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Assessment of oral disease burden among head and neck cancer patients in the Merseyside region. 评估默西塞德地区头颈部癌症患者的口腔疾病负担。
IF 2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-15 DOI: 10.1038/s41415-024-8060-x
Ahmed Jebril, Fadi Jarad, Chris J Butterworth, Kathryn Bebb

Introduction Head and neck cancer (HANC) significantly impacts the oral cavity and dental health issues may complicate cancer treatment and post-treatment quality of life. Pre-treatment dental evaluation is critical for identifying and managing existing oral health problems. However, limited literature exists on the dental health status of patients at the time of HANC diagnosis. This study aims to address this gap and emphasise the importance of dental care in the management of HANC.Methods A retrospective analysis of medical records was conducted on patients scheduled for radiotherapy for HANC. Data on demographic characteristics, tumour characteristics and dental exam findings were extracted from the patient record.Results Of the 191 included patients, the average age was 62.9 years (SD: 10.09), with 80% being men. The prevalence of dental disease revealed 59% of cases presenting with unstable periodontal disease and an average decayed, missing, and filled teeth score of 19.9. Two-thirds of patients exhibited one or more carious lesions.Conclusion This retrospective study sheds light on the dental health status of patients with HANC at their pre-treatment evaluation. The high prevalence rates of dental caries and unstable periodontal disease highlight the importance of dental evaluation and intervention as part of the overall management of HANC patients.

导言 头颈部癌症(HANC)对口腔有很大影响,牙齿健康问题可能会使癌症治疗和治疗后的生活质量复杂化。治疗前的牙科评估对于识别和管理现有的口腔健康问题至关重要。然而,有关 HANC 诊断时患者牙齿健康状况的文献却很有限。本研究旨在填补这一空白,并强调牙科护理在 HANC 管理中的重要性。方法 对计划接受放疗的 HANC 患者的医疗记录进行回顾性分析。结果 在纳入的 191 名患者中,平均年龄为 62.9 岁(SD:10.09),80% 为男性。牙科疾病的患病率显示,59%的病例患有不稳定的牙周疾病,蛀牙、缺牙和补牙的平均得分为 19.9 分。结论 这项回顾性研究揭示了 HANC 患者在治疗前评估时的牙齿健康状况。龋齿和不稳定牙周病的高患病率凸显了牙科评估和干预作为 HANC 患者整体管理一部分的重要性。
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引用次数: 0
A qualitative study of dentists' and dental students' preparedness to support patients with lived experience of intimate partner violence and abuse. 一项关于牙医和牙科学生是否准备好为有亲密伴侣暴力和虐待经历的患者提供支持的定性研究。
IF 2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-15 DOI: 10.1038/s41415-024-8059-3
Sarah Farmer, Janice Ellis, Hayley Alderson

Introduction Intimate partner violence and abuse (IPVA) is a public health crisis with long-term implications for an individual's mental and physical health. IPVA can result in head and neck trauma, including oral injuries, placing dentists in a unique position to be able to identify at-risk patients. It is therefore important to understand any barriers dentists may experience when supporting IPVA patients.Aims The aim of this study was to explore whether dentists and dental students are prepared to support patients with lived experience of IPVA.Method This study adopted a qualitative cross-sectional research design using focus groups and interviews. Data were collected using the principles of grounded theory and analysed using thematic analysis.Results Data were collected from 14 dentists and 22 dental students showing that they did not feel confident or prepared in identifying and responding to patients they suspected were experiencing IPVA. Barriers included a lack of practical knowledge and fear of 'getting it wrong', resulting in professional paralysis.Conclusion Improving current safeguarding educational frameworks at both the undergraduate and postgraduate stage could be key to improving the confidence and practical knowledge of dental practitioners.

导言:亲密伴侣暴力和虐待(IPVA)是一种公共卫生危机,对个人的身心健康具有长期影响。IPVA 可导致包括口腔损伤在内的头部和颈部创伤,这使得牙医在识别高危患者方面处于独特的地位。因此,了解牙医在为 IPVA 患者提供支持时可能遇到的障碍非常重要。本研究旨在探讨牙医和牙科学生是否准备好为有 IPVA 生活经历的患者提供支持。结果 从 14 名牙医和 22 名牙科学生那里收集到的数据显示,他们在识别和应对他们怀疑有 IPVA 经历的患者时没有信心或准备不足。障碍包括缺乏实践知识和害怕 "做错",从而导致专业瘫痪。结论 在本科生和研究生阶段改进当前的保障教育框架可能是提高牙科医生信心和实践知识的关键。
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引用次数: 0
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British Dental Journal
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