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BDS3 BAMS Special Care Dentistry > Cancer and SCD > Flashcards

Cancer and SCD Flashcards

1
Q

What is the role of the dentist and the dental team

A

early detection of soft tissue lesions
pre treatment assessment and dental care
minimal role during tx unless special interest
palliative care

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2
Q

What does oral cancer impact

A

airway

upper GI tract and major senses

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3
Q

What should be done pre treatment

A

history taking
oral and dental assessment prior to the start of cancer therapy
radiographs (OPT/PA)
any necessary treatment carried out to ensure dentally fit prior to tx
pre Treatment dental ealing by hygienist
impressions for fluoride trays
start fluoride therapy for dentate px

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4
Q

What are the pre treatment dental assessment priorities

A

OH and fluoride
reduce tx complications
reduce post tx complications

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5
Q

How do we reduce tx complications

A

avoid unscheduled interruption of chemotherapy regimen
avoid exacerbation of mucositis
remove potential sources of infection

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6
Q

How do we reduce post tx complications

A

remove teeth of dubious prognosis
institute preventive regime
plan rehabilitation

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7
Q

What tissues are effected by tx

A 
skin and mucosa
muscle and connective tissue 
saliva glands
teeth and supporting structures 
bone
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8
Q

What disease results from tx effect on skin and mucosa

A

erythema
ulceration
mucositis

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9
Q

What disease results from tx effect on muscle and CT

A

trismus

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10
Q

What disease results from tx effect on saliva glands

A

dry mouth

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11
Q

What disease results from tx effect on teeth and supporting structures

A

dental caries and sequelae

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12
Q

What disease results from tx effect on bone

A

endarteritis obliterates

ORN

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13
Q

What tx may we have to provide during oncology tx

A

for oral ulceration
oral infection
emergency dental tx

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14
Q

What does mucositis result in

A 
inflammation and ulceration
severe pain
analgesia required
can be induced by chemo and radiotherapy
impact one eating and OH
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15
Q

What should be avoided to manage mucositis

A 
smoking
spirits
spicy foods
tea and coffee
non prescription M/W
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16
Q

What are topicals that can be used for mucositis

A 
topical lignocaine
saline m/w
Na Bicarb
benztdamine HCL
gelclair
caphosol
tea tree oil mouthwash
oral cooling - ice
17
Q

What can help in prevention of mucositis

A 
aloe vera
amifostine 
chlorhexidine
cryotherapy
granulocyte-colony stimulating factor
intravenous glutamine
honey
keratinocyte growth factor
laser
polymixin/tobramycin/amphotericin/antiobiotic pastille/paste 
sucralfate
18
Q

What is tx for mucositis

A

low level laser light therapy

morphine

19
Q

What infection is often seen in those who’ve cancer

A

oral candidiasis

20
Q

What virus is often see in cancer px

A 
reactivation of herpes simplex
often intra oral and clinically atypical
painful oral ulceration of sudden onset
more extensive, slow healing and aggressive
high index of clinic suspicion
21
Q

What is the prevention in post treatment care

A 
diet
OH
fluoride
trismus
smoking
22
Q

What is the monitoring in post tx care

A

increased frequency of check ups
dry mouth management
prosthodontics
appropriate referral

23
Q

What is the change in saliva consistency in cancer px

A

increase viscosity
decreased pH
will not return to normal

24
Q

What can the xerostomia result in

A

dysphagia
dysarthria
dyspepsia
QoL

25
Q

What is there an increased risk of with xerostomia

A 
caries
periodontal disease
candidiosis
sialadentitis
prosthodontics difficulties
26
Q

What is radiation induced caries

A

seen on smooth surfaces at necks of teeth

the decay can become circumferential and the tooth snaps off

27
Q

What is the diagnosis and management for the cancer px

A 
clinical and radiographic examination 
OHI
scaling and root planing
modern caries mangement
avoidance of extraction 
\+/- surgery
antimocrnials for acute conditions
28
Q

What is prevention of osteoradionecorsis

A

remove any doubtful prognosis teeth in the radiotherapy field

29
Q

Why does trisumus occur in cancer px

A

fibrosis of MoM

irreversible

30
Q

What is the impact of trismus

A 
eating
speaking
OH
dentures
dental tx
31
Q

What is the role of the dental team before cancer tx

A

prevention of chemo/radio Rx complications

plan rehabiliation

32
Q

What is the role of the dental team during cancer treatment

A

mucositis

emergency tx

33
Q

What is the role of dental team after cancer tx

A

prevention

rehabilitation

BDS3 BAMS Special Care Dentistry (14 decks)

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