3 research outputs found
Adverse reactions of radiotherapy for head and neck cancers : treatment of radiation reactions in the oral cavity
Due to聽painless nature and聽poorly specific symptoms, such as hoarseness or聽sore throat, head and聽neck cancers are usually
diagnosed when the disease is聽locally advanced. A typical patient is聽older than 50 years. Low social awareness concerning the
occurrence of聽these cancers and聽rare appointments with specialist physicians escalate the problem. As a result, patients usually
seek medical advice when the disease is聽advanced and聽prognosis poor. The聽risk of聽these cancers increases by regular consumption
of聽weak alcoholic beverages, cigarette smoking and聽infection with human papilloma virus. The聽head and聽neck location, which
is聽a richly vascularised and聽innervated anatomic region, necessitates the application of聽highly specialised treatment, i.e. intensitymodulated radiation therapy. Radiation reactions can be divided into early (acute) and聽late (chronic) based on the time
of聽occurrence. Early reactions include inflammation and聽fibrosis of聽the oral mucosa. Late reactions are more troublesome
and聽persistent. They include: mandible necrosis or聽permanent impairment of聽salivary gland secretory function. The聽most common
adverse effects of聽radiotherapy include mucositis. Patients irradiated for head and聽neck cancers usually suffer from persistent oral mucosa dryness that requires particular care and聽hygiene. Preventive measures in聽patients undergoing radiotherapy include:
systematic plaque removal, using high-fluoride agents for oral hygiene, following a low-sugar diet and聽regular dental check-ups
Dentophobia
Wst臋p. Dentofobia to paniczny l臋k przed wizyt膮 u dentysty, zabiegami wykonywanymi w obr臋bie jamy ustnej. Osoba cierpi膮ca na dentofobi臋 zg艂asza si臋 do gabinetu dopiero, gdy doznania b贸lowe uniemo偶liwiaj膮 normalne funkcjonowanie b膮d藕 te偶 wskutek presji otoczenia. Zjawisko mo偶na oceni膰 na podstawie: obserwacji zmian fizjologicznych reakcji organizmu (ci艣nienie krwi, zabarwienie sk贸ry), sposobu zachowania oraz metodami psychologicznymi (wype艂nianie kwestionariusza). Mimo rozwoju stomatologii i wzrostu 艣wiadomo艣ci spo艂ecze艅stwa polskiego, problem l臋ku przed wizyt膮 u dentysty jest wci膮偶 aktualny, czego przyk艂adem jest wysoka 艣rednia warto艣膰 wska藕nika pr贸chnicy PUWz (ang. DMFt). W Polsce w艣r贸d os贸b w wieku 18 lat wynosi艂a ona 8 (2013 r.). Cel pracy. Pr贸ba ustalenia przyczyn i skali wyst臋powania dentofobii. Materia艂 i metody. Badaniu ankietowemu poddano 330 pacjent贸w Zespo艂u Poradni Specjalistycznych Uniwersyteckiego Szpitala Klinicznego w Bia艂ymstoku. Zebrany materia艂
poddano analizie w programie Statistica 10.0 z zastosowaniem testu Ch2 (p < 0,05).
Wyniki. Z艂e do艣wiadczenia z przesz艂o艣ci oraz wyobra偶enia na temat zabiegu s膮 najcz臋stsz膮 przyczyn膮 strachu przed wizyt膮 u stomatologa podawan膮 przez pacjent贸w. L臋k wsp贸艂istniej膮cy z objawami somatycznymi, kt贸ry mo偶e uniemo偶liwi膰 podj臋cie leczenia w gabinecie stomatologicznym, cz臋艣ciej zg艂aszany jest przez kobiety. M臋偶czy藕ni cz臋艣ciej obawiaj膮 si臋 b贸lu wyst臋puj膮cego podczas wizyty ni偶 kobiety.
Wnioski. Zjawisko dentofobii ma z艂o偶one pod艂o偶e, st膮d nale偶y prowadzi膰 dalsze badania w tym kierunku.dentofobiapaniczny strachwizyta u dentystyprzyczyny dentofobiiIntroduction. Dental phobia is a paralyzing fear of dental visits and dental procedures. A person affected by dental phobia decides to make an appointment only when their normal functioning is impossible due to pain or when pressed by family or friends. This phenomenon can be evaluated based on changes in physiological responses (blood prese, skin colour, sweating), behaviour (mainly children) or using psychological methods (questionnaires). Despite advances in dentistry and the increasing awareness of the Polish society, the problem of dental anxiety is still unsolved. This results in high DMFt index, which was 8 (2013) for Poles aged 18 years. Aim. The aim of the study was an attempt to determine the causes and the incidence of dental phobia. Material and methods. A total of 330 patients of an out-patient clinic at the University Hospital of Bia艂ystok were included in the survey. Statistical analysis of the collected data was performed with Statistica 10.0. using the Chi-square test (p < 0.05). Results. Negative past experiences and ideas about dental treatment are the most common causes of dental fear in patients. Fear coexisting with somatic symptoms, which can prevent dental treatment, was more often reported by women. Men are afraid of pain connected with dental procedures more often than women. Conclusions. The phenomenon of dental phobia has a complex aetiology, therefore further studies are needed to investigate this issue.dental phobiapanic feardental visitcauses of dental phobi