Intervenções odontológicas em um ambulatório multiprofissional pré-transplante de células tronco hematopoéticas

Abstract

The raise of cancer incidence is undeniable and the recent research of Instituto Nacional do Câncer (INCA) strongly prove this information. To some patients with specific kinds of hematological diseases there is a treatment nominated hematopoietic stem cell transplantation (HSCT) wich increases patient’s survival rates. Due to the complexibility of this treatment, patients need comprehensive care of a multidisciplinary team. The purpose of this research was to include a dentist in a pre ambulatory multidisciplinary team and to describe the dental interventions. A transversal and descriptive study was made about the multidisciplinary team’s attendance at University Hospital of Santa Maria. It concludes that is necessary to the patients, to his/her family and donors knowing the real risks, benefits and side effects of HSCT. Furthermore, the participation of a dentist in the multidisciplinary team is fundamental, because the patients who were accompanied by a surgery resident dentist, from the first day of conditioning to engraftment, developed oral mucositis grade I (37.5%) or grade II (62.5%), according to the WHO scale.