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

1 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

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© 2022 Elsevier Inc.

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