Oral cancer management of the oncology patient Flashcards
M
M
M
M
N
N
Prior to treatment
Caries prevention and management
Duraphat 5000 toothpaste
OHI
Diet advice
Caries risk assesment
Caries risk assessment for an oncology pt
Oncology pt will be high risk (red)
Side effects of radiotherapy
Prone to radiation caries
Mucositis - 2 weeks into tx, reverses after radiotherapy (painful)
Taste and salivary changes
Acidic saliva
Dietician ensuring adequate nutrition before and after tx
Pain on swallowing
Speech language therapist teaches swallowing exercises
Trismus
May affect TMJ
Exercise for trismus 5, 5, 5
Treatment of mucositis
- good oral hygiene
- hydration
- eating a healthy balanced diet
- advise on pain management
Eg, Challacombe scale of clinical oral dryness
Dry mouth relief medications
Saliva orthana - pork
Xerostem - olive oil natural ph lubricant
Biotene
Bioextra - milk products
Saline and sodium bicarbonate rinse
Gelclair - mix 1 tbsp with water and rinse for 1 min - adheres to mucosal surfaces, soothing oral lesions
Oranurse toothpaste - sls free, unflavoured
Oralieve - bio active ingredients and enzymes - maintains ph and lubrication
Treatment interventions ideally prior to radiotherapy with an oral health prevention package
No invasive treatment during radiotherapy has to be done prior or post why?
Otherwise at risk of osteoradionecrosis
Post treatment
Prevention and maintenance
Risk of
Caries
Erosion
Candida infection
Periodontal disease
Tooth mousse
Replaces calcium phosphate ions we’ve lost through lack of saliva
Reconstruction of oral cavity
Implant maintenance
Professional maintenance
