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Tandstatus hos patienter som behandlats för huvud- och halscancer med radioterapi samt deras upplevleser av sin munhälsa.
Kristianstad University College, School of Health and Society.
Kristianstad University College, School of Health and Society.
2009 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syftet med denna studie var att undersöka tandstatus fem år efter genomförd radioterapi mot huvud- och halscancer och jämföra med status omedelbart före radioterapistart. Ytterligare ett syfte var att undersöka hur patienterna upplever sin munhälsa. En kvantitativ deskriptiv tvärsnittsstudie har utförts på 21 patienter som har behandlats med radioterapi involverande hela eller delar av munhålan som stod på tur att kallas för en femårskontroll. Patienterna kallades från ett patientregister tillhörande sjukhustandvården på Käkkirurgiska kliniken i Lund. Studien delades in i tre delar: journal- och röntgengranskning, klinisk undersökning samt att patienterna fick besvara ett antal frågor rörande deras munhälsa. Resultatet visade att 43 (2.3 i medeltal range 0-6) tänder hade gått förlorade på fem år. Huvuddelen av de undersökta patienterna upplevde en påtaglig sänkt livskvalité efter genomgången radioterapi. Tänder har förlorats, lagats och ersatts. Låg salivsekretion, tugg- och sväljsvårigheter, karies samt osteoradionekros uppvisas som en sannolik följd av radioterapi.

 

Abstract [en]

The purpose of this study was to examine the dental status in patients five years after completion of radiation therapy to the head and neck cancer and compare this with the dental status immediately before radiotherapy. A further aim was to investigate how patients perceived their oral health. A quantitative descriptive cross-sectional study was conducted on 21 patients treated with radiotherapy involving all or parts of the oral cavity, which was on tour to be invited for a five-year control. Patients were called from a patient associated at the dentist at the hospital on Käkkirurgiska clinic in Lund. The study was divided into three parts: a retrospective analysis of dental journals- and radiographs, a clinical examination and a questionnaire about oral health. In total 43 (2.3 teeth on average and range 0-6) teeth had been lost over five years.

Most of the investigated patients experienced a reducted in quality of life following after radiotherapy. Teeth was lost, repaired and replaced. Salivary secretion was low and they experienced difficulties in chewing and swallowing. Osteoradionecroses was found after therapy in individuals and may be a consequence of radiotherapy.

 

Place, publisher, year, edition, pages
2009. , p. 29
Keywords [sv]
radioterapi, oral hälsa, huvud- och halscancer
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-1010OAI: oai:DiVA.org:hkr-1010DiVA, id: diva2:226892
Presentation
(Swedish)
Uppsok

Supervisors
Available from: 2009-11-02 Created: 2009-07-06 Last updated: 2009-11-02Bibliographically approved

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