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Poor dental condition is a factor of imbalance of the nutritional status at the outset of management of head and neck cancer.
Devoize, Laurent; Dumas, Camille; Lambert, Céline; El Yagoubi, Mohamed; Mom, Thierry; Farigon, Nicolas; Gilain, Laurent; Boirie, Yves; Saroul, Nicolas.
Afiliação
  • Devoize L; Université Clermont Auvergne, CHU Clermont-Ferrand, INSERM, Neuro-Dol, 63000, Clermont-Ferrand, France.
  • Dumas C; Odontology Department, CHU de Clermont-Ferrand, 63003, Clermont-Ferrand Cedex 1, France.
  • Lambert C; Service D'Oto-Rhino-Laryngology Et Chirurgie Cervico-Faciale, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.
  • El Yagoubi M; Direction de La Recherche Clinique (DRCI), Département de statistiques, CHU de Clermont-Ferrand, 63000, Clermont-Ferrand, France.
  • Mom T; Service D'Oto-Rhino-Laryngology Et Chirurgie Cervico-Faciale, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.
  • Farigon N; Service D'Oto-Rhino-Laryngology Et Chirurgie Cervico-Faciale, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.
  • Gilain L; Université Clermont Auvergne, CHU Clermont-Ferrand, INRAE, UNH, Équipe ASMS, 63000, Clermont-Ferrand, France.
  • Boirie Y; Service D'Oto-Rhino-Laryngology Et Chirurgie Cervico-Faciale, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.
  • Saroul N; Université Clermont Auvergne, CHU Clermont-Ferrand, INRAE, UNH, Équipe ASMS, 63000, Clermont-Ferrand, France.
Clin Oral Investig ; 26(2): 1251-1259, 2022 Feb.
Article em En | MEDLINE | ID: mdl-34415435
ABSTRACT

OBJECTIVES:

To determine whether deterioration of dental condition at the outset of management of head and neck cancer (HNC) is a nutritional risk and whether social deprivation is a cause of the poor dental condition observed in HNC patients. MATERIAL AND

METHODS:

A nutritional assessment form (NAF) and the Nutrition Risk Index (NRI) were used to standardize the nutritional status of 108 patients at the outset of management of HNC (2017-2019). The NAF includes assessment of weight loss over the past 3 months, the amount and difficulty of food intake, and the presence of digestive disorders. Dental condition was assessed by the decayed, filled, and missing teeth acopre (DFM) index and the masticatory coefficient (MC). Dental status and social deprivation were correlated with the EPICES score.

RESULTS:

A correlation was found between the extent of weight loss and dental condition. The MC was higher in absence of weight loss (46% vs. 27%, p = 0.03) and the DMF lower when weight loss was less than 5% (22.3 vs. 26.9 if > 5% loss of weight, p = 0.005). No correlation was found between dental status and nutritional status. Social deprivation was associated with a lower MC (26% vs. 50%, p < 0.001).

CONCLUSION:

Dental condition is a risk factor for weight loss at the outset of management of HNC but is not a determinant of nutritional status. Clinical relevance Dental condition is no longer considered simply as a source of potential complications after radiotherapy but also as an important factor for nutritional status.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Perda de Dente / Neoplasias de Cabeça e Pescoço Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Clin Oral Investig Assunto da revista: ODONTOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: França

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Perda de Dente / Neoplasias de Cabeça e Pescoço Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Clin Oral Investig Assunto da revista: ODONTOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: França
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