ORAL MANAGEMENT OF PATIENTS WITH CANCER

Keywords: Complications, Dental care for chronically ill, Drug therapy, Radiotherapy, Patient care team

Abstract

The oral management of individuals affected by medical conditions, including those with a current cancer
diagnosis, is often complex and as such should be provided by either experienced dentists or dental specialists (e.g. Special Needs Dentists) with adequate training and experience. Patients with cancer need
early dental intervention as the cancer itself or its therapy may place them at increased risk of systemic and
oral complications.

In Colombia, Special Needs Dentistry (SND) has not been formally recognized as a specialty and does
not form part of the current dental curricula suggesting a paucity of suitably qualified dentists to provide
complex oral care for oncology patients. While it is accepted that general dentists will provide the bulk of
care to these individuals, their knowledge base is unclear. This paper aims to improve the knowledge base
around complex SND by addressing the oral complications faced by this patient cohort and how to prioritize
treatment, together with proposing a simple protocol to streamline coordination of care between the dental,
allied health and medical teams, that is, through a multidisciplinary approach. It is important to acknowledge
that dentists have a role at all three levels of the multidisciplinary management of canc

|Abstract
= 240 veces | PDF (ESPAÑOL (ESPAÑA))
= 157 veces|

Downloads

Download data is not yet available.

Author Biographies

Claudia Patricia Lopez Silva, Company’s name: University of MelbourneDepartment: Melbourne Dental School

DCD SND student, Melbourne Dental School, University of Melbourne, Victoria, Australia

Mathew Albert Wei Ting, Company’s name: Alfred HealthDepartment: Dental UnitCompany’s name: University of MelbourneDepartment: Melbourne Dental School

PhD student, Melbourne Dental School, University of Melbourne, Victoria, Australia
Director of Dental Services, The Alfred Hospital, Melbourne, Victoria, Australia

Pritam Daniel Sundaresan, Fiona Stanley Hospital

Specialist, Special Needs Dentistry | Department of Oral Maxillofacial & Dental Surgery
Clinical Senior Lecturer | The University of Western Australia

Gelsomina Borromeo, Monash University

Associate Professor, and Specialist in Special Needs Dentistry. Eastern Health Clinical School, Monash University, Victoria, Australia

Honorary Professor, Special Needs Dentistry, Melbourne Dental School, University of Melbourne, Victoria, Australia

References

Hancock PJ, Epstein JB, Sadler GR. Oral and dental management related to radiation therapy for head and neck cancer. Journal Can Dento Assoc. 2003; 69(9): 585-90.

Levi LE, Lalla RV. Dental treatment planning for the patient with oral cancer. Dent Clin North Am. 2018; 62(1): 121-30. DOI: https://doi.org/10.1016/j.cden.2017.08.009

Harrison LB, Sessions RB, Kies MS. Head and neck cancer: a multidisciplinary approach. 4th. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2014 Fourth Edition; 2014.

Zimmermann C, Meurer MI, Grando LJ, Gonzaga Del Moral JÂ, da Silva Rath IB, Schaefer Tavares S. Dental treatment in patients with leukemia. J Oncol. 2015; 2015: 571739.

Gómez GJÁ, Camacho RVL, Torres JEB, Gómez SMB, Álzate DPC, Ross PAC et al. Alterations found in the mouth of patients treated with head and neck radiotherapy. Medellin, Colombia. Rev Odont Mex. 2017; 21(2): e86-96. DOI: https://doi.org/10.1016/j.rodmex.2017.05.012

Dental Board of Australia. List of specialties, 2016 [Internet]. Available in https://www.dentalboard.gov.au/Registration/Specialist-Registration.aspx

Epstein JB, Güneri P, Barasch A. Appropriate and necessary oral care for people with cancer: guidance to

obtain the right oral and dental care at the right time. Support Care Cancer. 2014; 22(7): 1981-8. DOI: https://doi.org/10.1007/s00520-014-2228-x

Colombia. Minsiterio de Educación. Observatorio laboral para la educación: programas de carrera [Internet]. Available in: http://bi.mineducacion.gov.co:8380/eportal/web/men-observatorio-laboral

Universidad de Buenos Aires. Carrera de especialización en odontología integral para personas con riesgo médico y discapacidad [Internet]. Available in: http://www.uba.ar/posgrados/noticia.php?id=254.

