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RADYOTERAPİ VE AĞIZ SAĞLIĞI

ORAL CARE AND RADIOTHERAPY

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Abstract (2. Language): 
Radiation causes both acute and chronic tissue changes that have a profound effect on oral health during and after radiation therapy.Unlike chemotherapy, the transient effects of radiation therapy are chronic, irreversible, and progressive due to permanent damage to the proliferative cells of the head and neck. Effective oral care requires appropriate preventive and interceptive therapy, patient and family education, and close observation.The maintenance of oral health during and after radiation therapy requires an investment of time and effort beyond that needed for normal oral care on the part of the patient and the practioncr.
Abstract (Original Language): 
Radyasyon, dokular üzerinde akut ve kronik değişikliklere neden olur. Radyoterapi sırasında vc sonrasında oluşan bu değişikliklerin ağız sağlığı üzerinde büyük etkileri vardır. Kemotcrapİden farklı olarak, radyoterapinin geçici etkileri, baş ve boyun dokularındaki proliferatif hücrelerin kalıcı yıkımına bağlı olarak kronik, irreversibİ, prograsif olabilir. Etkili bir şekilde ağız sağlığının korunması; uygun koruyucu ve önleyici tedaviler hastanın ve ailesinin eğitimi, hastanın yakın takibiyle sağlanır. Radyoterapi sırasında ve sonrasında hastanın ağız sağlığının korunması için, hem hasta hem doktor, normal bir ağız bakımının gerektirdiğinden daha fazla zaman vc çaba harcamalıdır
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REFERENCES

References: 

1. Ord RA, Blanchaert RH. Oral Cancer: The Dentist's Role in Diagnosis, Management, Rehabilita-tion, and Prevention. Chapter 12: Oral care of the patient receiving radiation therapy. Quintessence Publishing Co, Inc Chicago, 2000; 149-164.
2. Beumer J, Curtis T, Harrison RE. Radiation therapy of the oral cavity: Sequelae and management. Part 1. Head Neck Surg 1979;1: 301-312.
3. Carl W. Oral and dental care of patients receiving radiation therapy for tumors in and the oral cavity.In: Carl W, Sako K{eds). Cancer and the Oral Cavity, ed 1. Chicago: Quin tessence, 1986; 167-182.
4. Semba SE, Mealey B, Hallman WW.The head and neck radiotherapy patient. Part I Oral manifestations of radiation therapy. Compend Contin Educ Dent 1992; 15:250-260.
5. Carl W. Local radiation and systemic chemotherapy: Preventing and managing the oral complications. J Am Dent Assoc 1993;124:119-123.
6. Dreizen S. Description and incidence of oral complications. NCI Monogr 1990;9:11-15.
7. Toth BB, Chambers MS, Fleming TC. Prevention and management of oral complications associated with cancer therapies: Radiotherapy/ Oleotherapy. Tex Dent J 1996; 113: 23-29.
8. Spijkervat FKL, van Saene HKF, van Saene JJM, Panders AK, Vermey A, Mehta DM. Effects of selective elimination of oral flora on mucositis in irradiated head and neck cancer patients. J Surg Oncol 1991; 46: 167-173.
9. Symond B. Treatment induced mucositis : An old problem with new remedies. Br J Cancer 1998; 77:1689-1695.
10. Barker G, Lotfus L, Cuddy P, Baker B. The effects of sucralfate suspension and diphenhydramine syrup plus kaolin pectin on radiotherapy induced mucositis. Oral Surg Oral Med Oral Pathol 1991;71:288-293.
11. Whitmyer C, Waskowskyi J, Iffland H. Radiotherapy and oral sequelae: Prevention and
management protocols. J Dent Hyg 1997; 71:23-29.
12. Scully C, Epstein JB. Oral health care for the cancer patient. Eur J Cancer B Oncol 1996; 32B: 281-292.
13. Fleming TJ. Oral tissue changes in radiation oncology and their managrmmt. Dent Clin North Am 1990:34:223-237.
14. Carl W, Emrich L. Management of oral mucositis during local radiation and systemic chemotherapy: A study of 98 patients. J Prosthet Dent 1991; 66:361-369.
15. Epstein JB, Marshall M, Le ND, et al. Risk factors for candidiasis in patients who receive radiation therapy for malignant conditions of the head and neck, Oral Surg Oral Med Oral Pathol 1993;76:169-174.
16. Dreizen S, Daly TE, Drane JB, et al.Oral complications of cancer radiotherapy. Postgrad Med 1977; 61:85-92.
17. Barret VJ, Martin JW, Jacob RF. Physical therapy techniques in treatment of head and neck patients. J Prosthet Dent 1988; 59:343-346
18. McClure D, Barker G, Barker B. Oral management of the cancer patient, Part II: Oral complications of radiation therapy. Compend Contin Educ Dent 1987; 8:88-92.
19. Garg AK, Malo M. Manifestations and treatment of xerostomia and associated oral effects secondary to head and neck radiation therapy. J Am Dent Assoc 1997; 128:1128¬1133.
20. Markitziu A, Zafiropoulous G, Tsalik L. Gingival health and salivary function in head and neck irradiated patients. Oral Surg Oral Med Oral Pathol 1992; 73:427-433.
21. Valdez H. Radiation- induced salivary gland dysfunction: Clinical course and significance. Spec Care Dentist 1991; 11:252-255.
22. Valdez IH, Wolff A, Atkinson JC, Macynski AA, Fox PC. Use of pilocarpine during head and neck radiation therapy to reduce xerostomia and salivary gland dysfunction. Cancer 1993; 71:1848-1851.
23. Johnson JT, Ferretti GA, Nethery WJ. Oral pilocarpine for postradiation xerostomia in
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Gülümser EVLÎOGLU, Ayşen AZAK
patients with head and neck radiation. N Engl J Med 1993;329:390-395.
24. Katz S. The use of fluoride and chlorhexidine for the prevention of radiation caries. J Am Dent Assoc 1982; 104:164-170.
25. Beumer J, Silverman S Jr, Benak SB Jr. Hard and soft tissue necrosis following radiation therapy for oral cancer. J Prosthet Dent 1972; 27:640-644.
26.
Şimşek Ş, Güven Y. Hangi hastada, hangi ilaç? Hangi test? TDB Yayınları. 2005, Rota Kitabevİ, İstanbul.
27. Friedman R. Osteoradionecrosis: Causes and prevention. NCI Monogr 1990;9:145-149.
28. Barker B. Oral complications of head and neck radiation. Compend Contin Educ Dent 1987;8:288-293.
29. Lockhart PB, Clark S. Pretherapy dental status of patients with malignant conditions of the head and neck. Oral Surg Oral Med Oral Pathol 1994;77:236-241.
30. Nguyen AMH. Dental management of patients who receive chemo- and radiation therapy. Gen Dent 1992;40:305-311.

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