Periodontal Disease, Quality of Life
Conditions
Keywords
Breast cancer, Periodontal Diseases, Aromatase Inhibitors, Oral Health Related Quality of Life
Brief summary
The purpose of this study is to determine how aromatase inhibitors (AIs) such as Arimidex, Aromasin or Femara affect a woman's oral health and oral health related quality of life. Patients, dental professionals and medical oncologists will benefit from a greater understanding of the best oral care follow up practices of breast cancer survivors using aromatase inhibitors.
Detailed description
OBJECTIVES: Primary This cross-sectional prevalence study seeks to investigate the incidence and severity of oral health changes, specifically of periodontal conditions, among breast cancer survivors and the ways in which these outcomes affect their quality of life. Secondary * To determine the prevalence and severity of oral conditions in postmenopausal women with early stage breast cancer using adjuvant AI therapy as compared to postmenopausal women not using adjuvant AI therapy. * To determine if adjuvant AI therapy use is associated with greater alveolar bone loss or increased levels of bone turnover biomarkers in postmenopausal women with cancer undergoing adjuvant AI therapy compared to postmenopausal women not receiving AI therapy. * To determine the oral health-related quality of life among postmenopausal women with early stage breast cancer who are receiving adjuvant AI therapy.
Interventions
None listed
Sponsors
National Institute of Dental and Craniofacial Research (NIDCR)
University of Michigan
Study design
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
Postmenopausal as defined by NCCN (any of the following) * Prior bilateral oophorectomy * Age equal to or greater then 60 years of age * Age less then 60 and amenorrheic for 12 or more months in the absence of chemotherapy, tamoxifen, toremifen or ovarian suppression and FSH and estradiol in the postmenopausal range * If taking tamoxifen or toremifen and age less then 60y, then FSH and plasma estradiol level in postmenopausal ranges Informed consent- Individuals capable of consenting and self administering the survey instrument Dentate- At least 15 teeth present. AI users: * Diagnosis of BCa- Histologic confirmed diagnosis of BCa: Stage 0, I, II, or III with no evidence of metastatic disease. * Treatment- AI as clinically indicated (AI may be anastrozole, exemestane or letrozole) \> 1 month. Subjects may have had prior tamoxifen or raloxifene. Subjects may have had chemotherapy and/or radiation therapy. Must be within the first year of consecutive AI therapy. If a subject started AI, discontinued, then restarted, they will be accepted into the study. Controls: * No Diagnosis of cancer.- Patients must not have a diagnosis of any cancer (Not including a history of localized thyroid or skin cancer).
Exclusion criteria
Medical history * Metastatic BCa (AI treated group: fully resected locally recurrent disease is permitted if the patient has been rendered without evidence of disease). * Significant psychiatric illness/social situations that would preclude completion of questionnaire. Medications * Chronic medications known to affect the periodontal status (calcium antagonist, anti-convulsives, immunosuppressives (\> prednisone 7.5mg daily). NSAIDS and bisphosphonates are permitted. * Premedication- Conditions that require antibiotic therapy will be evaluated on a case-by-case basis. (Patients taking prophylaxis for joint replacements will not be excluded.)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Periodontal diseases | At the time of study visit |
Secondary
| Measure | Time frame |
|---|---|
| Alveolar bone loss using salivary and serum-derived bone markers. | At the time of study visit |
| Oral Health Related Quality of Life (OHRQoL) assessed via questionnaire | At the time of study visit |
Countries
United States
Outcome results
None listed