Post-Radiation Oral Health in Underserved Head and Neck Cancer Patients
University of California, San Francisco
Summary
This is a pilot study evaluates the feasibility and outcomes of providing fluoride varnish treatment during routine cancer surveillance visits for post-radiation head and neck cancer patients with limited access to dental care.
Description
PRIMARY OBJECTIVES: I.To describe the baseline knowledge and access to dental care of underinsured/uninsured head and neck cancer patients treated with radiation at University California of San Francisco (UCSF) and Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG). II.To pilot and characterize the feasibility and outcomes of an in-clinic fluoride varnish dental treatment paired with routine cancer surveillance for post-radiation head and neck cancer patients who do not have reliable access to dental care III.To develop readily accessible patient educational material for den…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. \>18 years old who are uninsured or underinsured (MediCal, Healthy SF) or have full coverage. 2. Patients who have received immunotherapy or enhanced chemotherapy regimens. 3. Patients or health and dental care providers who are able to provide their own informed written consent. Exclusion Criteria: 1. \>18 years old. 2. Patients, caregivers, health and dental care providers who are able to provide their own informed written consent.
Interventions
- OtherSurveys
Participants will complete surveys to collect information about their dental health before and after fluoride varnish treatment. Healthcare and dental providers will complete a survey to assess the feasibility of the fluoride varnish treatment.
- ProcedureSaliva Collection
Participants will provide a saliva sample for pH measurement.
- ProcedureIntra-oral photographs
Images of participants' teeth will be taken to assess the Decayed, Missing, and Filled Teeth (DMFT) index.
- DeviceFluoride Varnish Treatment
Participants will receive 4-5 fluoride varnish treatment every 3 month over the course of a year. Treatment is delivered during cancer surveillance visits. Participant will also receive dental care educational materials.
- OtherInterview (Participant)
Participants and caregivers will share their experiences accessing dental care, identify barriers to care, and provide their views on integrating preventive dental care into routine medical care. Healthcare and dental providers will share their observations about patient access to dental care and their views on integrating preventive dental care into routine medical care.
Location
- Zuckerberg San Francisco General Hospital (ZSFG)San Francisco, California