DMF-T index in patients undergoing radiation therapy withLINAC X-ray radiation for head and neck cancerat Department of Radiotherapy, Dr. Hasan Sadikin Hospital.
IS S N zyxwvutsrqponmlkjihgfedcbaZYXW
119;7l9-02G t1 zyxwvutsrqponmlkjihg
~r
---
PADJADJARAN ---
Journa l of D e n tistry"
E ditoria l
ISSN: 1979'·0201
Patron:
Rector Universitas' Padjadjaran
Advisory:
,
Boa rd
lnternatiorial Editor Board:
Prof. Dr. 6. Phr.al Andersen
Orthedantics Dept. I ACTAThe Netherlands
P ro f.
Dr, B. Tuinzing
Oral and Maxillafacial Surgery Dept. Acodemisch'Ziekenhuis Vrije Universitl!itJ
"
A'CTAThe Netherlands
Dean Faculty o f pentistry
Pref. Dr. Rahima~ Abdulkadir
Universitas PadjadjaranzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
Public Heolt/l Dept. UniversitY o/,Malayo'
Editer in Chief:
S-,Sunardlll Wii:l~aputra
Editers:
Soemantri
Grace Virginia' GumurUh
JonoSalim
BoslI~wa.ti Wihardja,
Emma Ba,chmawati
E ky 5. Soeria
Prof. Dr. I. van der Waal
Oral and MilXlJia[atlo{ Surgery and Pathalagy Qept. Vrije Universiteit
Amsterdiim me Nethertands
Prof. R,T.'" Yuqh,ir,a
Conser-votiveDentistry Dept. ,Kathe/ieke Universiteit Leuven; Leuven, Belgium
Natienal Editer Beard:
or, Hj. Roosje ROsita Dewe.n, 'org, , Sp,KGA(K).
Prof.zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
Pedodontics Dept, Faculty af Dentistr,y Universi'tas Padjadjamn
Managl,ng Editers:
Rasmi lilkmasari
Arlette Suzy Puspa Pertiwi
lUst) Saptarini
Iwa'nAchmad
Prof.. Dr. Eky S, Seeria 5eeniaritri,'dr-g.,
Sp;prt:{K),
qrthadantiG~ pept. F.aculty af DentistrY Universitas Piidjadjar(Jn
Prof, Dr. H. Suhardjo, drg., MS., Sp..RKG.
Radialagy Oept. Faculty of Dentistry Universitas PadjadJaran
Prof. Dr, Se.tlawan Natasasmita, drg., Sp, KG.
Secfetary'anil Circulatio.n:
Arlette
Suzy Puspa Pertiwi
,
,
Canservative Dentistry, Dept. Fa~ulty,af Dentistry: Universitas padjadjaran
Prof, Dr. Rithata Fadil, drg., Sp,KG.
Canservative Dentistry Oept. Faculty af Dentistry UniversilasPadjadjaran
Treasurer:
Risti Saptarfni
Prot. Dr. (Em) Seertini E. tambrt, drg" MS..
Periodontics Dept. Faculty ef Dentistry Universitas Padjadjaran
Muslich l.\ahfT)ud.l:lrg" SR:Pros,(K).
Promotlen:
Iwan Achmad Musnamirwan
Prasthadantl( DeRt. F~6.6
Very~h
the most dominant was nasopharynx card noma In
Table 1. The O M f score of patients
Age (year)
Sex
51
l
2
38
l
3
66
Ca lOngue
No
Diagnose
He
Ne
of neck and head
Stadium
cancers w it.h U N AC Xw(ay radtlltfon
Irradiating
Total
D
DN2AIO
1.
3
10
DNIMO
1x
3
4,
1
M
therapy.
F
DMF
11
4
54
P
p
He
TIN1MO
lOX
3
5
44
P
Ne
T4HOIAQ
10.
3
5
6
56
P
Me
T4i'12AIO
11.
1
3
3
7
56
l
Ca Parotls
4
1
B
49
l
T2NlMO
19.
3
7
10
21
T4NlN.O
19.
1
5
IS
20
19.
2
TINOMO
22,
2
15
16
DHlMO
23.
4
4
2
6
14.
