Role of the Dentist in Cancer Therapy Flashcards
what is the role of the dentist
early detection of soft tissue lesions
pre-treatment assessment and dental care
minimal role during treatment
maintenance of oral and dental health post treatment
palliative care
what does oral cancer have an impact on
airway
upper GI tract
major senses
what is done at pre-treatment appointment
oral and dental assessment
radiographs
necessary treatment
pre-treatment scaling
imps for soft splints
fluoride therapy
what are the pre treatment priorities
oral hygiene
reducing treatment complications
reducing post treatment complications
what is mucositis
inflammation and ulceration
what is mucositis brought on by
chemo or radiotherapy
what does mucositis have an impact on
eating, OH
what are the general measures to avoid to reduce mucositis
smoking
spirits
spicy foods
tea and coffee
what topical things can reduce mucositis
topical lignocaine
saline mouth wash
sodium bicarbonate
benzydamine HCL
tea tree oil mouthwash
what is pseudomembranous candidosis
non-adherent white plaques
what is post treatment care
prevention
monitoring
what is xerostomia
decreased salivary flow with increased viscosity and decreased pH
what are the complications of xerostomia
dysphagia
dysarthria
dysgeusia
decreased quality of life
increased caries/perio/candida
pros difficulties
how do we manage xerostomia
salivary replacements
salivary stimulants
water
how do you prevent ORN
remove teeth of doubtful prognosis in radiotherapy field at least 2 weeks prior to treatment
