Associations of oral health items of the Vanderbilt Head and Neck Symptom Survey with a dental health assessment

Leanne Kolnick, Jie Deng, Joel B. Epstein, Cesar Migliorati, Julie Rezk, Mary S. Dietrich, Barbara A. Murphy

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objectives: The Vanderbilt Head and Neck Symptom Survey (VHNSS) version 2.0 oral symptom subscale addresses underreported oral health issues. We report the associations of xerostomia, dental health, dentures and trismus questions with oral examination findings. Materials and methods: Between May 2011 and April 2012, fifty head and neck cancer (HNC) patients treated with chemoradiotherapy completed the 50-item VHNSS survey, an oral health assessment by a dentist, salivary flow, and inter-incisal opening (IIO) measurements. Results: Patient reported "problems with dry mouth" correlated with unstimulated salivary flow (-0.43, p = 0.002). "Cracked teeth" (0.55, p = <0.001) or "difficulty chewing due to teeth" (0.43, p = 0.004) correlated with urgent/emergent dental issues identified on clinical exam. Scores of >4 on any dental question identified 83% of patients with urgent or emergent needs. The ROC curve separated routine from urgent/emergent dental issues (0.89, p < 0.001). IIO correlated with reported jaw movement "limitations" (-0.43, p = 0.002). Small numbers of patients with dentures precluded meaningful analysis of this subsample. Conclusions: Clinically significant oral health issues pertaining to xerostomia, dental health and trismus may be identified using the oral health subscale of the VHNSS version 2.0. MASCC guidelines should be followed by patients with xerostomia. The observation that a score of >4 is highly predictive of dental issues is important and needs further validation. If confirmed, this would be a useful screening tool for identifying and referring HNC patients for dental care. Patients: with trismus should receive physical therapy.

Original languageEnglish (US)
Pages (from-to)135-140
Number of pages6
JournalOral Oncology
Volume50
Issue number2
DOIs
StatePublished - Feb 1 2014

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Oral Health
Tooth
Neck
Head
Trismus
Health
Head and Neck Neoplasms
Oral Diagnosis
Xerostomia
Dental Care
Dentures
Chemoradiotherapy
Dentists
ROC Curve
Mouth
Patient Care
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Oral Surgery
  • Oncology
  • Cancer Research

Cite this

Kolnick, L., Deng, J., Epstein, J. B., Migliorati, C., Rezk, J., Dietrich, M. S., & Murphy, B. A. (2014). Associations of oral health items of the Vanderbilt Head and Neck Symptom Survey with a dental health assessment. Oral Oncology, 50(2), 135-140. https://doi.org/10.1016/j.oraloncology.2013.10.019

Associations of oral health items of the Vanderbilt Head and Neck Symptom Survey with a dental health assessment. / Kolnick, Leanne; Deng, Jie; Epstein, Joel B.; Migliorati, Cesar; Rezk, Julie; Dietrich, Mary S.; Murphy, Barbara A.

In: Oral Oncology, Vol. 50, No. 2, 01.02.2014, p. 135-140.

Research output: Contribution to journalArticle

Kolnick, L, Deng, J, Epstein, JB, Migliorati, C, Rezk, J, Dietrich, MS & Murphy, BA 2014, 'Associations of oral health items of the Vanderbilt Head and Neck Symptom Survey with a dental health assessment', Oral Oncology, vol. 50, no. 2, pp. 135-140. https://doi.org/10.1016/j.oraloncology.2013.10.019
Kolnick, Leanne ; Deng, Jie ; Epstein, Joel B. ; Migliorati, Cesar ; Rezk, Julie ; Dietrich, Mary S. ; Murphy, Barbara A. / Associations of oral health items of the Vanderbilt Head and Neck Symptom Survey with a dental health assessment. In: Oral Oncology. 2014 ; Vol. 50, No. 2. pp. 135-140.
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AU - Dietrich, Mary S.

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