6
14
3
9
46
l
10
37
l
11
77
P
12
44
l
He
13
47
l
He
TIHOMO
2••
2
2
•
14
53
l
Ne
Ne
Ne
DN1MO
26.
3
3
8
TII'f2AIO
27.
1
T4NlMO
39.
3
6
IS
59
97
15
41
P
4.6'
P
To\al
N e: N asopharynx
7
carcinoma
158 zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
3
5
Ne
Ne
ea Tongue
e. Tongue
16
20
6
4
5
7
11
11
2
10
21
14
170
O M F~TzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
index zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
in pa tients und.rg o ing ra dia tio n thera py with U NACX·ra y ra dia tio n fo r hea d a nd neck. co ncer (So brino et a l)
The highest cancer stadium were in samples
no. 9 and 16 while the lowest were in samples
no, 11 and 13. The numbers of irradiating were
varied, the fewest was once (no. 1) and the most
was 39 times (no. 16). The highest numbers of
radiation fields was 4 radiation fields (no. 12) and
the lowest was 1 radiation field (no. 3 and 7).
The biggest DMf score was 21 (no. 8 and
16) and the smallest was 1 (no. 2 and 10). Based
on the DMF-Tindex formulatlon, the DMf-T index
score was 10.6. Table 2. on the DMF-T classification
Index based on the severity level according to
WHO, the DMF·Tindex was included to a very high
ctasslftcation, that was above 6.6.
DISCUSSION
Based on the result, the DMF-T index of
radiotherapy patients of neck and head cancers in
RSUPDr. Hasan Sadikin was high eventhough the
numbers of DMFteeth in each sample was varied,
Overall the condition of patients' oral hygiene was
bad.
Generally, patients' oral hygiene conditions
before undergoing radiotherapy had already bad.
It was proven by so many missingteeth on the previous dental treatment before having radiotherapy treatment. Teeth pulling out by bad prognosis
was the treatment that had to be conducted when
patients did not have any motivations to keep oral
hygiene.' Most patients complained having diffi·
culty in cleaning oral area because of the mass
of tumor size. This condition even made patients
hard to open their mouth. There were also some
patients that had bad habit in keeping oral hygiene, such as never brushed their teeth before
going to bed, smoking, even hardly saw dentist
unless they felt extreme pain.
Basedon the information got from patients,
most of them had some pains in oral areas during
radiotherapy. The more radiation, the more pains
they felt in their oral areas. In the beginning, they
felt pain, then they started hard to speak, and
difficult to swallow foods. These pains got worse
as the dosagegiven increased. This condition occurred due to the abnormal saliva production
reduction, Which is known as xerostomia. Xerostomia is a radiotherapy side effect ttiat occurs
as the result of saliva gland damage because of
radiation.'
Xerostomia would eventually give en effect
on patients' oral hygiene during radiotherapy.
Saliva's function as oral cleaner reduced, pH and
saliva buffer function also reduced, and there was
also reduction of immunoprotein in saliva that
increased the number of microorganisms which
caused caries.J Besidesxerostomia, patients also
complained about ulcer and pain on teeth during
radiotherapy. Radiotherapy could cause mucositis
and hypersensitive teeth that influenced oral
hygiene, and this made patients had difficulty in
cleaning their oral areas rnechanicatty.! Bad oral
hygiene would trigger caries occurred earlier.
Basedon the result described in Table 2, the
DMFscores were classified into the worst severity
level in three groups, they were low, medium,
high, and extremely high levels, and a group with
the most DMFscore of all samples.
Patients no. 2,4,10 was in the group with low
to medium DMFscores. Basedon the result, therezyxwvutsrqponmlkji
were no radiation caries symptoms in these three
patients. The three of them had just undergone
radiotherapy for less than a month. Based on
this infonmation, the three patients had good
habit in keeping oral hygiene. Dental treatment
they underwent before radiotherapy was scatting
treatment, and there were no teeth pulling out.
Patients no. 1,5-7,12-15 were in the group
with high level to extreme level caries. Some
patients in this group had undergone radiotherapy
more thana month; the patients that had come
forzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
to the 6" week of radiotherapy w ere patients no.
14 and 15. In oral checking on both patients, there
were some symptoms of early radiation caries. In
some areas, ,the color of teeth email turned out
to be fairer, but there had not been any caries
because of radiation. The caries found was in pit
and fissure areas.
