Xerostomia in head and neck malignancy

Porter, Stephen; Fedele, Stefano; Habbab, K.M.

doi:10.1016/j.oraloncology.2010.03.008

Cited by 47 publications

(42 citation statements)

References 56 publications

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“…Furthermore, speech, ability to maintain oral hygiene, wearing dental prostheses, and appearance may negatively influence oral health, social, and emotional wellness [2,[19][20][21][22]. These side effects may also affect the ability to deliver cancer therapy as planned and thus, systemic health, outcomes of cancer therapy, and the cost of care [2,5,9,20,[22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40].…”

Section: Oral Complications Of Cancer Therapymentioning

confidence: 99%

Appropriate and necessary oral care for people with cancer: guidance to obtain the right oral and dental care at the right time

Epstein

Güneri

Barasch

2014

Support Care Cancer

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Purpose The identification of experienced and knowledgeable dental specialists to provide appropriate oral care for cancer patients, as well as the integration of this care within general oncology management, may be a challenge. This paper discusses the general and additional requirements for dental care providers to support the cancer patient and provide prevention and/or treatment for oral complications of cancer therapy. Methods We performed a literature review of specific issues regarding the oral cavity and adjacent structures in the cancer patient, including detection and early diagnosis of oral malignancy. We incorporated the systemic effects of cancer and its therapy that affect oral disease and treatment. We present a summary of how to seek expert dental care for cancer patients and for referral from the dental and medical community. Results Due to the complexity conferred by the disease and its treatment, cancer patients require educated, experienced dentists for treatment and/or prevention of oral-related morbidity. Correct diagnosis and evidence-based prophylactic and therapeutic oral care can significantly improve patient quality of life and reduce morbidity and healthcare costs. Conclusions The knowledge and expertise of dental professionals regarding prevention/treatment of complications and secondary malignant lesions in cancer patients are critical. Integration of oral care with the oncology care and in survivors requires effective communication between dental and medical providers beginning ideally at diagnosis. These clinicians may be identified at the cancer center, nearby hospital dental programs, and, less commonly, in the community.

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Section: Oral Complications Of Cancer Therapymentioning

confidence: 99%

Appropriate and necessary oral care for people with cancer: guidance to obtain the right oral and dental care at the right time

Epstein

Güneri

Barasch

2014

Support Care Cancer

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show abstract

“…Xerostomia causes functional issues within the oral cavity, affecting speech and taste, as well as causing chewing and swallowing difficulties. Furthermore, hyposalivation increases the risk of developing oral infections such as candidiasis, gingivitis and acute suppurative sialadenitis, as well as increasing the risk of developing caries [12].…”

Section: Dental Management During Radiotherapy: Xerostomiamentioning

confidence: 99%

“…Currently systemic treatments for the prevention of xerostomia are only used in a research setting [12].…”

Section: Dental Management During Radiotherapy: Xerostomiamentioning

confidence: 99%

“…Salivary substitutes should be used for symptom relief, as well as regular non-medicated oral rinses. Sialogogues such as chewing gum and the cholinergic agonist pilocarpine can also be used for relief of symptoms and may offer some dental protection, however adverse effects of pilocarpine such as sweating, diarrhoea and bronchospasm may limit its use in some people [12,34].…”

Section: Dental Management During Radiotherapy: Xerostomiamentioning

confidence: 99%

“…In the oral cavity these can be cells of the mucous membrane, underlying soft tissue, tooth, periosteum, bone, glands and vasculature resulting in specific radiation syndromes. Such syndromes include xerostomia and dysgeusia from salivary gland damage, mucositis from epithelial damage, pathological alterations in the normal flora alterations, radiation caries, reduced mouth opening from changes in collagen structure and osteoradionecrosis of the jaw (ORN) from reduced bone healing capacity [12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

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Pre-radiotherapy dental extractions and osteoradionecrosis: a retrospective analysis and cross-sectional study on quality of life

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Interventions for the management of dry mouth: non-pharmacological interventions

Furness

Bryan

McMillan

et al. 2013

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Xerostomia in head and neck malignancy

Cited by 47 publications

References 56 publications

Appropriate and necessary oral care for people with cancer: guidance to obtain the right oral and dental care at the right time

Appropriate and necessary oral care for people with cancer: guidance to obtain the right oral and dental care at the right time

Pre-radiotherapy dental extractions and osteoradionecrosis: a retrospective analysis and cross-sectional study on quality of life

Interventions for the management of dry mouth: non-pharmacological interventions

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