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Avaliação da condição oral em sobreviventes de cancro pediátrico
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| 2.29 MB | Adobe PDF |
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Abstract(s)
Introdução: O cancro é uma das principais causas de morte global, afetando também crianças e adolescentes. Deste modo, com o aumento dos sobreviventes, é essencial que os cuidadores e profissionais de saúde estejam atentos às complicações orais relacionadas com os tratamentos, promovendo a deteção precoce e a manutenção da higiene oral para melhorar a qualidade de vida destes. Objetivos: Avaliar a condição oral em sobreviventes de cancro pediátrico; Identificar as manifestações orais mais prevalentes; Elaborar um guião de acompanhamento médico-dentário para sobreviventes de cancro pediátrico. Materiais e Métodos: Foi aplicado um questionário, em formato digital, a sobreviventes de cancro pediátrico. A análise estatística dos dados foi executada com recurso ao Statistical Package for the Social Sciences® (SPSS). Foi ainda elaborado um guião para a consulta de medicina dentária em sobreviventes de cancro pediátrico com base na literatura existente. Resultados: O estudo foi aplicado sobre uma amostra, originando uma taxa de resposta de 43%. A maioria (44,4%) dos sobreviventes relatou não ter muito conhecimento sobre as manifestações orais resultantes dos tratamentos oncológicos. Sensibilidade dentária, alterações na cor e textura dentária e cárie foram as alterações orais reportadas mais prevalentes. Cerca de 40% indicaram impacto moderado na qualidade de vida, sobretudo no bem-estar emocional. O acompanhamento médico-dentário revelou-se insuficiente, com muitos sobreviventes (42,9%) a não receberem instruções sobre higiene oral nem a terem acesso facilitado a cuidados dentários especializados. A maior parte dos participantes (71,4%) considera importante que o médico dentista seja integrado na equipa hospitalar que acompanha a criança. Conclusões: As alterações orais são comuns em sobreviventes e tendem a ser subvalorizadas. Apesar do impacto moderado percebido, há um défice de cuidados especializados. Assim, é importante integrar os médicos dentistas nas equipas multidisciplinares e implementar protocolos clínicos que assegurem a prevenção, o acompanhamento contínuo e mais educação.
Introduction: Cancer is one of the leading causes of death globally, and it also affects children and adolescents. Therefore, with the increase in survivors, it is essential for caregivers and health professionals to be aware of treatment-related oral complications, promoting early detection and maintaining oral hygiene to improve quality of life. Objective: Evaluate the oral condition in pediatric cancer survivors; Identify the most prevalent oral manifestations. Create a medical-dental follow-up guide for pediatric cancer survivors. Materials and methods: A digital questionnaire was administered to pediatric cancer survivors. The data was statistically analyzed using the Statistical Package for the Social Sciences® (SPSS). Development of a guide for dental consultations with pediatric cancer survivors based on existing literature. Results: The study was applied to a sample, resulting in a response rate of 43%. The majority (44,4%) of survivors reported not having much knowledge about the oral manifestations resulting from cancer treatments. Tooth sensitivity, changes in tooth color and texture and caries were the most prevalent oral changes reported. Around 40% reported a moderate impact on quality of life, especially emotional well-being. Dental medical follow-up proved to be insufficient, with many survivors (42,9%) not receiving instructions on oral hygiene or having easy access to specialized dental care. Most of the participants (71,4%) consider it important for the dentist to be integrated into the hospital team accompanying the child. Conclusions: Oral alterations are common in survivors and tend to be underappreciated. Despite the perceived moderate impact, there is a lack of specialized care. It is therefore important to integrate dentists into multidisciplinary teams and implement clinical protocols that ensure prevention, ongoing follow-up and more education.
Introduction: Cancer is one of the leading causes of death globally, and it also affects children and adolescents. Therefore, with the increase in survivors, it is essential for caregivers and health professionals to be aware of treatment-related oral complications, promoting early detection and maintaining oral hygiene to improve quality of life. Objective: Evaluate the oral condition in pediatric cancer survivors; Identify the most prevalent oral manifestations. Create a medical-dental follow-up guide for pediatric cancer survivors. Materials and methods: A digital questionnaire was administered to pediatric cancer survivors. The data was statistically analyzed using the Statistical Package for the Social Sciences® (SPSS). Development of a guide for dental consultations with pediatric cancer survivors based on existing literature. Results: The study was applied to a sample, resulting in a response rate of 43%. The majority (44,4%) of survivors reported not having much knowledge about the oral manifestations resulting from cancer treatments. Tooth sensitivity, changes in tooth color and texture and caries were the most prevalent oral changes reported. Around 40% reported a moderate impact on quality of life, especially emotional well-being. Dental medical follow-up proved to be insufficient, with many survivors (42,9%) not receiving instructions on oral hygiene or having easy access to specialized dental care. Most of the participants (71,4%) consider it important for the dentist to be integrated into the hospital team accompanying the child. Conclusions: Oral alterations are common in survivors and tend to be underappreciated. Despite the perceived moderate impact, there is a lack of specialized care. It is therefore important to integrate dentists into multidisciplinary teams and implement clinical protocols that ensure prevention, ongoing follow-up and more education.
Description
Keywords
Cancro pediátrico Tratamento oncológico Saúde oral Odontopediatria Manifestações orais Pediatric cancer Cancer treatment Oral health Pediatric dentistry Oral manifestations
Pedagogical Context
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CC License
Without CC licence