Oral Care Needs During Cancer Therapy
According to a recent report by the National Cancer Institute (NCI), a pre-treatment dental evaluation can minimize the oral side effects of cancer therapy. Although I have addressed this issue in the past, I felt the information bears repeating as the NCI report notes that an estimated forty percent of people who undergo chemotherapy develop oral complications. These include inflamed tissues, dry mouth, infections and excessive bleeding secondary to decreased clotting factors.
NCI recommends that a dentist familiar with the oral effects of cancer therapy examine the patient two to four weeks before undergoing cancer therapy. The dentist will work closely with the patient and his or her physician.
The first thing the dentist will do is to treat any pre-existing conditions such as bacterial or fungal infections. Next he or she will trouble shoot, trying to predict what areas will likely be the cause of concern. The goal is to prevent complications. This will be accomplished through evaluating and treating any potentially irritating surfaces, such as faulty restorations and chipped or broken teeth, that could lead to inflamed tissues, ulceration or infections. This phase will also include a thorough prophylaxis or cleaning, placing sealants, applying fluoride and instructing the patient in meticulous home care.
Close follow-up throughout therapy is critical. If the mouth is sore it may lead to poor oral hygiene and poor nutrition. Complication must be dealt with promptly before they become critical. Infections must be avoided. When dental work becomes necessary during cancer therapy, even those seemingly simple cleanings, your dentist and physician will work together to make sure there is adequate antibiotic and antifungal coverage.
Finally, following cancer therapy, long term follow up will be needed along with an extended preventative regimen.