THE RISK ASSESSMENT OF TEETH LOSS IN CANCER PATIENTS AFTER COVID-19

Abstract

Maintaining oral health is vital for the overall well-being of immunocompromised individuals, particularly those undergoing chemotherapy or radiotherapy, as these treatments can significantly impact the condition of the oral cavity. Dental care and regular follow-ups are vital at every stage of cancer therapy - before, during, and after treatment - to prevent and manage both immediate and long-term complications. By ensuring comprehensive dental monitoring and intervention, the adverse effects of cancer treatment on oral health can be minimized, helping to stabilize the patient's quality of life throughout their treatment.

The objective of our research is to evaluate the extent of teeth loss in cancer patients who have contracted covid-19.

Materials and methods. The study involved 213 individuals grouped into healthy and cancer patients, with and without covid-19. In the initial phase of the study, we focused on examining how frequently patients lost more than 10 teeth, taking into account their specific health conditions.

Results. The study revealed a significant increase in tooth loss among cancer patients, particularly those who had also contracted covid-19. Statistical analysis showed that individuals in above mentioned two groups were markedly more likely to have lost more than 10 teeth compared to healthy individuals or those with covid-19 alone. Older age (especially over 50), poor oral hygiene, and diabetes were also associated with greater tooth loss. Conversely, receiving a covid-19 booster dose and maintaining good oral hygiene were linked to a reduced risk. Chemotherapy, radiation, and extended treatment cycles significantly contributed to dental deterioration, underscoring the compounding effect of cancer therapies on oral health. Regression analysis confirmed cancer, covid-19, and advanced age as strong predictors of extensive tooth loss, highlighting the need for targeted dental interventions in vulnerable populations.

Conclusion. Proper dental care, including regular brushing, flossing, and professional check-ups, plays a crucial role in preventing tooth decay, gum disease, and other oral health issues that can lead to teeth lost. The use of covid-19 vaccines also seems to offer some protective benefits, potentially reducing the severity of symptoms and their negative effects on oral health.

My deepest appreciation goes to Prof. Ann Margvelashvili for her critical insights and thoughtful suggestions, which played a crucial role in shaping the final version of this manuscript.