Epstein JB, Parker IR, Epstein MS, Stevenson-Moore P. Cancer-related oral health care services and resources: a survey of oral and dental care in Canadian cancer centres. J Can Assoc. 2004; 70(5): 302-4

Brennan M, Lockhart P. Oral assessment. En: Davies AN, Epstein JB, editors. Oral complications of cancer and its management. Oxford University Press; 2010. p. 21-4.

Little JW. Little and Falace’s dental management of the medically compromised patient. 8th ed. London: Mosby; 2012.

Da Silva Santos PS, Fontes A, de Andrade F, de Sousa SC. Gingival leukemic infiltration as the first manifestation of acute myeloid leukemia. Otolaryngol-Head Neck Surg. 2010; 143(3): 465-6. DOI: https://doi.org/10.1016/j.otohns.2010.04.010

Glaspy J. Disorders of blood cell production in clinical oncology. In: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, editors. Abeloff’s clinical oncology. 5th ed. Philadelphia: Saunders Elsevier, 2013. p. 532-41.

Oral complications of chemotherapy and head/neck radiation (pdq®): health professional version. PDQ Cancer Information Summaries; 2002.

Nizarali N, Rafique S. Special care dentistry: part 3. Dental management of patients with medical conditions causing acquired bleeding disorders. Dent Update. 2013; 40(10): 805-8

Falanga A, Marchetti M, Vignoli A. Coagulation and cancer: biological and clinical aspects. J Thromb Haemost. 2013; 11(2): 223-33. DOI: https://doi.org/10.1111/jth.12075

Cipta AM, Pietras CJ, Weiss TE, Strouse TB. Cancer-related pain management in clinical oncology. J Community Support Oncol. 2015; 13(10): 347-55. DOI: https://doi.org/10.12788/jcso.0173

Epstein JB, Wilkie DJ, Kim Y-O, Fischer DJ, Villines D. Neuropathic and nociceptive pain in head and neck cancer patients receiving radiation therapy. Head Neck Oncol. 2009; 14: 1-26. DOI: https://doi.org/10.1186/1758-3284-1-26

Oliveira KG, von Zeidler SV, Podestá JR, Sena A, Souza ED, Lenzi J et al. Influence of pain severity on the quality of life in patients with head and neck cancer before antineoplastic therapy. BMC Cancer. 2014; 39.

Epstein JB, Thariat J, Bensadoun R-J, Barasch A, Murphy BA, Kolnick L et al. Oral complications of cancer and cancer therapy: from cancer treatment to survivorship. CA Cancer J Clin. 2012; 62(6): 400-22. DOI:

https://doi.org/10.3322/caac.21157

Grossman SA, Nesbit S. Cancer-related pain. En: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, editors. Abeloff’s clinical oncology. 5th ed. Philadelphia: Saunders Elsevier, 2013. p. 608-19.

Hainsworth JD. Nausea and vomiting. En: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper

JE, editors. Abeloff’s clinical oncology. 5th ed. Philadelphia: Saunders Elsevier, 2013. p. 626-34.

Brell JM, Jones LW. Fatigue. En: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, editors. Abeloff’s clinical oncology. 5th ed. Philadelphia: Saunders Elsevier, 2013. p. 676-81.

