Preparati fluora u prevenciji radijacijskog karijesa

master's thesis

• Title (english): Preparations of fluorine in prevention of radiation caries
• Author: Silvija Vučković
• Mentor: Ivan Alajbeg (mentor)
• Committee member: Ivan Alajbeg
• Committee member: Vlaho Brailo
• Committee member: Silvana Jukić Krmek
• Granter: University of Zagreb; School of Dental Medicine; (Department of Oral Medicine); Zagreb
• Defense date and country: 2015-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Oral Medicine

Abstract

Pacijenti koji primaju radioterapiju u području glave i vrata, izloženi su raznim rizicima i popratnim nuspojavama među koje ubrajamo i rizik od nastanka radijacijskog karijesa. Radijacijski karijes predstavlja agresivan i brzo progresivan oblik karijesa čiji je uzrok nedostatak i promjena sastava i funkcije sline, što nastaje usljed oštećenja slinovnica zračenjem. Orodentalna njega igra važnu ulogu u terapiji i pristupu pacijentima pod radioterapijom. Stomatolozi moraju uspostaviti dobru komunikaciju s pacijentom te ga informirati i prevenirati neželjene nuspojave radioterapije prije, za vrijeme i nakon trajanja rehabilitacije. Sredstva za prevenciju koja se koriste su fluoridi koji se apliciraju svakodnevno samostalno i profesionalna sredstva koja sadržavaju fluoride u visokim koncentracijama koja apliciraju stomatolozi. Pacijentima koji su pod radioterapijom se preporučuje da zube četkaju mekanim četkicama koristeći pri tome zubne paste s visokim udjelom fluorida, primjenjuju zubne vodice za ispiranje usne šupljine s fluoridima, apliciraju fluoridne gelove na dnevnoj ili tjednoj bazi te primjenjuju fluoridne lakove svaka 2-4 mjeseca. Potrebne su redovite kontrole koje bi trebale biti u početku mjesečne, zatim dvo- i tro-mjesečne. Važno je da pacijent i po završetku radioterapije nastavlja s dobrom higijenom usne šupljine, doživotnom dnevnom fluoridacijom te da i dalje dolazi na redovite stomatološke kontrole. U suprotnom, doći će do radijacijskog karijesa, koji će dovesti do potrebe vađenja zubi, a što u zračenih pacijenata može rezultirati razvojem osteoradionekroze. Fluoridiranjem sprječavamo radijacijski karijes i preveniramo potrebu za ekstrakcijama i razvoj osteonekroze.

Abstract (english)

Patients who receive radiation therapy to the head and neck are exposed to various risks and associated side effects which include the risk of radiation caries. Radiation caries represents an aggressive and rapidly progressive form of caries caused by lack and change in the composition and function of saliva , which occurs due to damage to salivary glands by radiation. Oralhealth care plays an important role in the treatment and access to patients under radiotherapy. Dentists have to establish good communication with the patient, inform the patient and also prevent unwanted side effects of radiotherapy before, during and after the rehabilitation. The prevention of radiation caries is achieved by the daily use of fluorides at home and proffesionally administered high-concentracion fluorides applied dy dentists. It is recommended that the patients under radiotherapy should brush their teeth with a soft toothbrush, using a high fluoride toothpaste, apply mouthwash with fluoride, apply fluoride gels on a daily or weekly basis and apply fluoride varnish every 2-4 months. Regular checks after completing radiotherapy are required at least two times a year. It is important that the patient continues with good oral hygiene and is still coming to regular dental checks after completing radiotherapy. It takes regular checks that should be in the beginning every month , then every two or three months. It is important that the patient after radiotherapy continues with good oral care, continues a lifetime fluoridation and is coming to regular dental checks . Otherwise, radiation caries will occur, leading to the need of extracting teeth, which can result in the development of osteoradionecrosis in patients who were undergoing radiotherapy. Fluoridation will prevent radiation caries and prevent the need for extraction and development of osteonecrosis.

• Keywords: bolesti zubi; radioterapija; fluoridi
• Keywords (english): tooth diseases; radiotherapy; fluorides
• Language: croatian
• URN:NBN: urn:nbn:hr:127:173896
• 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: 2015-11-04 13:23:52