Patients no. 3,8,9,11, and 16 w ere in the
group with ttie highest DMFscores of all samples.
Eventhough the radiation recieved by these 5
patients was varied, they generally showed the
symptoms of radiation caries. Sample no. 16 was
the sample with the highest DMF score. In this
patient there was found radiation clinical caries
known as dentin caries in Incisal Incisive teeth
of lower jaw. This was In line with the statement
that radiation caries occurred after 6 week
159
P a dja dja r a n J our na l
0/ D ent; .tr y
2007; 19(3):156-161.
the causes of OMFscore variations in each patient.
radiotherapy treatment and when patients got
total dosage for more that 60 Gy.)
Eventhough in overall the OMF-Tindex was high,
generally the OMFscore of each patient did not
The OMFscore of sample no. 3 was also high;
show any relation to the amount of dosage and
in fact the patients had just undergone radiation
radiation received by them. Caries that occurred
for 4 times. Based on the information, the patient
In radiotherapy patients were not only the indirect
had ever in radiotherapy treatment a year ago. In
side effect of radiation but also the direct side
patient no. 11 there was found radiation clinical
car-res with root remains which was included to
effect of radiation.'
missing criteria, the numbers of missing teeth in
CONCLUSION
this patients were 15. The symptoms of radiation
clinical caries was dentin caries in Indsal indslve
Based on the research, the conclusion can
teeth of lower jaw was also found in patient no. 8.
be drawn that the OMF-T index of 16 patients of
The severity condition carles level in this
neck and head cancers with LlNACX-Rayradiation
sample group was not only influenced by other
therapy in Or. Hasan Sadikin Hospital was 10.6.
factors else than radiation, primarily in samples
The result is classified in extremely high group
with radiotherapy treatment that had not been
based on the OMF·T index classification of WHO
into the 6'" week. In patient no. 11 for instance,
according to the severity level that is above 6.6.
age factor also played a role In causing teeth
missing. Age factor influenced tissue regeneration
process. Youngaged patients would be easier in
REFERENCES
tissue repairing compared to older patients."
Patients no. 8 and 9 had the highest OMF 1. Akhadi M. Akselerator partikel untuk
score as well. Based on the Information, both
radioterapi. 2001. [cited 2005 Jan 19).
patients had bad habit in keeping their oral
Available from: www.tempo.co.id/medika/
hygienes. Before undergoing radiotherapy, the
arsip/092oo1/pus-1.htm.
patients were active smokers and they never
2. Asroel HA. Penatalaksanaan radioterapi
brushed their teeth before. going to bed. Patient
pada karsinoma nasofaring. [Digital Library).
no. 9 was the sample with higher cancer stadium
surnatera Utara: Universitas Sumatera Utara.
compared to the other samples. The stadium of a
2002.
cancer had an influence on patients' abilities in
3. Kielbassa AM, Wolfgang H, Elmar. Radiationrelated damage to dentition. [cited 2006
cleaning their oral areas. In this case, a significant
Jun 22). Available from: http://oncology.
stadium level was related to the size of tumor
thelancet.com. Vol7 April2006.
mass (T).
4. Sasanti H.. Kesehatan gigi dan mulut penting
Based on the research, generally patients
dalam radioterapl KNF.2005. [dted 2005 Nov
that had just undergone radiotherapy treatment
17). Available from: http://www.dlfty.com/
or still had tumor mass that had not reduced in size
kesehatanl beritasehatl detail. php.
would be difficult to be examined because they
had difficulties in opening their mouth. Patients
5. Roth GI, Robert C. Oral biology. London: CV.
were also complained about their difficulties in
MosbyCo.; 1981.
speaking and cleaning their oral areas.
I. Kariesgiglkarena radiasl: mekanisme,
6. WahidzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJ
If the calculation of' OMF·TIndex score was
manifestasl dan penanggulangannya. Maj Ilmu
conducted to each male and female patient, the
KedoktGigi 1993;(EdisiFORILIV):1,252-60.
result was, male's OMFT index was higher than
7. Kidd EAM, Sally JB. Essential of dental caries
female's. The OMFT index in male was 9.89 and in
the disease and its management. Jakarta: CV.
female was 9. This was in line with the survey reEGC.;1992. p. 66-78.
