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Int. J. Environ. Res. Public Health 2017, 14(12), 1468; https://doi.org/10.3390/ijerph14121468

Oral Mucositis in Pediatric Patients in Treatment for Acute Lymphoblastic Leukemia

1
Post-Doctorate Researcher in Post-Graduate Program in Dentistry, Universidade Federal da Paraíba, João Pessoa, Paraíba 5045, Brazil
2
Master student in Post-Graduate Program in Dentistry, Universidade Federal da Paraíba, João Pessoa, Paraíba 5045, Brazil
3
Department of Clinical and Social Dentistry, Universidade Federal da Paraíba, João Pessoa, Paraíba 5045, Brazil
*
Author to whom correspondence should be addressed.
Received: 18 September 2017 / Revised: 9 October 2017 / Accepted: 16 October 2017 / Published: 28 November 2017
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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. View Full-Text
Keywords: lymphoid leukemia; child; adolescent lymphoid leukemia; child; adolescent
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Ribeiro, I.L.A.; Limeira, R.R.T.; Dias de Castro, R.; Ferreti Bonan, P.R.; Valença, A.M.G. Oral Mucositis in Pediatric Patients in Treatment for Acute Lymphoblastic Leukemia. Int. J. Environ. Res. Public Health 2017, 14, 1468.

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