Oral disorders in palliative care: approach to xerostomia

Authors

Keywords:

XEROSTOMIA, PALLIATIVE CARE, NEOPLASMS, DENTISTRY.

Abstract

Patients with end-stage diseases are more vulnerable and fragile than the general population, since their underlying diseases weaken their immunological and physical condition. Aggressive treatments such as chemotherapy can generate complications such as xerostomia and other complications such as mucositis. Due to the high incidence and mortality of oncological diseases, the present study was carried out with the aim of describing the approach to xerostomia in oncological patients. Oral infections, swallowing and speech difficulties are some of its manifestations. An adequate interrogation and physical examination is necessary to achieve its diagnosis. Although there are therapeutics that can be used to mitigate its effects, there is still no agreement in the literature. It is necessary to train the members of the health care teams on the subject in order to establish therapeutic guidelines personalized to the needs of each patient.

Downloads

Download data is not yet available.

References

1. Gao SS, Chu CH, Young FYF. Oral Health and Care for Elderly People with Alzheimer’s Disease. Int J Environ Res Public Health [Internet]. 2020 [citado 06/05/2023]; 17(16): 5713. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/32784777

2. Lee H-J, Han D-H, Kim J-H, Wu H-G. The effect of comprehensive oral care program on oral health and quality of life in patients undergoing radiotherapy for head and neck cancer: A quasi-experimental case-control study. Medicine (Baltimore) [Internet]. 2021 [citado 06/05/2023]; 100(16): e25540. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/33879699

3. Venkatasalu MR, Murang ZR, Ramasamy DTR, Dhaliwal JS. Oral health problems among palliative and terminally ill patients: an integrated systematic review. BMC Oral Health [Internet]. 2020 [citado 06/05/2023]; 20(1): 79. Disponible en: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-020-01075-w

4. Monsen RE, Herlofson BB, Gay C, Fjeld KG, Hove LH, Malterud KE, et al. A mouth rinse based on a tea solution of Salvia officinalis for oral discomfort in palliative cancer care: a randomized controlled trial. Support Care Cancer [Internet]. 2021 [citado 06/05/2023]; 29(9):4997-5007. Disponible en: https://link.springer.com/10.1007/s00520-021-06021-2

5. Fleming M, Craigs CL, Bennett MI. Palliative care assessment of dry mouth: what matters most to patients with advanced disease? Support Care Cancer [Internet]. 2020 [citado 06/05/2023]; 28(3): 1121-9. Disponible en: http://link.springer.com/10.1007/s00520-019-04908-9

6. Phelan C, Hannond L, Thrope C, Allcroft P, O’Loughlin M. A Novel Approach to Managing Thirst and Dry Mouth in Palliative Care: A Prospective Randomized Cross-Over Trial. J Pain Symptom Manage [Internet]. 2023 [citado 06/05/2023]; 66(5): 587-94. Disponible en: https://doi.org/10.1016/j.jpainsymman.2023.08.005

7. Warth M, Stoffel M, Koehler F, Bardenheuer HJ, Kessler J, Ditzen B. Characteristics of salivary cortisol and alpha-amylase as psychobiological study outcomes in palliative care research. BMC Palliat Care [Internet]. 2022 [citado 06/05/2023]; 21(1):226. Disponible en: https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-022-01085-1

8. Aggarwal A, Yadav S, Jamdade A, Yadav N, Gupta S, Sain V. Evaluation and management of oral complications in oral cancer patients undergoing radiotherapy. J Indian Acad Oral Med Radiol [Internet]. 2023 [citado 06/05/2023]; 35(1):26. Disponible en: https://journals.lww.com/10.4103/jiaomr.jiaomr_269_22

9. Kvalheim SF, Marthinussen IMC, Berg E, Strand GV. Dry mouth in the seriously ill and dying. Tidsskr Den Nor legeforening [Internet]. 2022 [citado 06/05/2023] 142(3). Disponible en: https://pubmed.ncbi.nlm.nih.gov/35170926/

