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Oral Mucositis in Pediatric Patients in Treatment for Acute Lymphoblastic Leukemia

Author

Listed:
  • Isabella Lima Arrais Ribeiro

    (Post-Doctorate Researcher in Post-Graduate Program in Dentistry, Universidade Federal da Paraíba, João Pessoa, Paraíba 5045, Brazil)

  • Rebecca Rhuanny Tolentino Limeira

    (Master student in Post-Graduate Program in Dentistry, Universidade Federal da Paraíba, João Pessoa, Paraíba 5045, Brazil)

  • Ricardo Dias de Castro

    (Department of Clinical and Social Dentistry, Universidade Federal da Paraíba, João Pessoa, Paraíba 5045, Brazil)

  • Paulo Rogério Ferreti Bonan

    (Department of Clinical and Social Dentistry, Universidade Federal da Paraíba, João Pessoa, Paraíba 5045, Brazil)

  • Ana Maria Gondim Valença

    (Department of Clinical and Social Dentistry, Universidade Federal da Paraíba, João Pessoa, Paraíba 5045, Brazil)

Abstract

Oral mucositis in oncologic patients is the most undesirable event of the chemotherapeutic treatment. This study aimed to identify damage to the oral cavity resulting from chemotherapy in pediatric patients with acute lymphoblastic leukemia (ALL). This is a prospective study with a sample of 42 children and adolescents evaluated for 10 consecutive weeks after diagnosis. The modified Oral Assessment Guide (OAG) was used, and data were analyzed by Spearman’s rank correlation coefficient (α = 5%). Changes to the normal lips and saliva were positively related to an increase in the OAG score during all 10 weeks of evaluation. Alterations to the labial mucosa were correlated with an increase in the OAG score from the 2nd to 10th week, which was also found for changes in the tongue and in the swallowing function in Weeks 1, 6, 8, 9, and 10 and for gum changes from the 5th to 7th week. No significant vocal changes were correlated with the total OAG score at any point during the monitoring period. Changes in lips, cheek and/or palatal mucosa, labial mucosa, and gum areas and in swallowing function were positively correlated with an increase in the severity of oral mucositis in patients with ALL after beginning chemotherapeutic treatment.

Suggested Citation

  • Isabella Lima Arrais Ribeiro & Rebecca Rhuanny Tolentino Limeira & Ricardo Dias de Castro & Paulo Rogério Ferreti Bonan & Ana Maria Gondim Valença, 2017. "Oral Mucositis in Pediatric Patients in Treatment for Acute Lymphoblastic Leukemia," IJERPH, MDPI, vol. 14(12), pages 1-7, November.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:12:p:1468-:d:120686
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    Citations

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    Cited by:

    1. Lecidamia Cristina Leite Damascena & Nyellisonn Nando Nóbrega De Lucena & Isabella Lima Arrais Ribeiro & Tarciana Liberal Pereira De Araujo & Ricardo Dias De Castro & Paulo Rogério Ferreti Bonan & Euf, 2018. "Factors Contributing to the Duration of Chemotherapy-Induced Severe Oral Mucositis in Oncopediatric Patients," IJERPH, MDPI, vol. 15(6), pages 1-12, June.
    2. Tanja C. Vollmer & Gemma Koppen, 2021. "The Parent–Child Patient Unit (PCPU): Evidence-Based Patient Room Design and Parental Distress in Pediatric Cancer Centers," IJERPH, MDPI, vol. 18(19), pages 1-20, September.

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