Comments on Oral Care in Patients Receiving Radioiodine Treatment for Thyroid Cancer
Abstract Introduction and Objective: The objective of this paper is to educate professionals who deal with the diagnosis and treatment of thyroid and parathyroid pathologies about the oral health problem related to treatment with radioiodine (I-131) and to provide a guide to oral care in these patients. Synthesis: The management of patients undergoing radioiodine treatment is encompassed within a multidisciplinary context in which the role of the dentist is especially important to prevent and treat the oral side effects of I-131 as part of the oncology team. Their role is essential in examining the patient before starting treatment with I-131, developing a treatment plan for their oral pathologies, informing the patient of the risks and oral side effects of I-131, teaching oral hygiene techniques for alleviate the results of these side effects and prescribing fluoride treatments and antibacterial rinses. Conclusions: The patient treated with radioiodine has a predisposition to the appearance of caries and periodontal disease. The patient should be evaluated before starting therapy, eliminating all possible sources of pain, infection and oral bleeding. Dental treatment of these patients should be avoided once therapy has begun, except for emergency treatment. The dentist is a fundamental pillar as part of the treatment team for patients with thyroid cancer who are undergoing radioiodine therapy.
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Mester A, Piciu A, Lucaciu O, Apostu D, Piciu D, Voina-Tonea A. Assessment and Care of Oral Lesions for Patients Who Undergo Radioiodine Treatment for Thyroid Cancer. Am J Med Sci. 2021;361(1):8-13.
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Irie MS, Mendes EM, Borges JS, Osuna LGG, Rabelo GD, Soares PBF. Periodontal therapy for patients before and after radiotherapy: A review of the literature and topics of interest for clinicians. Med Oral Patol Oral y Cir Bucal. 2018;23(5):e524-30.
Lindhe J, Karring T, LangJ NP. Clinical Periodontology and Implant Dentistry. Blackell Munksgard, Copenhagen 2003. pp1072.
Nyman S, Lindhe J, Karring T, Rylander H. New attachment following surgical treatment of human periodontal disease. J Clin Periodontol. 1982;9(4):290-6.
Donado Rodríguez M, Martinez-González JM. Cirugia Bucal. Patología y técnica. 4.a ed. Elsevier Masson SAS; 2014.
Sicilia A, Arregui I, Gallego M, Cabezas B, Cuesta S. A systematic review of powered vs. manual toothbrushes in periodontal cause-related therapy. J Clin Periodontol. 2002;29(Suppl. 3):39-54.
Hidalgo-Gato Fuentes I, De Estrada Riverón JD, Pérez Quiñones JA. La caries dental. Algunos de los factores relacionados con su formación en niños. Rev Cubana Estomatol. 2008;45(1):1-12.
López R, Smith PC, Göstemeyer G, Schwendicke F. Ageing, dental caries and periodontal diseases. J Clin Periodontol. 2017;44:S145-52.
Dorri M, Martinez-Zapata MJ, Walsh T MV. Atraumatic restorative treatment versus conventional restorativetreatment for managing dental caries (Review). Cochrane Database Syst Rev. 2017;(12):1-68.
Bravo Pérez M, Almerich Silla J, Canorea Díaz E, Casals Peidró E, Cortés Martinicorena F, Expósito Delgado A, et al. Encuesta de Salud Oral en España 2020. RCOE 2016; 21 (Supl. 1): 8 - 48. Disponible en: http://diposit.ub.edu/dspace/bitstream/2445/103211/1/664717.pdf. [Citado el 09/03/2022]
Irie MS, Mendes EM, Borges JS, Osuna LGG, Rabelo GD, Soares PBF. Periodontal therapy for patients before and after radiotherapy: A review of the literature and topics of interest for clinicians. Med Oral Patol Oral y Cir Bucal. 2018;23(5):e524-30.
Lindhe J, Karring T, LangJ NP. Clinical Periodontology and Implant Dentistry. Blackell Munksgard, Copenhagen 2003. pp1072.
Nyman S, Lindhe J, Karring T, Rylander H. New attachment following surgical treatment of human periodontal disease. J Clin Periodontol. 1982;9(4):290-6.
Donado Rodríguez M, Martinez-González JM. Cirugia Bucal. Patología y técnica. 4.a ed. Elsevier Masson SAS; 2014.
Sicilia A, Arregui I, Gallego M, Cabezas B, Cuesta S. A systematic review of powered vs. manual toothbrushes in periodontal cause-related therapy. J Clin Periodontol. 2002;29(Suppl. 3):39-54.
Pardal-Peláez, B. (2022). Comments on Oral Care in Patients Receiving Radioiodine Treatment for Thyroid Cancer. Revista ORL, 13(3), e28630. https://doi.org/10.14201/orl.28630
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