Beruflich Dokumente
Kultur Dokumente
Treatment
Surgery Chemotherapy
Hematopoietic Cell Transplantation
Radiation Therapy
Surgery
Most common form
Oldest form
Indications
Small/large tumors Pain relief
Chemotherapy
Destroys cells
Cells do not replenish
Mucous Membrane
acts as barrier for mouth
Before Chemotherapy
Thorough Exam
X-rays Perio Evaluation Oral exam
Radiation
Ionizing Radiation Impacts cells ability Can result in
Acute short term and chronic long term effects
Patient Education
Water
Fluoride Biotene Sugarless gum/mints
Mucositis/Stomatitis
Causes
Pain Nutrional Problems Infection
Patient Education
No Smoking/Alcohol Ultra soft toothbrush Baking soda mouth rinse
Mucositis
Candidiasis
Treatmenbt
Nystatin
Treatment
Acyclovir
Thrombocytopenia
Low Number of Platelets 150,000-450,000 platelets per microliter of blood (Normal) Treatment
Medication Blood or platelet transfusions
Xerstomia
Taste Buds
Treatment
Smaller bites of food More frequent sips of water Softer foods such as mashed potatoes
Nutritional Counseling
Increase fluid intake Food high in protein Avoid spicy foods Let food cool to room temperature Moisten food if difficulty swallowing
Dont Eat
Tomatoes Citrus fruits/juices Salty foods Raw fruits/veggies Caffeine drinks Chocolate Vinegar Pickles Dry foods
To help prevent serious problems you should see your dentist how many weeks prior to chemotherapy?
A. 1 month B. 1 week C. 2 Weeks D. 3-4 days
2 Weeks!
Out of the following what TWO foods can the patient eat?
A. Chocolate B. Bananas C. Ice Cream D. Tomatoes
Osteoradionecrosis
Erythroplakia
Points to Remember
Dental Exam scheduled one month prior to chemotherapy or head/neck radiation. Dental appointment scheduled 2 weeks prior to treatment Do not lecture the patient on oral care the patient already has a lot on their mind.
Work Cited
"What Is Chemotherapy? (part 1 of 2) | HealthiNation." YouTube. YouTube, 21 July 2011. Web. 20 June 2013. DentalCare." DentalCare. N.p., n.d. Web. 20 June 2013. N.p., n.d. Web.
Wilkins, Esther M. Clinical Practice of the Dental Hygienist. Philadelphia: Lippincott Williams & Wilkins, 1999. Print. Mayo Clinic. Mayo Foundation for Medical Education and Research, n.d. Web. 20 June 2013.