Versions
- 2022-01-28 (2)
- 2022-01-27 (1)
Keywords
oral cancer
chewing
swallowing
How to Cite
Abstract
Introduction: oral cavity cancer is characterized by having a high prevalence, a low survival rate and represents a public health problem. Chewing and swallowing can be impaired, because of primary cancer lesions or adverse effects of treatment. Objective: to determine the functional limitations in chewing and swallowing in people with advanced oral cavity cancer from an interdisciplinary approach for a palliative dental intervention. Methodology: narrative review article that included 45 articles in English, Spanish and Portuguese, published from 2013 onwards. The population of interest were adults with advanced oral cancer who present limitations in chewing and swallowing under Palliative Care conditions. Abstracts or conference papers and editorials were excluded. Results: chewing and swallowing may present limitations in their function that require palliative intervention from the dental approach. Among the interventions can be mentioned the control of trismus, the protection of the teeth and their supporting tissues, the care of dental prostheses, the control of pain and infections, the prevention and treatment of osteoradionecrosis, care of xerostomia, the intervention of oral mucositis, the surgical reconstruction of lost anatomical structures, the use of maxillofacial prostheses and the control of edema. Conclusion: dentistry has a relevant role in the palliative intervention of people with advanced oral cavity cancer with limitations of chewing and swallowing by providing a total and active care of the mouth, in which pain relief and tooth maintenance dental are a priority.
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