Role of Restorative Dentist in OC Flashcards
Give example of who included MDT?
Anaesthetist Radiologist Surgeon Oncologist Opthamologist Maxillofacial consultant Dentist Psychologists Physiotherapist Neurosurgeons Palliative care specialsit GMP/GDP
Why important to have restorative dentist involve MTD?
Those w/ H&N cancer often face complex oral rehab and dental health issues
What should all have H&N pt had access to prior to tx?
Opportunity for pre-tx assessment by experienced practitioner
Role of dental pre-op assessment?
Avoid interruption to tx as result dental problem
prosthetic planning
Planning XLA teeth doubtful prognosis
Preventative advice and tx
When should XLA of hopeless prognosis teeth be carrier out?
Early as poss
Minimum 10 days prior RT
Why need XLA hopeless prognosis teeth?
Risk radionecrosis
Short term side-effects RT?
Mucositis - inflam and ulceration mucosa
Infection
Xerostomia
Why are pt more susceptible to infection
Induced neutropenia = more susceptible infection inc oral candida
Why see xerostomia in cancer pt?
Decrease in production of saliva following RT
Long term oral effects RT?
Altered anatomy Dental caries - reduced salivary flow/ radiogenic damage ADJ Trismus - surgical scar/ fibrosis Mastication diff Radionecrosis Xerostomia
What is osteonecrosis?
Hypovascularity and necrosis of bone following trauma induced or spontaneous mucosal breakdown
Prevention/advice that should be offered?
Maintenance - F-, OHE, dietary advice
Increased F regimen
Saliva replacement
What are different prosthetic options can be considered?
Obturator
Implants
Primary implants
When prosthetic or reconstruction?
Depending size/ complexity of defect
pt factors
Who helps dentist fabricate maxillofacial prosthesis?
Maxilofacial technician