10. Wu T-Y, Liu H-Y, Wu C-Y, Chen H-C, Huang S-T, Chen P-H. Professional oral care in end-of-life patients with advanced cancers in a hospice ward: improvement of oral conditions. BMC Palliat Care [Internet]. 2020 [citado 06/05/2023]; 19(181). Disponible en: https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-020-00684-0

11. Hammond L, Chakraborty A, Courtney T, O’Loughlin M, Allcroft P, Phelan C. Relieving Perception of Thirst and Xerostomia in Patients with Palliative and End-of-life Care Needs: A Rapid Review. J Pain Symptom Manage [Internet]. 2023 [citado 06/05/2023]; 66(1):45-68. Disponible en: https://doi.org/10.1016/j.jpainsymman.2023.02.315

12. Meyer RK, Gilman KE, Meeks L, Limesand KH. MPK Activation Restores Salivary Function Following Radiation Treatment. J Dent Res [Internet]. 2023 [citado 06/05/2023]; 102(5): 546-554. Disponible en: https://doi.org/10.1177/00220345221148983

13. Gustafsson A, Skogsberg J, Rejnö Å. Oral health plays second fiddle in palliative care: an interview study with registered nurses in home healthcare. BMC Palliat Care [Internet]. 10 de diciembre de 2021 [citado 06/05/2023]; 20(173). Disponible en: https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-021-00859-3

14. Snider III JW, Paine II CC. Sticky stuff: xerostomia in patients undergoing head and neck radiotherapy—prevalence, prevention, and palliative care. Ann Palliat Med [Internet]. 2020 [citado 06/05/2023]; 9(3): 1340-50. Disponible en: http://apm.amegroups.com/article/view/38896/html

15. Tandalla Yanez KP, Cusme Torres NA. Perception and level of knowledge in nursing students about palliative care. Salud Cienc y Tecnol [Internet]. 2023 [citado 06/05/2023]; 3: e305. Disponible en: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/305

16. Magnani C, Mastroianni C, Giannarelli D, Stefanelli MC, Di Cienzo V, Valerioti T, et al. Oral Hygiene Care in Patients With Advanced Disease: An Essential Measure to Improve Oral Cavity Conditions and Symptom Management. Am J Hosp Palliat Med [Internet]. 2019 [citado 06/05/2023]; 36(9): 815-9. Disponible en: http://journals.sagepub.com/doi/10.1177/1049909119829411

17. Koistinen S, Olai L, Ståhlnacke K, Fält A, Ehrenberg A. Oral health‐related quality of life and associated factors among older people in short‐term care. Int J Dent Hyg [Internet]. 2020 [citado 06/05/2023]; 18(2): 163-72. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/idh.12424

18. Martins M de L da C, Barros CGD de. (No) Oral Health in Palliative Care Patients: Predisposing Factors and Treatment. J Palliat Care [Internet]. 2023 [citado 06/11/2023]; [In Press]. Disponible en: https://doi.org/10.1177/08258597231212305

19. Sen S, Priyadarshini SR, Sahoo PK, Dutta A, Singh AK, Kumar U. Palliative oral care in patients undergoing radiotherapy: Integrated review. J Fam Med Prim care [Internet]. 2020 [citado 06/05/2023]; 9(10): 5127-31. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/33409175

20. Quilici D, Zech KN. Prevention and treatment options for medication-induced xerostomia. Gen Dent [Internet]. 2019 [citado 06/05/2023]; 67(4): 52-7. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/31355765

Downloads

Published

2023-11-20

How to Cite

1.
Guillén-Miranda LE, Silva-Mata MA, Hernández-Lojano MP. Oral disorders in palliative care: approach to xerostomia. Rev Ciencias Médicas [Internet]. 2023 Nov. 20 [cited 2025 Oct. 13];27(2):e6225. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/6225

Issue

Vol. 27 No. 2 (2023): Supplement 2: International Scientific Congress on Research and Development UNIANDES Ibarra-Tulcán 2023

Section

REVIEW ARTICLES

License

Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.

Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/