Atendimento odontológico a pacientes submetidos ao transplante de células-tronco hematopoéticas

Abstract

Hematopoietic stem cell transplantation (HSCT) is one of the forms of treatment for several hematological diseases, including neoplasms. Because it is an aggressive procedure that generates numerous adverse effects, the patient needs follow-up by a specialized multidisciplinary team, which includes the participation of the dentist. The objective of the study was to conduct dental appointments and consultations in patients submitted to HSCT and to follow up the same throughout their period of hospitalization. Dental appointments were made prior to HSCT and the patients received all necessary dental treatment, as well as oral hygiene guidelines and the side effects of oral cancer treatment. It is known that the oral cavity is an entry point for important systemic complications in immunocompromised patients, so any oral infection should be eliminated before transplantation. In addition, during the imusupression period, several oral alterations may be present, among the most common of which are oral mucositis and opportunistic fungal and viral infections. It is concluded that the participation of the dentist is essential, and it is up to this professional to perform diagnoses and treatments of disorders that can affect the mouth, bringing well-being and improving the quality of life of the patient.