Dental Evaluation Prior to Cancer Therapy

Yong, Chee Weng; Robinson, Andrew; Hong, Cassandra

doi:10.3389/froh.2022.876941

Cited by 17 publications

(30 citation statements)

References 93 publications

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“…[ 13 ] There is no doubt that head and neck cancer patients must seek and receive dental care as soon as possible after the diagnosis, avoiding any potential delay in initiating cancer therapy and, then, increasing the survival rates. [ 14 ]…”

Section: Discussionmentioning

confidence: 99%

Is there an association between head and neck cancer diagnosis and self-reported dental fear? A dual-center cross-sectional study

Maeda,

Serrano,

Campos

et al. 2024

National Journal of Maxillofacial Surgery

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Introduction: Mental distress is highly reported in cancer patients, resulting in anxiety and depression most of the time. Both conditions, in turn, are recognized to be related to dental fear in adults; however, there are no studies on patients suffering from head and neck cancer. Thus, the present study aimed to investigate whether newly diagnosed patients with head and neck cancer are more prone to self-reported dental fear. Material and Methods: This dual-center cross-sectional study was conducted with 25 healthy outpatients and 25 patients with a recent diagnosis of head and neck cancer, all requiring dental care. The patients were informed at the first appointment about their dental therapy planning and the Brazilian Portuguese Version of the Dental Fear Survey (DFS) questionnaire was then applied after appropriate instructions. Results: The DFS total scores did not differ statistically between the groups (Mann–Whitney U test, P = 0,120) but the Cancer Group presented a slightly higher mean score (32.2 ± 10.0) than the Control Group (30.0 ± 14.2). Conclusion: Within the limitations of this study, newly diagnosed patients with head and neck cancer and healthy individuals seem to experience similar self-reported dental fear.

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Section: Discussionmentioning

confidence: 99%

Is there an association between head and neck cancer diagnosis and self-reported dental fear? A dual-center cross-sectional study

Maeda,

Serrano,

Campos

et al. 2024

National Journal of Maxillofacial Surgery

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“…Clinical decision making and treatment of oral foci varies, depending on the type of oral focus, cancer diagnosis, the nature of cancer treatment, and the risk of acute and long-term oral complications [11,13,30]. Previous research showed that 25.2% of oncology patients undergoing dental assessment when presenting with FN required dental treatment due to dental abscesses and/or periodontitis [44].…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, Gortzak et al [11] concluded that panoramic radiographs are essential for dental screening in medically compromised patients, and Choi et al [12] reported that a panoramic radiograph improved the efficacy of oral examination despite its insufficient accuracy for the diagnosis of dental caries, periodontal diseases, and other lesions. Recently, Yong et al [13] suggested that dental screening should include panoramic radiograph and bitewing radiographs in patients treated with high-dose myeloablative chemotherapy regimens and receiving radiotherapy involving the dentition. In contrast, guidelines applying to dental examination in general dental practice recommend that panoramic radiographs should not be routinely made, as intraoral radiographs are considered the optimal radiographic examination [14,15].…”

Section: Introductionmentioning

confidence: 99%

Pre-Chemotherapy Dental Screening: Is There Additional Diagnostic Value for a Panoramic Radiograph?

et al. 2023

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Background: The oral cavity is a potential source of infectious complications in patients treated with myelosuppressive chemotherapy (CT). Pre-chemotherapy oral examination to identify foci of infection is recommended, but it is unclear whether this should include panoramic radiography. The present study aimed to evaluate the additional diagnostic merit of panoramic radiography as part of pre-CT oral screening. Methods: Patients with solid tumors scheduled to receive a myelosuppressive CT were eligible. The foci definition followed the guidelines of the Dutch Association of Maxillofacial Surgery. Oral foci assessed by clinical evaluation and panoramic radiography were compared. Results: In 33 out of 93 patients (35.5%), one or more foci were identified by clinical examination, whereas in 49.5% of patients, panoramic radiography showed pathology. In 19 patients, an oral focus was missed by clinical examination only, whereas in 11 patients, panoramic radiography indicated periodontal bone loss, but advanced periodontitis was not substantiated by clinical examination. Conclusions: Panoramic radiographs complement clinical examinations and have additional diagnostic value. Nevertheless, the additional merit seems small, and the clinical relevance may vary depending on the anticipated risk of developing oral complications and the need for detailed diagnosis and rigorous elimination of oral foci prior to the start of cancer therapy.

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“…Maintaining good oral hygiene, regular dental evaluations, and appropriate dental interventions before and after treatment are essential. If the extraction of teeth cannot be salvaged, it is recommended that these extractions be carried out 10 to 21 days before the radiotherapy, ensuring the complete epithelization of the extraction sockets [ 77 ]. Furthermore, invasive or prophylactic dental procedures should be performed cautiously.…”

Section: Osteoradionecrosismentioning

confidence: 99%

Oral Complications from Oropharyngeal Cancer Therapy

Sankar,

2023

Cancers

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Post-oropharyngeal cancer treatment complications include a multitude of oral side effects that impact overall survival and quality of life. These include acute and chronic conditions affecting the oral cavity and head and neck, such as mucositis, infection, xerostomia, dysgeusia, radiation caries, osteonecrosis, and trismus. This review will summarize the most common oral complications from oropharyngeal cancer therapy. The authors would like to point out that the literature cited frequently combines oropharyngeal and head and neck cancer results. If recommendations are made strictly related to oropharyngeal cancers, this will be highlighted.

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Dental Evaluation Prior to Cancer Therapy

Cited by 17 publications

References 93 publications

Is there an association between head and neck cancer diagnosis and self-reported dental fear? A dual-center cross-sectional study

Is there an association between head and neck cancer diagnosis and self-reported dental fear? A dual-center cross-sectional study

Pre-Chemotherapy Dental Screening: Is There Additional Diagnostic Value for a Panoramic Radiograph?

Oral Complications from Oropharyngeal Cancer Therapy

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