Mason H, DeRubeis MB, Burke N, Shannon M, Karsies D, Wolf G et al. Symptom management during and after

treatment with concurrent chemoradiotherapy for oropharyngeal cancer: a review of the literature and areas

for future research. World J Clin Oncol. 2016; 7(2): 220-6. DOI: https://dx.doi.org/10.5306%2Fwjco.v7.i2.220

Treatment-related nausea and vomiting (PDQ®): health professional version. PDQ Cancer Information

Summaries. 2002.

Little JW, Miller C, Rhodus N, Falace DA. Little and Falace’s dental management of the medically compromised patient. St. Louis: Mosby; 2012.

Taichman S, Gomez G, Rohr Inglehart M. Oral Health Care during Chemotherapy. RDH. 2013; 33(4):67-74.

Henry L, Loader G. Nutrition support A2. En: Treleaven J, Barrett AJ, editor. Hematopoietic stem cell transplantation in clinical practice. Edinburgh: Churchill Livingstone; 2009. p. 343-54.

Zheng H, Kobrinsky B, Katz S, Speyer JL. Cardiac effects of cancer therapy. In: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, Abeloff MD, editors. Abeloff’s clinical oncology. 5th ed. Philadelphia, Pennsylvania: Saunders Elsevier; 2013. p. 858-73.

Jowett NI, Cabot LB. Patients with cardiac disease: considerations for the dental practitioner. Br Dent J. 2000; 189(6): 297-302. DOI: https://doi.org/10.1038/sj.bdj.4800750

Malamed SF. Physical and psychological evaluation. In: Sedation. 5th ed. Saint Louis: Mosby; 2010. p. 23-62.

Coleman RE, Holen I. Bone Metastases In: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, Abeloff MD, editors. Abeloff’s clinical oncology. 5th ed. Philadelphia, Pennsylvania: Saunders Elsevier; 2013. p. 739-63.

Ruggiero SL, Dodson TB, Fantasia J, Goodday R, Aghaloo T, Mehrotra B et al. American association of oral and maxillofacial surgeons position paper on medication-related osteonecrosis of the jaw--2014 update. J Oral & Maxillofac Surg. 2014; 72(10): 1938-56. DOI: https://doi.org/10.1016/j.joms.2014.04.031

Sanders K, Sim I-W, Sanders KM, Ebeling PR, Borromeo GL, Seymour JF. Declining incidence of medicationrelated osteonecrosis of the jaw in patients with cancer. J Clin Endocrinol Metab. 2015; 100(10): 3887-93. DOI: https://doi.org/10.1210/jc.2015-1794

Alvarado Y, Bellm LA, Giles FJ. Oral mucositis: time for more studies. Hematology. 2002; 7(5): 281-9. DOI:

https://doi.org/10.1080/1024533021000037216

De Oliveira Lula EC, de Oliveira Lula CE, Alves CMC, Lopes FF, Pereira ALA. Chemotherapy-induced oral complications in leukemic patients. Int J Pediatr Otorhinolaryngol. 2007; 71(11): 1681-5. DOI: https://doi.

org/10.1016/j.ijporl.2007.07.006

Barasch A, Peterson DE. Risk factors for ulcerative oral mucositis in cancer patients: unanswered questions. Oral Oncol. 2003; 39(2): 91-100

Sonis ST. A biological approach to mucositis. J Support Oncol. 2004; 2(1): 21-32.

Lalla RV, Sonis ST, Peterson DE. Management of oral mucositis in patients with cancer. Dent Clin North Am. 2008; 52(1): 61-viii. DOI: https://dx.doi.org/10.1016%2Fj.cden.2007.10.002

Lalla RV, Peterson DE. Oral mucositis. Dent Clin North Am. 2005; 49(1): 167-84. DOI: https://doi.org/10.1016/j.cden.2004.07.009

Redding SW. Cancer therapy-related oral mucositis. J Dent Educ. 2005; 69(8): 919-29.

Sonis ST. Pathobiology of oral mucositis: novel insights and opportunities. J Support Oncol. 2007; 5(9): 3-11.

