Dr. Patel-Cancer therapy and dentistry Flashcards
Early stage tumors of the H and N usually get treated with ______
surgery
Advanced-staged tumors of the head and neck introduce what type of treatment?
chemoradio therapy
What are the three main concerns for oral health care providers who are treating a patient with H&N Cancer?
Prevention, Infection, and ORNJ
When is the IDEAL time to do a comp exam on a patient about to undergo tx for HandN cancer?
1 month before
What are the ___ items we need to know for a med consult for a patient about to undergo radiation therapy?
1.TNM Staging 2.Timing of tx 3.Field of radiation 4.Dosage 5.Hx of surgery to area 6.Chemo? 7. type of radio tx
What are three dental problems to fix before radiation therapy?
1.deep caries to pulp 2. perio disease 3.non-restorable teeth
What are the main questions for a Med Consult for a patient undergoing Chemo?
1.Type 2.stage 3.timing 4.prognosis 5.complete blood count (neutrophils and platelets)
When should any oral surgery done when a patient is about to undergo Chemo? (What about ANY dental treatment?)
at least 7-10 days before…(1 week-same thing really)
Is there a dental treatment where you don’t need a Med Consult for a patient undergoing Chemo?
NO! You need a Med Consult on every treatment, even prophy
What are the standards for neutrophil and platelet count when a patient is undergoing Chemo?
platelets over 50,000 and neutrophils over 1,000
For pt’s undergoing Chemo: Monitor for _________, which is typically seen __-__ weeks after beginning chemotherapy and heals __-__ weeks after it is completed.
oral mucositis..1-2 weeks…2-4 weeks
When do patients feel best after Chemo? (a good time to pick back up for routine dental care)
17-20 days
What are the three types of HSCTs? Which one has the best success rate?
- Autogenous (best success rate) 2.Allogentic 3.Syngenic
What are the two paramount factors in a patient undergoing HSCT?
Infection and Bleeding
What are two common oral infections in patients undergoing a HSCT?
Candida and Herpes
How long do we delay ELECTIVE treatment in patients who underwent HSCT?
1 year
When is the greatest risk of complications for a patient undergoing HSCT?
100 days. fuck.
What are the 6 most common complications of RADIATION THERAPY?
1.Mucositis 2.Dysguesia 3.Xerostomia 4.ORN 5. Caries 6. Trismus
Timing of complications from Radiation Therapy: What are the three complications that arise in the FIRST 6 weeks of therapy?
1.Dysgusia 2.Mucositis 3.Xerostomia
Timing of complications from Radiation Therapy: What are the complications that typically arise after 6 weeks of therapy?
1.Caries 2.Trismus 3.ORN
Timing of complications from Radiation Therapy: How long does mucositis last post therapy?
4 weeks, should subside
Timing of complications from Radiation Therapy: When does osetoreadio necrosis usually show up after treatment?
about 1 year
What is the amount of dose of radiation that yields complications of ORNJ?
greater than 60 Gy
When does Truisms usually pop up after radiation therapy?
3-6 months
What % of patients undergoing HSCT have ORAL complications?
80%
What is the most common oral infection following HSCT?
HSV
These are Oral manifestations of which cancer treatment?atrophy, erythema, white striations, plaques (similar to lichen planus), xerostomia, taste changes, formation of mucoceles, mucosal sclerosis
HSCT (GRAFT vs HOST disease)
