Cancer patients Flashcards
1
Q
What is the medical management for a patient with cancer?
A
- Surgery
- Irradiation
- Chemotherapy (myelosuppression)
- Stem Cell or bone morrow transplant
2
Q
What are the pre-treatment dental management for a patient with cancer?
A
- No mod for stages 1 and 2 and no evidence it has spread
- Consider increased frequency of recare
- Rule out/ address oral disease
- Plan for pain managemetn during treatment
- OHI, nutrional counseling for non-cariogenic diet, prophylaxis, remive irritants and sources of infection
3
Q
What is the dental management for Prior to TX?
A
- Recommendations and discussion for radiation or chemotherapy
- Manage salivary flow
- extract nonrestorable teeth
- prophylaxis/ oral infection treatment completed one month before treatment begings
- RCT completed one week before treatment
- ## Prioritize treating infections and addressing dental needs
4
Q
What are some side effects of head and neck radiation?
A
Decreased salivary gland function, xerostomia, infections and osteoradionecrosis
5
Q
What are the dental management for cancer patient going through tx?
A
- provide care between cycles of chemotherapy radiation therapy.
- No routine care during actie therapy
- Consult oncologist about hematologic status
6
Q
What are some post treatment side effects for cancer patients?
A
- Alopecia
- Bone morrow depression= infection bleeding edema
- GI changes= diarrhea, malabsorption and altered nutrional status
- Cardiac and pulmonary dysfunction
- mucositis
- candidiasis albicans
- submucosal hemorrhage
- increased thrombocytopenia
- gingival bleeding
- taste alterations
- molar pain
7
Q
What are some oral cansiderations for patients with cancer ?
A
- Salivary substitues
- Increase fungal infection
- tooth sensitivity
- muscle trismus
- wait 6 months for prosthodontics
- increase risk of osteoradionecrosis (maintain good oral hygiene)
- Carotid atheroma and calcifications (pano)
