Blood Dyscrasia Patients, Chemotherapy, Severe Neutropenia, Thrombocytopenia
Conditions
Keywords
oral irrigator, leukemia, blood dyscrasia, Oral Health Index Simplified (OHI-S), supra gingival irrigator
Brief summary
in this study , effectiveness of supragingival irrigators containing chlorhexidine is compared with routine oral health measures in patients with blood dyscrasia whom can not use effective oral health measures(e.g brushing ) due to their systemic condition(e,g,neutropenia ,thrombocytopenia,..)
Detailed description
Since some patients with hematologic malignancies cannot brush effectively and are at increased risk of bleeding and infection due to severe neutropenia and thrombocytopenia we want to access whether a none invasive method ( water jet systems containing chlorhexidine ) Can help this patients to get better oral health indexes in comparison with routine oral health measures in these type of patients.
Interventions
patients received irrigation by oxyjet supra gingival irrigators containing chlorhexidine for at least 3 minutes for all dentulous regions of jaws which was performed by researchers once daily.
Sponsors
Study design
Eligibility
Inclusion criteria
patients with a blood dyscrasia, severe neutropenia and thrombocytopenia, absence of periodontitis, absence of any oral mucosal lesion in onset of study, patient consent
Exclusion criteria
diabetes mellitus, observation of any side effect (resulted from the device), severe oral mucositis in intervention group(grade 3 and4 WHO), edentulousness, intolerance of device in severely malaise patients, patient death
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| improvement in oral health status | 3 weeks | improvement of oral health was measured by oral health index simplified(OHI-S) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| incidence of oral mucositis | 3 weeks | incidence of mucositis due to Who criteria explored by clinical examination |
Countries
Iran