Chapter title |
Oral and Dental Health in Head and Neck Cancer Patients
|
---|---|
Chapter number | 4 |
Book title |
Multidisciplinary Care of the Head and Neck Cancer Patient
|
Published in |
Cancer treatment and research, January 2018
|
DOI | 10.1007/978-3-319-65421-8_4 |
Pubmed ID | |
Book ISBNs |
978-3-31-965420-1, 978-3-31-965421-8
|
Authors |
Joel B. Epstein, Andrei Barasch |
Abstract |
A diagnosis of head and neck cancer (HNC) is typically followed by therapy that is associated with immediate and long-lasting toxic consequences. HNC patients' oral health needs may be complex and are best addressed in multidisciplinary collaborative teams including surgical, medical, and radiation oncologists, dental providers, nutrition, speech/swallow specialists, and physical therapists. Oral health maintenance also requires patient compliance and caregiver support. The role of dental providers begins prior to cancer diagnosis and continues through survivorship. This includes oral screening and health maintenance, management of common oral complications such as mucositis, pain, infection, salivary dysfunction, altered taste, and dental decay, as well as complex issues that include soft tissue fibrosis, osteoradionecrosis of the jaw, dysphagia, and recurrent/new primary malignancies. As the number of potential therapeutic interventions for HNC increase, so do the spectrum of side effects affecting the oral cavity, oropharynx, and dentition. Specific approaches to oral care must be tailored to the idiosyncrasies of the patient and his/her therapy and condition. Oral and dental care is impacted by the patient's oral and dental status prior to cancer therapy, as well as the specific cancer type, location, stage, and its treatment and potential comorbid conditions. Communication between the dental professional and the oncology team is required for appropriate therapy and is best accomplished by integrated healthcare teams. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 93 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 15 | 16% |
Student > Master | 11 | 12% |
Other | 5 | 5% |
Student > Doctoral Student | 5 | 5% |
Librarian | 4 | 4% |
Other | 18 | 19% |
Unknown | 35 | 38% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 37 | 40% |
Biochemistry, Genetics and Molecular Biology | 4 | 4% |
Nursing and Health Professions | 3 | 3% |
Computer Science | 2 | 2% |
Agricultural and Biological Sciences | 2 | 2% |
Other | 6 | 6% |
Unknown | 39 | 42% |