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. 2017 May 1;9(5):e654-e660.
doi: 10.4317/jced.53617. eCollection 2017 May.

Cambra system in patients awaiting hematopoietic progenitor cell transplant and high caries risk

Ana Hernández-Fernández  1 , Antonio-José Ortiz-Ruiz  2 , Felipe De Arriba-de la Fuente  3 , Vicente Vicente-García  3 , Pastora Iniesta-López-Matencio  3 , Ricardo-Elias Oñate-Sánchez  2
Affiliations

Cambra system in patients awaiting hematopoietic progenitor cell transplant and high caries risk

Ana Hernández-Fernández et al. J Clin Exp Dent. .

Abstract

Background: Recent times have witnessed a significant increase in the number of patients affected by problems related to oncological treatment Aims of this study is to evaluate dental affectation among patients awaiting hematopoietic progenitor cell transplant (HPCT), and they showed high caries risk, so it should establish a protocol prior to transplantation.

Material and methods: The study included 72 patients due for HPCT. Clinical and radiological explorations were performed and oral photos taken. The amount of caries, missing teeth and fillings were registered for each patient. CAO, DMFS and Restoration Indices were calculated.

Results: 83% of patients presented caries. 48 patients (67%) had lost at least one tooth. Only 32 patients (44%) had received some sort of conservative treatment. The average CAO index value obtained was 10.37. The DMFS index showed an average of 27.06 affected surfaces. Of the 72 patients studied, 40 (56%) showed a restoration index value of zero.

Conclusions: These patients presented a high number of carious teeth and a low restoration index. The presence of so many possible septic foci in an individual, who will later become susceptible to infection, highlights the importance of preventative treatment and bucco-dental restoration within this patient population. These patients with a high caries risk can be treated with CAMBRA system. Key words:Hematopoietic progenitor cell transplantation, high caries risk, state of oral health, haematological disease, CAMBRA system.

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Conflict of interest statement

Conflict of interest statement:To ensure balance, independence, objectivity and scientific rigor each authors disclose any conflict of interest that may have a direct bearing on the subject matter of the paper.

Figures

Figure 1
Figure 1
Distribution of number of caries according to degrees of severity.
Figure 2
Figure 2
Distribution of the number of missing teeth by degrees of severity.
Figure 3
Figure 3
Distribution of number of fillings by degrees of severity.
See this image and copyright information in PMC

References

    1. Stewart BW, Wild CP. World Cancer Report. Lyon: IARC; 2014.
    1. Alwan A, Amstrong T, Bettcher D, Branca F, Chisholm D, Ezzati M. Global Status Report on Noncommunicable diseases. Geneva: OMS; 2011.
    1. Estimated Cancer Incidence. Mortality and Prevalence Worldwide in 2012. WHO. International Agency of research of cancer. 2016. [ cited Jan 2016 ]. [Internet] Available from: http://globocan.iarc.fr/Pages/summary_table_site_sel.aspx (Accesed Enero...
    1. Types of Treatment. National Cancer Intitute. 2016. [ cited Oct 2016 ]. [Internet] Available from: http://www.cancer.gov/about-cancer/treatment/types.
    1. Ariza-Heredia EJ, Chemaly RE. Infection Control Practices in Patients with Hematological Malignancies and Multidrug-resistant Organims: Special Considerations and Challenges. Clin Lymphoma Myeloma Leuk. 2014;14 suppl:S104–10. - PubMed

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