Quality of life in irradiated patients with head and neck cancer: A preliminary study about the impact of prosthetic rehabilitation.

Journal

Journal of clinical and experimental dentistry
ISSN: 1989-5488
Titre abrégé: J Clin Exp Dent
Pays: Spain
ID NLM: 101603132

Informations de publication

Date de publication:
Sep 2021
Historique:
received: 07 01 2021
accepted: 28 06 2021
entrez: 4 10 2021
pubmed: 5 10 2021
medline: 5 10 2021
Statut: epublish

Résumé

Oral quality of life is of great importance in head and neck cancer, where each patient combines functional, social and esthetic needs. Our study aimed to evaluate the influence of prosthetic and/or maxillofacial rehabilitation on patients' perceived oral quality of life. The General Oral Health Assessment Index (GOHAI) was used in 28 patients with head and neck cancer who had undergone radiotherapy, recruited at La Timone University Hospital, Marseille, France, and who required prosthetic rehabilitation. The questionnaire was completed at three timepoints in the study: before insertion of the prosthesis (T0), then one week (T1) and three months after insertion (T2). The percentage of patients with poor quality of oral health decreased from 96.4% to 64.3% between T0 and T1. Between T0 and T1, the mean score of the psychosocial component of the GOHAI increased from 14.28 ± 4.51 to 20.14 ± 5.20 and the mean functional component score increased from 9.32 ± 3.86 to 12.07 ± 4.04. Prosthetic rehabilitation appeared to have a positive impact on oral quality of life in our study subjects, particularly on social relations and self-esteem. Its influence on pain and discomfort remains to be clarified. This preliminary study gives a prospective view of the impact of prosthetic rehabilitation in patients with head and neck cancer who had undergone radiotherapy. Analysis of data yielded by cross-referencing of different questionnaires should make it possible to refine these results.

Sections du résumé

BACKGROUND BACKGROUND
Oral quality of life is of great importance in head and neck cancer, where each patient combines functional, social and esthetic needs. Our study aimed to evaluate the influence of prosthetic and/or maxillofacial rehabilitation on patients' perceived oral quality of life.
MATERIAL AND METHODS METHODS
The General Oral Health Assessment Index (GOHAI) was used in 28 patients with head and neck cancer who had undergone radiotherapy, recruited at La Timone University Hospital, Marseille, France, and who required prosthetic rehabilitation. The questionnaire was completed at three timepoints in the study: before insertion of the prosthesis (T0), then one week (T1) and three months after insertion (T2).
RESULTS RESULTS
The percentage of patients with poor quality of oral health decreased from 96.4% to 64.3% between T0 and T1. Between T0 and T1, the mean score of the psychosocial component of the GOHAI increased from 14.28 ± 4.51 to 20.14 ± 5.20 and the mean functional component score increased from 9.32 ± 3.86 to 12.07 ± 4.04.
CONCLUSIONS CONCLUSIONS
Prosthetic rehabilitation appeared to have a positive impact on oral quality of life in our study subjects, particularly on social relations and self-esteem. Its influence on pain and discomfort remains to be clarified. This preliminary study gives a prospective view of the impact of prosthetic rehabilitation in patients with head and neck cancer who had undergone radiotherapy. Analysis of data yielded by cross-referencing of different questionnaires should make it possible to refine these results.

Identifiants

DOI: 10.4317/jced.58209 PMID: 34603619 PMC: PMC8464388
pubmed: 34603619
doi: 10.4317/jced.58209
pii: 58209
pmc: PMC8464388
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e906-e912

Informations de copyright

Copyright: © 2021 Medicina Oral S.L.

Déclaration de conflit d'intérêts

Conflicts of interest Authors report no conflict of interest.

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Auteurs

Frédéric Silvestri (F)

Faculté d'Odontologie, Aix-Marseille Université, 27 boulevard Jean Moulin, 13555 Marseille Cedex 5; Pôle Odontologie, UF des Soins Spécifiques, Hôpital Timone, Assistance Publique des Hôpitaux de Marseille, 264 rue Saint-Pierre, 13385 Marseille Cedex 5, France. EFS CNRS, Faculté des Sciences Médicales et Paramédicales, UMR 7268 ADES, Aix-Marseille Université, 51 boulevard Pierre Dramard, 13944 Marseille Cedex 15, FranceFaculté d'Odontologie, Aix-Marseille Université, 27 boulevard Jean Moulin, 13555 Marseille Cedex 5; Pôle Odontologie, UF des Soins Spécifiques, Hôpital Timone, Assistance Publique des Hôpitaux de Marseille, 264 rue Saint-Pierre, 13385 Marseille Cedex 5, France. EFS CNRS, Faculté des Sciences Médicales et Paramédicales, UMR 7268 ADES, Aix-Marseille Université, 51 boulevard Pierre Dramard, 13944 Marseille Cedex 15, France.

Bérengère Saliba-Serre (B)

EFS CNRS, Faculté des Sciences Médicales et Paramédicales, UMR 7268 ADES, Aix-Marseille Université, 51 boulevard Pierre Dramard, 13944 Marseille Cedex 15, France.

Nicolas Graillon (N)

Faculté des Sciences Médicales et Paramédicales, Aix-Marseille Université, 27 boulevard Jean Moulin, 13555 Marseille Cedex 5; Pôle PROMO, Service de Chirurgie Maxillofaciale Stomatologie et Chirurgie Orale, Hôpital de la Conception, Assistance Publique des Hôpitaux de Marseille, 147 boulevard Baille, 13005 Marseille, France.

Nicolas Fakhry (N)

Faculté des Sciences Médicales et Paramédicales, Aix-Marseille Université, 27 boulevard Jean Moulin, 13555 Marseille Cedex 5; Pôle PROMO, Service ORL et Chirurgie Cervico-faciale, Hôpital de la Conception, Assistance Publique des Hôpitaux de Marseille, 147 boulevard Baille, 13005 Marseille, France.

Michel Ruquet (M)

Faculté d'Odontologie, Aix-Marseille Université, 27 boulevard Jean Moulin, 13555 Marseille Cedex 5; Pôle Odontologie, UF des Soins Spécifiques, Hôpital Timone, Assistance Publique des Hôpitaux de Marseille, 264 rue Saint-Pierre, 13385 Marseille Cedex 5, France. EFS CNRS, Faculté des Sciences Médicales et Paramédicales, UMR 7268 ADES, Aix-Marseille Université, 51 boulevard Pierre Dramard, 13944 Marseille Cedex 15, France.

Gérald Maille (G)

Faculté d'Odontologie, Aix-Marseille Université, 27 boulevard Jean Moulin, 13555 Marseille Cedex 5; Pôle Odontologie, UF des Soins Spécifiques, Hôpital Timone, Assistance Publique des Hôpitaux de Marseille, 264 rue Saint-Pierre, 13385 Marseille Cedex 5, France. EFS CNRS, Faculté des Sciences Médicales et Paramédicales, UMR 7268 ADES, Aix-Marseille Université, 51 boulevard Pierre Dramard, 13944 Marseille Cedex 15, France.

Classifications MeSH