Supported by a grant from the National Cancer Institute (R01 CA78940), PI: Campbell.
Dental Status and Quality of Life in Long-Term Head and Neck Cancer Survivors†
Article first published online: 3 JAN 2009
Copyright © 2005 The Triological Society
Volume 115, Issue 4, pages 678–683, April 2005
How to Cite
Duke, R. L., Campbell, B. H., Indresano, A. T., Eaton, D. J., Marbella, A. M., Myers, K. B. and Layde, P. M. (2005), Dental Status and Quality of Life in Long-Term Head and Neck Cancer Survivors. The Laryngoscope, 115: 678–683. doi: 10.1097/01.mlg.0000161354.28073.bc
- Issue published online: 3 JAN 2009
- Article first published online: 3 JAN 2009
- Manuscript Accepted: 9 DEC 2004
- quality of life;
- late effects;
- head and neck cancer;
Objectives: To analyze how the dental status of long-term head and neck cancer survivors affects their subjective quality of life.
Study Design: Observational case series.
Methods: A convenience sample of 5-year head and neck cancer survivors underwent the following battery of tests: 1) targeted head and neck examination, 2) updated medical history, 3) dental evaluation, 4) standardized quality of life questionnaires.
Results: Eighty-six survivors were included in the study. The following associations were identified: 1) those who became edentulous secondary to cancer treatment and those without occlusion at time of the study demonstrated worse Pain, Activity, Recreation/Entertainment, Chewing, Swallowing, Speech, Eating in Public, Normalcy of Diet, Physical Well-Being, Social/Family Well-Being, Functional Well-Being, and Additional Concerns scores; 2) higher Decayed/Missing/Filled scores were associated with worse Pain, Disfigurement, Activity, Recreation/Entertainment, Employment, Chewing, Swallowing, Speech, Eating in Public, Understandability of Speech, Normalcy of Diet, Physical Well-Being, Additional Concerns scores, and weight loss; 3) decreased oral opening measurements were associated with worse Chewing, Swallowing, Eating in Public, Normalcy of Diet, Additional Concerns scores, and weight loss; 4) edentulous survivors who did not use dentures had worse Pain, Activity, Recreation/Entertainment, Understandability of Speech, and Eating in Public scores.
Conclusions: Although previous studies have shown that many of the effects of cancer treatment disappear between 1 and 3 years, this study shows that the dental status has a persistent impact on subjective quality of life.