Supportive Care in Cancer

, Volume 20, Issue 8, pp 1811–1814

Compliance with fluoride custom trays in irradiated head and neck cancer patients

  • Juliette Thariat
  • Liliane Ramus
  • Vincent Darcourt
  • Pierre-Yves Marcy
  • N. Guevara
  • Guillaume Odin
  • Gilles Poissonnet
  • Laurent Castillo
  • Ali Mohammed Ali
  • Christian Righini
Original Article

DOI: 10.1007/s00520-011-1279-5

Cite this article as:
Thariat, J., Ramus, L., Darcourt, V. et al. Support Care Cancer (2012) 20: 1811. doi:10.1007/s00520-011-1279-5

Abstract

Purpose

The purpose of this study is to assess compliance with fluoride gel custom trays in irradiated head and neck cancer patients.

Methods and materials

One hundred fifty-five consecutive patients on remission following radiation therapy of head and neck cancers were assessed retrospectively for dental care practices prior to radiation and prospectively for long-term compliance with custom trays from November 2009 to January 2010. A five-item questionnaire was filled in by patients in the waiting room, and a 15-item questionnaire by the physician in charge during the corresponding follow-up visit.

Results

Ten percent of patients were edentulous at inclusion. Among dentate patients, 17% had total extractions. With a mean follow-up of 24 months, 19% of patients used custom trays for over a year. Primary stage, age, and tobacco consumption were correlated with compliance with custom trays. More than half of dentate patients developed carious lesions, and 8% had stage 1–3 osteoradionecrosis of the whole population of edentulous and dentate patients.

Conclusion

Compliance with custom trays was poor in this series. Specific postirradiation dental care follow-up visits and education have demonstrated their utility in the era of 2D irradiation. We currently advocate an 18-month compliance with custom trays in IMRT patients on the basis of the Parsport trial, after which we assess the quality of salivary recovery before recommending prolonged use or interruption. Data with innovative irradiation techniques are however required.

Keywords

Dental careComplianceCustom traysRadiotherapyHead and neckTooth extractionsOsteoradionecrosis

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Juliette Thariat
    • 1
  • Liliane Ramus
    • 2
    • 3
  • Vincent Darcourt
    • 4
  • Pierre-Yves Marcy
    • 5
  • N. Guevara
    • 6
  • Guillaume Odin
    • 6
  • Gilles Poissonnet
    • 7
  • Laurent Castillo
    • 6
  • Ali Mohammed Ali
    • 8
  • Christian Righini
    • 9
  1. 1.Department of Radiation Oncology/Institut Universitaire de la Face et du Cou fo J thariat, Cancer Center Antoine-LacassagneUniversity Nice Sophia-AntipolisNICE Cedex 2France
  2. 2.DOSI SoftCachanFrance
  3. 3.Inria Sophia Antipolis, Asclepios Research ProjectSophia Antipolis cedexFrance
  4. 4.Department of Radiation Oncology—Dentistry, Cancer Center Antoine-LacassagneUniversity Nice Sophia-AntipolisNice Cedex 2France
  5. 5.Department of Radiogy, Cancer Center Antoine-LacassagneUniversity Nice Sophia-AntipolisNice Cedex 2France
  6. 6.Department of Head and Neck SurgeryCHU—Institut Universitaire de la tête et du couNice Cedex 2France
  7. 7.Department of Head and Neck Surgery, Cancer Center Antoine-LacassagneInstitut Universitaire de la tête et du couNice Cedex 2France
  8. 8.Department of Clinical OncologySohag Faculty of MedicineNasser CityEgypt
  9. 9.Clinique ORL, Pôle TCCR-Unité Inserm UJF/U823, groupe 5/Institut Albert BonniotGrenobleFrance