Naidu MUR, Ramana GV, Rani PU, Mohan lK, Suman A, Roy P. Chemotherapy-induced and/or radiation therapy-induced oral mucositis-complicating the treatment of cancer. Neoplasia. 2004; 6(5): 423-31. DOI:

https://dx.doi.org/10.1593%2Fneo.04169

Sroussi HY, Epstein JB, Bensadoun R-J, Saunders DP, Lalla RV, Migliorati CA et al. Common oral complications of head and neck cancer radiation therapy: mucositis, infections, saliva change, fibrosis, sensory dysfunctions, dental caries, periodontal disease, and osteoradionecrosis. Cancer Med. 2017; 6(12): 2918-31. DOI: https://doi.org/10.1002/cam4.1221

Lalla RV, Bowen J, Barasch A, Elting L, Epstein J, Keefe DM et al.. MASCC/ISOO Clinical practice guidelines for the management of mucositis secondary to cancer therapy. Cancer. 2014; 120(10): 1453-61. DOI: https://doi.org/10.1002/cncr.28592

Migliorati C, Hewson I, Lalla RV, Antunes HS, Estilo CL, Hodgson B et al. Systematic review of laser and other light therapy for the management of oral mucositis in cancer patients. Support Care Cancer. 2013; 21(1): 333-41. DOI: https://doi.org/10.1007/s00520-012-1605-6

Carvalho PAG, Jaguar GC, Pellizzon AC, Prado JD, Lopes RN, Alves FA. Evaluation of low-level laser therapy in the prevention and treatment of radiation-induced mucositis: a double-blind randomized study in head and neck cancer patients. Oral Oncol. 2011; 47(12): 1176-81. DOI: https://doi.org/10.1016/j.oraloncology.2011.08.021

Saunders DP, Epstein JB, Elad S, Allemano J, Bossi P, van de Wetering MD et al. Systematic review of antimicrobials, mucosal coating agents, anesthetics, and analgesics for the management of oral mucositis

in cancer patients. Support Care Cancer. 2013; 21(11): 3191-207. DOI: https://doi.org/10.1007/s00520-013-1871-y

Epstein JB, Thariat J, Bensadoun R-J, Barasch A, Murphy BA, Kolnick L et al. Oral complications of cancer and cancer therapy: from cancer treatment to survivorship. 2012; 62(6): 400-22. DOI: https://doi.org/10.3322/caac.21157

Davies A, Epstein J. Oral complications of cancer and its management. Oxford: Oxford University Press; 2010.

Ruby J, Barbeau J. The buccale puzzle: the symbiotic nature of endogenous infections of the oral cavity. Can J of Infect Dis. 2002; 13(1): 34-41.

Samaranayake L, Sitheeque M. Oral fungal infections. In: Davies A, Epstein J, editors. Oral Complications

of cancer and its management. Oxford: Oxford University Press; 2010. p. 171-83.

Ramla S, Sharma V, Patel M. Influence of cancer treatment on the Candida albicans isolated from the oral

cavities of cancer patients. Support Care Cancer. 2016; 24(6): 2429-36. DOI: https://doi.org/10.1007/s00520-015-3035-8

Pappas PG, Kauffman CA, Andes DR, Clancy CJ, Marr KA, Ostrosky-Zeichner L et al. Clinical practice guideline for the management of candidiasis: 2016 update by the infectious diseases society of america. Clin Infect Dis. 2016; 62(4): e1-e50. DOI: https://doi.org/10.1093/cid/civ933

Elad S, Zadik Y, Hewson I, Hovan A, Correa ME, Logan R et al. A systematic review of viral infections associated with oral involvement in cancer patients: a spotlight on Herpesviridea. Support Care Cancer. 2010; 18(8): 993-1006. DOI: https://doi.org/10.1007/s00520-010-0900-3

