頭頸部リブドミオサルコムの多様性治療後の歯科副作用:トランスアトランティック多センター研究の結果
Koen B Krommenhoek1,2, Marinka L F Hol2,3, Olga Slater4
1Department of Oral and Maxillofacial Surgery, Amsterdam UMC University of Amsterdam, Amsterdam, The Netherlands.
Pediatric blood & cancer
|September 4, 2025
まとめ
子供の頭頸筋肉腫の生存者は しばしば歯のプラークや歯周炎などの問題を経験します 歯科の定期的な監視と 口腔衛生の改善は これらの癌の生存者にとって極めて重要です
科学分野:
- 腫瘍学
- 小児歯科
- 口腔 衛生
背景:
- 小児がんの生存率を向上させるには 長期的な悪影響に焦点を合わせる必要があります
- 小児がんの治療による歯と歯周病の合併症はあまり研究されていません.
- この研究では,小児頭頸筋肉腫 (HNRMS) の生存者における臨床末期歯科副作用 (cDAE) を調査しています.
研究 の 目的:
- 小児頭頸筋肉腫 (HNRMS) の生存者における遅発性歯科有害事象 (cDAE) の有病率を決定する.
- HNRMSの生存者の口腔健康状態を評価する.
- 専門の歯科治療の必要性を 強調するためです
主な方法:
- 4つの国際センターで2017年から2019年に収集されたデータです.
- 歯科医はHNRMSの生存者を"遅い副作用の診療所"で検査した.
- 検証された指数は,簡略化された口腔衛生指数 (SOHI),腐った,欠落した,または詰まった歯 (DMFT) のスコア,およびオランダの歯周病検診指数 (DPSI) です.
主要な成果:
- HNRMSの生存者46人を分析し,追跡期間の中央値は9. 9年であった.
- 89. 1%がプラークの蓄積を示した.
- 67.4%が歯周炎の兆候を示し,四分の一が欠落した/詰まった歯を示す非常に高いDMFTスコアを持っていた.
結論:
- HNRMSの生存者は,プラークと歯周炎の割合が増加しています.
- これらの口腔健康問題は 癌の治療,口腔衛生の欠如,または食事から生じます.
- 生存者,両親,医師の定期的なケアと並行して,口腔の健康監視と衛生支援を強化することが推奨されています.
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