N. Radiation therapy
8. Curtis TA,John B, RusselzyxwvutsrqponmlkjihgfedcbaZYXWV
sult on oral hygiene of human population in Ameriof
head
and
neck
tumors,
oral effect, dental
ca which showed that females brushed their teeth
manifestation and dental treatment. In:
and visited dentist more often than males. 11
MaxillofaCialrehabilitation prosthodontic and
Based on those samples, it can be describedzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
160
zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
undergoing radiation therapy w;th U H AC X-ray radiation for head
O M F- T index in patients
and neck cancer (Sobr;no et 01)
Re. Principle and
and neck, In: SonisST,Fazio zyxwvutsrqponmlkjihgfedcbaZYXWVU
surgical considerations. St. Louis: Ishiyaku
practice of oral medicine. Philadelphia: W.B.
Euro America, Inc.; 1996.
Saunders; 1994.
9. Sciubba JJ, Goldenberg D. Oral complication
11. American Dental Association. Survey result
of radiotherapy. [cited 2006 Jan 22). Available
reveal oral hygiene habits of men lag behind
from:
http://oncologythelancet.com.Vot7
Februari.
women. 2004. [cited 2007 Mar 7). Available
from: http://www.ADA.org/newsreleases.
10. SonisST.Squamouscell carcinoma of the head zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
161
119;7l9-02G t1 zyxwvutsrqponmlkjihg
~r
---
PADJADJARAN ---
Journa l of D e n tistry"
E ditoria l
ISSN: 1979'·0201
Patron:
Rector Universitas' Padjadjaran
Advisory:
,
Boa rd
lnternatiorial Editor Board:
Prof. Dr. 6. Phr.al Andersen
Orthedantics Dept. I ACTAThe Netherlands
P ro f.
Dr, B. Tuinzing
Oral and Maxillafacial Surgery Dept. Acodemisch'Ziekenhuis Vrije Universitl!itJ
"
A'CTAThe Netherlands
Dean Faculty o f pentistry
Pref. Dr. Rahima~ Abdulkadir
Universitas PadjadjaranzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
Public Heolt/l Dept. UniversitY o/,Malayo'
Editer in Chief:
S-,Sunardlll Wii:l~aputra
Editers:
Soemantri
Grace Virginia' GumurUh
JonoSalim
BoslI~wa.ti Wihardja,
Emma Ba,chmawati
E ky 5. Soeria
Prof. Dr. I. van der Waal
Oral and MilXlJia[atlo{ Surgery and Pathalagy Qept. Vrije Universiteit
Amsterdiim me Nethertands
Prof. R,T.'" Yuqh,ir,a
Conser-votiveDentistry Dept. ,Kathe/ieke Universiteit Leuven; Leuven, Belgium
Natienal Editer Beard:
or, Hj. Roosje ROsita Dewe.n, 'org, , Sp,KGA(K).
Prof.zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
Pedodontics Dept, Faculty af Dentistr,y Universi'tas Padjadjamn
Managl,ng Editers:
Rasmi lilkmasari
Arlette Suzy Puspa Pertiwi
lUst) Saptarini
Iwa'nAchmad
Prof.. Dr. Eky S, Seeria 5eeniaritri,'dr-g.,
Sp;prt:{K),
qrthadantiG~ pept. F.aculty af DentistrY Universitas Piidjadjar(Jn
Prof, Dr. H. Suhardjo, drg., MS., Sp..RKG.
Radialagy Oept. Faculty of Dentistry Universitas PadjadJaran
Prof. Dr, Se.tlawan Natasasmita, drg., Sp, KG.
Secfetary'anil Circulatio.n:
Arlette
Suzy Puspa Pertiwi
,
,
Canservative Dentistry, Dept. Fa~ulty,af Dentistry: Universitas padjadjaran
Prof, Dr. Rithata Fadil, drg., Sp,KG.
Canservative Dentistry Oept. Faculty af Dentistry UniversilasPadjadjaran
Treasurer:
Risti Saptarfni
Prot. Dr. (Em) Seertini E. tambrt, drg" MS..