Lerman MA, Laudenbach J, Marty FM, Baden LR, Treister NS. Management of oral infections in cancer patients. Dent Clin North Am. 2008; 52(1): 129-53. DOI: https://doi.org/10.1016/j.cden.2007.10.006

Thomson WM, Chalmers JM, Spencer AJ, Ketabi M. The occurrence of xerostomia and salivary gland hypofunction in a population-based sample of older South Australians. Spec Care Dentist. 1999; 19(1): 20-3

Dirix P, Nuyts S, Vander Poorten V, Delaere P, Bogaert W. The influence of xerostomia after radiotherapy on quality of life: results of a questionnaire in head and neck cancer. Support Care Cancer. 2008; 16(2): 171-9. DOI: https://doi.org/10.1007/s00520-007-0300-5

Vissink A, Mitchell JB, Baum BJ, Limesand KH, Jensen SB, Fox PC et al. Clinical management of salivary gland hypofunction and xerostomia in head-and-neck cancer patients: successes and barriers. Int J Radiat Oncol Biol Phys. 2010; 78(4): 983-91. DOI: https://dx.doi.org/10.1016%2Fj.ijrobp.2010.06.052

Davies A. Salivary gland dysfunction. In: Davies A, Epstein J, editors. Oral complications of cancer and its management. Oxford: Oxford University Press; 2010.

J Patricio UB, Felipe FC. Manejo actual de la xerostomía. Rev Otorrinolaringol Cir Cabeza Cuello. 2016; 76: 243-48

Ripamonti C, Fulfaro F. Taste disturbances. In: Davies A, Epstein J, editors. Oral complications of cancer and its management. Oxford: Oxford University Press; 2010.

Jensen SB, Mouridsen HT, Bergmann OJ, Reibel J, Brünner N, Nauntofte B. Oral mucosal lesions, microbial changes, and taste disturbances induced by adjuvant chemotherapy in breast cancer patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106(2): 217-26. DOI: https://doi.org/10.1016/j.tripleo.2008.04.003

Deng J, Jackson L, Epstein JB, Migliorati CA, Murphy BA. Dental demineralization and caries in patients with head and neck cancer. Oral Oncol. 2015; 51(9): 824-31. DOI: https://doi.org/10.1016/j.oraloncology.2015.06.009

McCaul LK. Oral and dental management for head and neck cancer patients treated by chemotherapy and radiotherapy. Dental Update. 2012; 39(2): 135-40. DOI: https://doi.org/10.12968/denu.2012.39.2.135

Lim H-S, Chung K-Y, Kim A-O, Kim M-R, Kim Y-S, Kang M-S et al. Cariogenic activity in saliva of Korean head and neck cancer patients. Int J Oral Biol. 2014; 39(2): 57-63. DOI: https://doi.org/10.11620/IJOB.2014.39.2.057

Gonçalves LMN, Palma-Dibb RG, Paula-Silva FWG, de Oliveira HF, Nelson-Filho P, da Silva LAB et al.

Radiation therapy alters microhardness and microstructure of enamel and dentin of permanent human teeth. J Dent. 2014; 42(8): 986-92. DOI: https://doi.org/10.1016/j.jdent.2014.05.011

Gupta N, Pal M, Rawat S, Grewal M, Garg H, Chauhan D et al. Radiation-induced dental caries, prevention and treatment - a systematic review. Natl J Maxillofac Surg. 2015; 6(2): 160-6. DOI: https://doi.org/10.4103/0975-5950.183870

Kielbassa AM, Hinkelbein W, Hellwig E, Meyer-Lückel H. Radiation-related damage to dentition. Lancet Oncol. 2006; 7(4): 326-35. DOI: https://doi.org/10.1016/S1470-2045(06)70658-1

Barclay SC, Turani D. Current practice in dental oncology in the UK. Dent Update. 2010; 37(8): 555-8. DOI: https://doi.org/10.12968/denu.2010.37.8.555

