati kod malignih bolesti

master's thesis

• Title (english): Post-therapeutic oral surgical interventions in malignant diseases
• Author: Karla Minković
• Mentor: Marko Vuletić (mentor)
• Committee member: Marko Vuletić (predsjednik povjerenstva)
• Committee member: Ivan Puhar (član povjerenstva)
• Committee member: Višnja Negovetić Mandić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Oral Surgery); Zagreb
• Defense date and country: 2024-03-04, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Oral Surgery

Abstract

Onkološki pacijenti pripadaju u rizičnu skupinu pacijenata za čije je liječenje potreban multidisciplinaran pristup te je uloga stomatologa jedan od važnijih čimbenika u procesu liječenja bolesti. Budući da se pacijentima s malignim bolestima često ordinira radioterapija i/ili kemoterapija, zbog brojnih nuspojava koje se pojavljuju tijekom ili nakon terapije može doći do prekida liječenja i time pogoršanja osnovne bolesti. Stoga je izuzetno bitna prisutnost stomatologa u onkološkom timu te poznavanje osnovne bolesti pacijenta, stadija u trenutku postavljanja dijagnoze i preporučene terapije. Svi stomatološki zahvati trebali bi se završiti najkasnije tri tjedna prije početka terapije kako bi ostalo dovoljno vremena za cijeljenje tkiva. Pravovremenom sanacijom smanjuje se intenzitet akutnih pojava i kroničnih komplikacija te se poboljšava ukupna kvaliteta života pacijenta. Cilj je eliminirati potrebu za ekstrakcijom zuba kako bi se spriječila pojava najteže kronične komplikacije terapije – osteoradionekroze/osteonekroze i time ugrozio život pojedinca. Unatoč preporuci da se svi stomatološki zahvati završe prije početka terapije, ako za njih nije bilo dovoljno vremena ili
pacijent nije bio suradljiv, preporuka je zahvate odgoditi nakon završetka terapije uz određene mjere opreza prilikom njihova izvođenja. Naglasak se stavlja na motivaciju pacijenta o pravilnom održavanju oralne higijene, redovitim kontrolama te pridržavanju preporuka tijekom i nakon provedene terapije.

Abstract (english)

Oncology patients belong to the risk group of patients whose treatment requires a multidisciplinary approach, and the role of the dentist is one of the most important factors in the process of treating the disease. Since patients with malignant diseases are often prescribed radiotherapy and/or chemotherapy, the numerous side effects that occur during or after therapy can lead to interruption of treatment and thus to a worsening of the underlying disease. Therefore, the presence of a dentist in the oncology team and knowledge of the patient's underlying disease, the stage at the time of diagnosis and the recommended therapy are extremely important. All dental procedures should be completed no later than three weeks
before the start of therapy to allow sufficient time for tissue healing. Timely rehabilitation reduces the intensity of acute complications and the occurrence of chronic complications and improves the patient’s overall quality of life. The goal is to eliminate the need for tooth extraction in order to prevent the occurrence of the most severe chronic complication of the
therapy – osteoradionecrosis/osteonecrosis, and thus jeopardize the individual’s life. Despite the recommendation that all dental procedures should be completed before starting the therapy, if there was not enough time to do so or the patient was uncooperative, it is recommended to postpone the procedures after the end of the therapy, taking certain precautions. Emphasis is placed on the patient’s motivation regarding proper oral hygiene, regular controls and compliance with recommendations during and after therapy.

• Keywords: stomatološka skrb za kronične bolesnike; tumori; radioterapija; kemoterapija; oralne komplikacije
• Keywords (english): Dental Care for Chronically Ill; Neoplasms; radiotherapy; chemotherapy; oral complications; dental procedures
• Language: croatian
• URN:NBN: urn:nbn:hr:127:731771
• 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: 2024-02-29 16:07:53