Interdisciplinary approach to the management of Ewing sarcoma: A case report

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Data

2012-11-01

Autores

Gomes, Mônica Fernandes [UNESP]
Martins, Luana Galvão [UNESP]
Alves, Mônica Ghislaine Oliveira [UNESP]
De Morais Gouvêa Lima, Gabriela [UNESP]
De Cássia Araújo Rocha, Rita
Das Graças Vilela Goulart, Maria [UNESP]

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Resumo

Ewing sarcoma is a common primary bone malignancy occurring in childhood and adolescence. This case report describes a 4-year-old female patient who had Ewing sarcoma in the left clavicular region. The patient underwent total excision of the left clavicle and subsequently developed periodontitis and multiple carious lesions after chemotherapy. Caries risk and salivary flow rate tests were performed, followed by periodontal treatment, topical fluoride application, restoration of caries, and oral hygiene instruction. The care of this patient demonstrates that an interdisciplinary approach is essential to eliminate all foci of infection, minimize morbidity, and improve the patient's general health before, during, and after oncological treatment. © 2012 Special Care Dentistry Association and Wiley Periodicals, Inc.

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Palavras-chave

caries risk test, chemotherapy, Ewing sarcoma, interdisciplinary approach, salivary flow rate, anticaries agent, antineoplastic agent, fluoride varnish, bacterial load, bone tumor, case report, clavicle, dental caries, education, female, follow up, human, isolation and purification, Lactobacillus, metastasis, methodology, microbiology, mouth hygiene, patient care, patient education, periodontitis, physiology, preschool child, risk assessment, saliva, secretion (process), secretion rate, Streptococcus mutans, tooth plaque, xerostomia, Antineoplastic Agents, Bacterial Load, Bone Neoplasms, Cariostatic Agents, Child, Preschool, Clavicle, Dental Caries, Dental Caries Susceptibility, Dental Plaque, Female, Fluorides, Topical, Follow-Up Studies, Humans, Oral Hygiene, Patient Care Team, Patient Education as Topic, Periodontitis, Risk Assessment, Saliva, Sarcoma, Ewing, Secretory Rate, Xerostomia

Como citar

Special Care in Dentistry, v. 32, n. 6, p. 265-269, 2012.