Periodontics Dept. Faculty ef Dentistry Universitas Padjadjaran
Muslich l.\ahfT)ud.l:lrg" SR:Pros,(K).
Promotlen:
Iwan Achmad Musnamirwan
Prasthadantl( DeRt. F~6.6
Very~h
the most dominant was nasopharynx card noma In
Table 1. The O M f score of patients
Age (year)
Sex
51
l
2
38
l
3
66
Ca lOngue
No
Diagnose
He
Ne
of neck and head
Stadium
cancers w it.h U N AC Xw(ay radtlltfon
Irradiating
Total
D
DN2AIO
1.
3
10
DNIMO
1x
3
4,
1
M
therapy.
F
DMF
11
4
54
P
p
He
TIN1MO
lOX
3
5
44
P
Ne
T4HOIAQ
10.
3
5
6
56
P
Me
T4i'12AIO
11.
1
3
3
7
56
l
Ca Parotls
4
1
B
49
l
T2NlMO
19.
3
7
10
21
T4NlN.O
19.
1
5
IS
20
19.
2
TINOMO
22,
2
15
16
DHlMO
23.
4
4
2
6
14.
6
14
3
9
46
l
10
37
l
11
77
P
12
44
l
He
13
47
l
He
TIHOMO
2••
2
2
•
14
53
l
Ne
Ne
Ne
DN1MO
26.
3
3
8
TII'f2AIO
27.
1
T4NlMO
39.
3
6
IS
59
97
15
41
P
4.6'
P
To\al
N e: N asopharynx
7
carcinoma
158 zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
3
5
Ne
Ne
ea Tongue
e. Tongue
16
20
6
4
5
7
11
11
2
10
21
14
170
O M F~TzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
index zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
in pa tients und.rg o ing ra dia tio n thera py with U NACX·ra y ra dia tio n fo r hea d a nd neck. co ncer (So brino et a l)
The highest cancer stadium were in samples
no. 9 and 16 while the lowest were in samples
no, 11 and 13. The numbers of irradiating were
varied, the fewest was once (no. 1) and the most
was 39 times (no. 16). The highest numbers of
radiation fields was 4 radiation fields (no. 12) and
the lowest was 1 radiation field (no. 3 and 7).
The biggest DMf score was 21 (no. 8 and
16) and the smallest was 1 (no. 2 and 10). Based
on the DMF-Tindex formulatlon, the DMf-T index
score was 10.6. Table 2. on the DMF-T classification
Index based on the severity level according to
WHO, the DMF·Tindex was included to a very high
ctasslftcation, that was above 6.6.
DISCUSSION
Based on the result, the DMF-T index of
radiotherapy patients of neck and head cancers in
RSUPDr. Hasan Sadikin was high eventhough the
numbers of DMFteeth in each sample was varied,
Overall the condition of patients' oral hygiene was
bad.
Generally, patients' oral hygiene conditions
before undergoing radiotherapy had already bad.
It was proven by so many missingteeth on the previous dental treatment before having radiotherapy treatment. Teeth pulling out by bad prognosis
was the treatment that had to be conducted when
patients did not have any motivations to keep oral
hygiene.' Most patients complained having diffi·
culty in cleaning oral area because of the mass
of tumor size. This condition even made patients
hard to open their mouth. There were also some
patients that had bad habit in keeping oral hygiene, such as never brushed their teeth before
going to bed, smoking, even hardly saw dentist
unless they felt extreme pain.
Basedon the information got from patients,
most of them had some pains in oral areas during
radiotherapy. The more radiation, the more pains
they felt in their oral areas. In the beginning, they
felt pain, then they started hard to speak, and
difficult to swallow foods. These pains got worse
as the dosagegiven increased. This condition occurred due to the abnormal saliva production
reduction, Which is known as xerostomia. Xerostomia is a radiotherapy side effect ttiat occurs
as the result of saliva gland damage because of
radiation.'
Xerostomia would eventually give en effect
on patients' oral hygiene during radiotherapy.
