STATUS OF GINGIVITIS IN PATIENTS AFTER RADIOTHERAPY FOR HEAD AND NECK CANCER AT VIETNAM NATIONAL CANCER HOSPITAL IN 2023-2024

Chiều Hà Ngọc, Linh Lê Thị Thùy

Main Article Content

Abstract

Objective: This study aims to describe the status of gingivitis in patients after radiotherapy for head and neck cancer at Vietnam National Cancer Hospital from 2023 to 2024. Subjects and Methods: A cross-sectional descriptive study was conducted on 156 patients aged 18 and older who had undergone radiotherapy for head and neck cancer from February 2023 to September 2024. Patients were examined and assessed for gingivitis after 1 month, 2 months, 3 months, and more than 3 months of radiotherapy. Results: The overall gingivitis rate was 82.1%, with the highest prevalence in the 35-59 age group (86.0%). The gingivitis rate was higher in males (86.1%) compared to females (70.7%). The highest gingivitis rate was recorded 1 month after radiotherapy (91.4%), gradually decreasing after 2 and 3 months of treatment. However, after 3 months, there was a slight increase in the gingivitis rate. Conclusion: After 1, 2, and 3 months of radiotherapy, head and neck cancer patients exhibited a high prevalence of gingivitis, although there was a downward trend over time. However, after 3 months, the gingivitis rate showed a slight increase. Further studies with larger sample sizes are needed for a more accurate assessment of the prevalence and progression of the disease in this patient group.

Article Details

References

1. Hashim D, Sartori S, Brennan P, et al. The role of oral hygiene in head and neck cancer: results from International Head and Neck Cancer Epidemiology (INHANCE) consortium. Ann Oncol. 2016;27(8):1619-1625. doi:10.1093/annonc/mdw224.
2. Farquhar DR, Divaris K, Mazul AL, et al. Poor Oral Health Affects Survival in Head and Neck Cancer. Oral Oncol. 2017;73:111-117. doi:10. 1016/j.oraloncology.2017.08.009.
3. Devi S, Singh N. Dental care during and after radiotherapy in head and neck cancer. Natl J Maxillofac Surg. 2014;5(2):117-125. doi:10.4103/0975-5950.154812.
4. Sohn HO, Park EY, Jung YS, et al. Effects of the professional oral care management program on patients with head and neck cancer after radiotherapy: A 12-month follow-up. J Dent Sci. 2021; 16(1): 453-459. doi:10.1016/j.jds.2020. 09.010.
5. Vi Việt Cường. Sâu răng và một số yếu tố ảnh hưởng ở bệnh nhân ung thư vùng đầu cổ xạ trị tại Bệnh viên Ung bướu Thành phố Hồ Chí Minh năm 2023. Tạp chí Y học Việt Nam. 2024;538(1). doi:10.51298/vmj.v538i1.9390.
6. Breslin M, Taylor C. Incidence of new carious lesions and tooth loss in head and neck cancer patients: a retrospective case series from a single unit. Br Dent J. 2020;229(8):539-543. doi:10.1038/s41415-020-2222-2.
7. Rupe C, Basco A, Schiavelli A, et al. Oral Health Status in Patients with Head and Neck Cancer before Radiotherapy: Baseline Description of an Observational Prospective Study. Cancers. 2022;14(6):1411. doi:10.3390/cancers14061411.