Edgar WM, Higham SM, Manning RH. Saliva stimulation and caries prevention. Adv Dent Res. 1994; 8(2): 239-45. DOI: https://doi.org/10.1177/08959374940080021701

McComb D, Erickson RL, Maxymiw WG, Wood RE. A clinical comparison of glass ionomer, resin-modified glass ionomer and resin composite restorations in the treatment of cervical caries in xerostomic head and neck radiation patients. Oper Dent. 2002; 27(5): 430-7

Ichimura K, Tanaka T. Trismus in patients with malignant tumours in the head and neck. J Laryngol Otol. 1993; 107(11): 1017-20. DOI: https://doi.org/10.1017/s0022215100125149

Thorn JJ, Hansen HS, Specht L, Bastholt L. Osteoradionecrosis of the jaws: clinical characteristics and

relation to the field of irradiation. J Oral Maxillofac Surg. 2000; 58(10): 1088-93. DOI: https://doi.org/10.1053/joms.2000.9562

Dijkstra P, Roodenburg J. Trismus. In: Davies A, Epstein J, editors. Oral complications of cancer and its management. Oxford: Oxford University Press; 2010. p. 99-116.

Buchbinder D, Currivan RB, Kaplan AJ, Urken ML. Mobilization regimens for the prevention of jaw hypomobility in the radiated patient: a comparison of three techniques. J Oral Maxillofac Surg.1993; 51(8): 863-7. DOI: https://doi.org/10.1016/s0278-2391(10)80104-1

Chronopoulos A, Zarra T, Ehrenfeld M, Otto S. Osteoradionecrosis of the jaws: definition, epidemiology, staging and clinical and radiological findings. A concise review. Int Dent J. 2018; 68(1): 22-30. DOI: https://doi.org/10.1111/idj.12318

Moon DH, Wang K, Marks LB, Chera BS, Moon SH, Weissler MC et al. Incidence of, and risk factors for, mandibular osteoradionecrosis in patients with oral cavity and oropharynx cancers. Oral Oncol. 2017: 72; 98-103. DOI: https://doi.org/10.1016/j.oraloncology.2017.07.014

Delanian S, Chatel C, Porcher R, Depondt J, Lefaix J-L. Complete restoration of refractory mandibular osteoradionecrosis by prolonged treatment with a pentoxifylline-tocopherol-clodronate combination (PENTOCLO): a phase II trial. Int J Radiat Oncol Biol Phys. 2011; 80(3): 832-9. DOI: https://doi.org/10.1016/j.ijrobp.2010.03.029

Schwartz HC, Kagan AR. Osteoradionecrosis of the mandible: scientific basis for clinical staging. Am J Clin Oncol. 2002; 25(2): 168-71.

Peterson DE, Doerr W, Hovan A, Pinto A, Saunders D, Elting LS, et al. Osteoradionecrosis in cancer patients: the evidence base for treatment- dependent frequency, current management strategies, and future studies. Support Care Cancer. 2010; 18(8): 1089-89. DOI: https://doi.org/10.1007/s00520-010-0898-6

Kuhnt T, Stang A, Wienke A, Vordermark D, Schweyen R, Hey J. Potential risk factors for jaw osteoradionecrosis after radiotherapy for head and neck cancer. Radiat Oncol. 2016; 11: 101. DOI: https://dx.doi.org/10.1186%2Fs13014-016-0679-6

Delanian S, Lefaix JL. Radionécrose de l’os mature: connaissance physiopathologique récente motrice d’une thérapeutique médicale innovante = mature bone necrosis: from recent pathophysiological aspect to a new therapeutic action. Cancer Radiother. 2002; 6(1): 1-9.

