J Korean Assoc Maxillofac Plast Reconstr Surg.  2004 Jan;26(1):53-60.

A clinical study on the care of oral complications in the admission patients with major malignant tumors

Affiliations
  • 1Department of Dentistry, Dong San Medical Center, College of Medicine, Keimyung University, Korea. jbkim@dsmc.or.kr
  • 2Department of Dental Hygiene, Wonju College of Medicine, Yonsei University, Korea.
  • 3Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Christian Hospital), Korea.
  • 4Department of Dentistry (Oral and Maxillofacial Surgery), Ilsan Hospital, National Health Insurance Corporation, Korea.

Abstract

This is a retrospective study on the care of oral complications in the admission patients with major malignant tumors. The study was based on a series of 376 patients treated at Dong San Medical Center, Wonju Christian Hospital and Il San Health Insurance Hospital, from Jan. 1, 2000, to Dec. 31, 2002. The malignant tumor of lung and bronchus was the most frequent incidence and the tumor of stomach, liver and biliary tract, rectum and colon were next in order of frequency. But, there was the most frequent dental consultation in the malignant tumor of head and neck, owing to the many oral diseases. Male prediction (69.7%) was existed in the admission patients with major malignant tumors and oral diseases. The most common age group of the admission patients with the malignant tumors and oral diseases was the sixty decade(29.8%), followed by the fifty, forty & seventy decade in order. In the content of chief complaints on the admission patients with major malignant tumors and oral complications, peak incidence was occurred as toothache (33.2%), followed by mucosal pain, mastication difficulty, dental extraction, oral bleeding in order. In the diagnosis group of oral complications in the patients with the malignant tumors, periodontitis, pulpitis, mucositis and xerostomia were more common. In the treatment group of oral complications in the patients, the most frequent incidence(32.6%) was showed in primary endodontic drainage(pulp extirpation, occlusal reduction and canal opening drainage) and followed by incision and drainage, scaling, medications & oral hygiene instruction, continuous oral dressing in order.

Keyword

Major malignant tumors; Major oral complications; Primary endodontic drainage; Comprehensive oral care

MeSH Terms

Bandages
Biliary Tract
Bronchi
Colon
Diagnosis
Drainage
Gangwon-do
Head
Hemorrhage
Humans
Incidence
Insurance, Health
Liver
Lung
Male
Mastication
Mucositis
Neck
Oral Hygiene
Periodontitis
Pulpitis
Rectum
Retrospective Studies
Stomach
Toothache
Xerostomia
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