Development of tools for the oral health and panoramic radiograph evaluation of head and neck cancer patients: A methodological study

Leanne K. Jackson, Joel B. Epstein, Cesar A. Migliorati, Julie Rezk, Werner H. Shintaku, Marcel E. Noujeim, Alan Roger Santos-Silva, Mary S. Dietrich, Barbara A. Murphy

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Purpose Describe the methodology used to construct tools for standardized data collection of head and neck cancer patients (HNCP). Methods We constructed the Oral Health Evaluation Tool (OHET) and Panoramic Radiograph Evaluation Tool (PRET) for systematic collection of long-term oral clinical/radiographical complications, prevalence, and severity. Tools were pilot-tested in 50 chemoradiation-treated HNCP >6 months post-therapy. Results Tools allowed for collection of extensive clinical and radiographical data. A medium of 1.9 years had elapsed since chemoradiation completion. Patients had a median of 6 missing teeth, 32.7% had no decay and a medium of 30% had filled surfaces; 42.9% had moderate-to-severe decay. Reduced/thickened saliva was noted in 85.4% and dry mucosa in 93.9%. Gingival bleeding was present in 75.5% HNCP and attachment loss in 86%. Four patients had trismus. Conclusions Tools were user friendly and provided comprehensive, reproducible, and inexpensive means to evaluate post-therapy oral health of HNCP. Validation testing is ongoing.

Original languageEnglish (US)
Pages (from-to)243-252
Number of pages10
JournalSpecial Care in Dentistry
Volume35
Issue number5
DOIs
StatePublished - Sep 1 2015
Externally publishedYes

Keywords

  • head and neck cancer
  • oral health evaluation
  • oral health outcomes
  • panoramic radiograph evaluation
  • tool development

ASJC Scopus subject areas

  • Dentistry(all)

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