The dialogue in the doctor (dentist)-patient relationship from Gadamer´s view: case of oral mucositis

Abstract

Objective: To investigate the dialogue in the doctor (dentist)-patient relationship, particularly in women with chemotherapy for breast cancer; case oral mucositis in a specialized institution. Material and methods: A prospective, descriptive, cross-sectional study was carried out, for which a questionnaire based on the PRO-CTCAE ™ card (acronym in English) was designed, mainly attending to oral care, as well as assistance and attention by the dentist, which contributed to knowing the doctor (dentist)-patient relationship based on dialogue to promote the quality of life of patients. There were 50 participants whose ages ranged from 31 to 75 years. Results: The most significant results show that 68% do not attend a dental consultation before starting chemotherapy and 34% of patients present ulcers in oral mucositis, limiting basic functions such as eating and drinking, which affects isolation. Conclusions: The findings show the need to promote the accompaniment of a multidisciplinary team during chemotherapy, the participation of the dentist being irrefutable in oral care from the philosophical hermeneutics proposed by Gadamer, with a holistic vision whose approach allows to strengthen the Oral Quality of Life of the patient by side effects of chemotherapy, case, oral mucositis.