Szczepkowska A, Milner P, Janas A. Autofluorescence image of post-radiation maxillary bone osteonecrosis in a 64-year-old patient – case report. 2016; 10(1): 69-72. DOI: https://doi.org/10.5604/18982395.1208194

Jacobson AS, Buchbinder D, Hu K, Urken ML. Paradigm shifts in the management of osteoradionecrosis of the

mandible. Oral Oncol. 2010; 46(11): 795-801. DOI: https://doi.org/10.1016/j.oraloncology.2010.08.007

Chronopoulos A, Zarra T, Ehrenfeld M, Otto S. Osteoradionecrosis of the jaws: definition, epidemiology,

staging and clinical and radiological findings: a concise review. Int Dent J. 2018; 68(1): 22-30. DOI: https://doi.org/10.1111/idj.12318

Nadella KR, Kodali RM, Guttikonda LK, Jonnalagadda A. Osteoradionecrosis of the jaws: clinico-therapeutic management. A literature review and update. J Maxillofac Oral Surg. 2015; 14(4): 891-901. DOI: https://doi.org/10.1007/s12663-015-0762-9

Sulaiman F, Huryn J, Zlotolow I. Dental extractions in the irradiated head and neck patient: a retrospective analysis of memorial sloan-kettering cancer center protocols, criteria, and end results. J Oral Maxillofac Surg. 2003; 61(10): 1123-31. DOI: https://doi.org/10.1016/S0278-2391(03)00669-4

Lyons A, Osher J, Warner E, Kumar R, Brennan PA. Osteoradionecrosis—a review of current concepts in defining the extent of the disease and a new classification proposal. Br J Oral Maxillofac Surg. 2014; 52(5): 392-5. DOI: https://doi.org/10.1016/j.bjoms.2014.02.017

Schiødt M, Hermund NU. Management of oral disease prior to radiation therapy. Support Care Cancer. 2002; 10(1): 40-3.

Hancock PJ, Epstein JB, Sadler GR. Oral and dental management related to radiation therapy for head and neck cancer. J Can Dent Assoc. 2003; 69(9): 585-90

Vozza I, Caldarazzo V, Polimeni A, Ottolenghi L. Periodontal disease and cancer patients undergoing chemotherapy. Int Dent J. 2015; 65(1): 45-8. DOI: https://doi.org/10.1111/idj.12133

Bansal N, Jindal M, Gupta N, Shukla P. Clinical guidelines for periodontal management of idiopathic thrombocytopenic purpura: current considerations. Int J Oral Health Sci. 2017; 7(1): 30-4. DOI: https://doi.org/10.4103/ijohs.ijohs_7_17

Sandra Olivia K, Yuniarti S, Sri Lelyati CM. Gingival enlargement as oral manifestation in acute myeloid leukemia patient. Madj Persat Dokt Gigi Indones. 2017. 50(3); 154-9. DOI: http://dx.doi.org/10.20473/j.djmkg.v50.i3.p154-159

National Institute of Dental and Craniofacial Research, National Cancer Institute, National Institute of Nursing Research, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. Oral complications of cancer treatment: what the dental team can do. Bethesda: Dental Team; [2009].

Stevenson-Moore P, Saunders D, Epstein J. Pretreatment screening and management. In: Davies A, Epstein J, editors. Oral Complications of Cancer and its management. Oxford: Oxford University Press; 2010.

American Academy of Pediatric Dentistry. Guideline on dental management of pediatric patients receiving chemotherapy, hematopoietic cell transplantation, and/or radiation. Pediatr Dent. 2013; 35(5): e185-93.

Devi S, Singh N. Dental care during and after radiotherapy in head and neck cancer. Natl J Maxillofac Surg.

; 5(2): 117-25. DOI: https://dx.doi.org/10.4103%2F0975-5950.154812

Published
2019-05-15
How to Cite
Lopez Silva, C. P., Wei Ting, M. A., Sundaresan, P. D., & Borromeo, G. (2019). ORAL MANAGEMENT OF PATIENTS WITH CANCER. Revista Facultad De Odontología Universidad De Antioquia, 31(1-2). https://doi.org/10.17533/udea.rfo.v31n1-2a16