Oral and dental management for head and neck cancer patients treated by chemotherapy and radiotherapy

McCaul, Lorna

doi:10.12968/denu.2012.39.2.135

Cited by 40 publications

(44 citation statements)

References 11 publications

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“…Specific instructions concerning oral hygiene and caries prevention are given to the patient. [90] Tartar removal, dental fluoridation, and chlorhexidine are highly recommended. Chlorhexidine provides bactericidal activity against gram-positive and gram-negative bacteria by damaging the cell membrane and cellular enzymes.…”

Section: Treatment Before Chemotherapymentioning

confidence: 99%

“…Toothpaste containing 1,450 ppm sodium fluoride is recommended. [90] Complications of chemotherapy, such as xerostomia and mucositis, must be managed at the time of their presentation. Regarding mucositis, there are reports of the use of ice chips or a benzydamine hydrochloride oral rinse prior to chemotherapy.…”

Section: Dental Treatment During Chemotherapymentioning

confidence: 99%

“…[2] Candidiasis usually rises during chemotherapy; therefore, systemic antifungals are used to treat outbreaks. [90] Invasive, traumatic dental procedures should be abandoned. Thus, no extraction or even minimal surgical procedures should be performed.…”

Section: Dental Treatment During Chemotherapymentioning

confidence: 99%

“…Tooth scaling and root planning are contraindicated due to the high risk of infection. [90] In case the patient has received bisphosphonates, all of the treatments should be carefully monitored to avoid trauma or frictional ulcers. Dentures should be removed if they are even minimally traumatic, and the patient must be re-examined after 7-10 days.…”

Section: Dental Treatment During Chemotherapymentioning

confidence: 99%

“…Review McCaul [90] 2012 Denture fitting, readjustment of traumatic prostheses, instruction for hygiene Review calorie diet or even sweets in order to preserve the patients' weight at a desirable level. However, this must take place under the close supervision of the dentist to monitor the oral hygiene to preserve dental and oral health.…”

Section: Reviewmentioning

confidence: 99%

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Chemotherapy: oral side effects and dental interventions. A review of the literature

Poulopoulos¹,

Papadopoulos²,

Andreadis³

2017

SDS

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Even with the evolution of chemotherapeutic procedures and agents, chemotherapy may cause certain side effects that impair the patients' quality of life. The aim of this review is to isolate and describe the oral side effects arising only from chemotherapy and focus on the dentist's contribution to their management. This paper comprises an extensive literature review of the main side effects affecting the oral health status of patients' undergoing chemotherapy procedures. In addition, it describes the dentist's contribution in the treatment of such patients before, throughout and after antineoplastic therapy. In conclusion, the oral cavity is a usual site of discomfort and pain caused by chemotherapy, making the dentist's contribution to the patient's relief imperative. Key words:Chemotherapy, oral side effects, oral mucositis, oral infections ABSTRACTArticle history:

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Section: Treatment Before Chemotherapymentioning

confidence: 99%

Section: Dental Treatment During Chemotherapymentioning

confidence: 99%

Section: Dental Treatment During Chemotherapymentioning

confidence: 99%

Section: Dental Treatment During Chemotherapymentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

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Chemotherapy: oral side effects and dental interventions. A review of the literature

Poulopoulos¹,

Papadopoulos²,

Andreadis³

2017

SDS

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The effects of re-irradiation on the chemical and morphological properties of permanent teeth

dos Santos,

Mattos,

Molena

et al. 2024

Radiat Environ Biophys

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ObjectivesEvaluate in vitro, simulating a radiotherapy retreatment of HNC, the effects of re-radiation on the properties of enamel and dentin. Materials and MethodsForty ve human permanent molars were divided in ve groups: non-irradiated; irradiated up to a dose of 60 Gy and re-irradiated up to doses of 30, 40 and 50 Gy, through the analysis of Raman spectroscopy, Scanning electron microscopy (SEM) and Energy Dispersive X-ray spectroscopy (EDS). Raman spectroscopy was analyzed comparatively, according to the intensity, general area of the spectra and peaks of interest. Kolmogorov -Smirnov test, followed by the One-Way ANOVA test and Tukey's posttest, with the signi cance level were adopted for all analyzes being 5%. ResultsThere were signi cant changes in the peaks of irradiated, non-irradiated and re-irradiated enamels, with the presence of phosphate (438nm), hydroxyapatite (582nm), phosphate (960nm) and carbonate (1070nm) (p < 0.05). Re-irradiation reached the tooth as a whole (p > 0.05), with degradation of the interprismatic region, destruction of enamel prisms and hydroxyapatite crystals. In dentin, it caused obliteration of the tubules, formation of cracks and progressive fragmentation of collagen bers. EDX indicated an increase in the percentage of oxygen and a decrease in phosphorus and calcium after reirradiation. ConclusionThe chemical and morphological changes in the permanent irradiated teeth are progressive and directly proportional to the escalation of the radiation dose. Clinical relevanceRe-irradiation causing even more damage to enamel and dentin of permanent teeth.

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Patients with head and neck cancer may need more intensive pain management to maintain daily functioning: a multi-center study

Cho

Rau

Shao

et al. 2018

Support Care Cancer

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Oral and dental management for head and neck cancer patients treated by chemotherapy and radiotherapy

Abstract: Primary care dental teams will be involved in the long-term management of oral care for head and cancer patients. A broad understanding of the management of head and neck cancer, consequences of treatment and the need for good communication is key to good quality patient care.

Cited by 40 publications

References 11 publications

Chemotherapy: oral side effects and dental interventions. A review of the literature

Chemotherapy: oral side effects and dental interventions. A review of the literature

The effects of re-irradiation on the chemical and morphological properties of permanent teeth

Patients with head and neck cancer may need more intensive pain management to maintain daily functioning: a multi-center study

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