Survey of experiences and barriers to dental care post–head and neck cancer in OraRad study participants

E. Jackson Threet, Joel J. Napeñas, Cathleen Petersen, Rebecca Mitchell, Leslie Long-Simpson, Ryann Shadick, Kimberly C. Valentino, Cynthia A. Rybczyk, Jo Ann A. Blake, Makeda C. Brown, Robert Aidoo, Erika S. Helgeson, Rajesh V. Lalla, Michael T. Brennan

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Purpose: Dental care after head and neck cancer (HNC) treatment is crucial to maintaining oral health and preventing/treating oral complications. This survey investigated the experiences and barriers to dental care post–radiation therapy (RT). Methods: Participants of the Clinical Registry of Dental Outcomes in patients with head and neck cancer (OraRad) were surveyed at approximately 4 years post-RT. Participants completed a 20-question survey which assessed perceptions of dental care and education, barriers to receiving care, and ongoing physical symptoms post-RT. Results: One hundred fifty-three of the 505 available OraRad participants completed the survey. Almost all of the respondents (n = 141; 92%) either strongly agreed or agreed that they understand the effects of cancer and its treatment on the teeth, mouth, and jaws. The majority (n = 119; 80%) strongly agreed or agreed that their dentist provided them with information on how to keep teeth, mouth, and jaws healthy after treatment. Most participants reported dry mouth (n = 114; 75%). Other sequelae were problems swallowing (n = 57; 38%), dental caries (n = 33; 22%), and difficulty keeping their mouth open during dental procedures (n = 26; 17%). Conclusions: The OraRad respondents reported few barriers to dental care post-HNC treatment. Patients continue to suffer oral/maxillofacial side effects of radiation treatment, most notably xerostomia.

Original languageEnglish (US)
Pages (from-to)501-509
Number of pages9
JournalOral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Volume135
Issue number4
DOIs
StatePublished - Apr 2023

Bibliographical note

Funding Information:
The Clinical Registry of Dental Outcomes in Head and Neck Cancer Patients was funded by the National Institute for Dental and Craniofacial Research, National Institutes of Health, United States (U01DE022939). The National Institute for Dental and Craniofacial Research and the National Institutes of Health had no role in the study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication.

Publisher Copyright:
© 2022 Elsevier Inc.

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural

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