Saliva's function as oral cleaner reduced, pH and
saliva buffer function also reduced, and there was
also reduction of immunoprotein in saliva that
increased the number of microorganisms which
caused caries.J Besidesxerostomia, patients also
complained about ulcer and pain on teeth during
radiotherapy. Radiotherapy could cause mucositis
and hypersensitive teeth that influenced oral
hygiene, and this made patients had difficulty in
cleaning their oral areas rnechanicatty.! Bad oral
hygiene would trigger caries occurred earlier.
Basedon the result described in Table 2, the
DMFscores were classified into the worst severity
level in three groups, they were low, medium,
high, and extremely high levels, and a group with
the most DMFscore of all samples.
Patients no. 2,4,10 was in the group with low
to medium DMFscores. Basedon the result, therezyxwvutsrqponmlkji
were no radiation caries symptoms in these three
patients. The three of them had just undergone
radiotherapy for less than a month. Based on
this infonmation, the three patients had good
habit in keeping oral hygiene. Dental treatment
they underwent before radiotherapy was scatting
treatment, and there were no teeth pulling out.
Patients no. 1,5-7,12-15 were in the group
with high level to extreme level caries. Some
patients in this group had undergone radiotherapy
more thana month; the patients that had come
forzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
to the 6" week of radiotherapy w ere patients no.
14 and 15. In oral checking on both patients, there
were some symptoms of early radiation caries. In
some areas, ,the color of teeth email turned out
to be fairer, but there had not been any caries
because of radiation. The caries found was in pit
and fissure areas.
Patients no. 3,8,9,11, and 16 w ere in the
group with ttie highest DMFscores of all samples.
Eventhough the radiation recieved by these 5
patients was varied, they generally showed the
symptoms of radiation caries. Sample no. 16 was
the sample with the highest DMF score. In this
patient there was found radiation clinical caries
known as dentin caries in Incisal Incisive teeth
of lower jaw. This was In line with the statement
that radiation caries occurred after 6 week
159
P a dja dja r a n J our na l
0/ D ent; .tr y
2007; 19(3):156-161.
the causes of OMFscore variations in each patient.
radiotherapy treatment and when patients got
total dosage for more that 60 Gy.)
Eventhough in overall the OMF-Tindex was high,
generally the OMFscore of each patient did not
The OMFscore of sample no. 3 was also high;
show any relation to the amount of dosage and
in fact the patients had just undergone radiation
radiation received by them. Caries that occurred
for 4 times. Based on the information, the patient
In radiotherapy patients were not only the indirect
had ever in radiotherapy treatment a year ago. In
side effect of radiation but also the direct side
patient no. 11 there was found radiation clinical
car-res with root remains which was included to
effect of radiation.'
missing criteria, the numbers of missing teeth in
CONCLUSION
this patients were 15. The symptoms of radiation
clinical caries was dentin caries in Indsal indslve
Based on the research, the conclusion can
teeth of lower jaw was also found in patient no. 8.
be drawn that the OMF-T index of 16 patients of
The severity condition carles level in this
neck and head cancers with LlNACX-Rayradiation
sample group was not only influenced by other
therapy in Or. Hasan Sadikin Hospital was 10.6.
factors else than radiation, primarily in samples
The result is classified in extremely high group
with radiotherapy treatment that had not been
based on the OMF·T index classification of WHO
into the 6'" week. In patient no. 11 for instance,
according to the severity level that is above 6.6.
age factor also played a role In causing teeth
missing. Age factor influenced tissue regeneration
process. Youngaged patients would be easier in
REFERENCES
tissue repairing compared to older patients."
Patients no. 8 and 9 had the highest OMF 1. Akhadi M. Akselerator partikel untuk
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2. Asroel HA. Penatalaksanaan radioterapi
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pada karsinoma nasofaring. [Digital Library).
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4. Sasanti H.. Kesehatan gigi dan mulut penting
Based on the research, generally patients
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I. Kariesgiglkarena radiasl: mekanisme,
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If the calculation of' OMF·TIndex score was
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KedoktGigi 1993;(EdisiFORILIV):1,252-60.
result was, male's OMFT index was higher than
7. Kidd EAM, Sally JB. Essential of dental caries
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N. Radiation therapy
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MaxillofaCialrehabilitation prosthodontic and
Based on those samples, it can be describedzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
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zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
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O M F- T index in patients
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10. SonisST.Squamouscell carcinoma of the head zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA
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