Article
Possible complications following treatment of oral cancer by surgery, radiotherapy (RT), or chemotherapy have been outlined in previous articles of this series. Several complications, like liability to osteoradionecrosis (ORN), hyposalivation, limited mouth opening, problems of chewing, swallowing, speech and appearance may significantly influence dental management strategy.
The National Institute for Health and Clinical Excellence (NICE) guideline ‘Improving Outcomes in Head and Neck Cancer’ recognizes that optimal management of these patients depends on multidisciplinary teams providing treatment, rehabilitation and support. Timely oral health care before, during and after cancer therapy can reduce complications and assist with improving the patient's quality of life. Useful guidance can also be found in Oral Health In Cancer Therapy; A Guide For Health Care Professionals, third edition, 2010, Texas Cancer Center. Editors, Rankin KV, Jones DL, available online at http://www.doep.org/images/OHCT_III_FINAL.pdf
The most important risk factors for oral complications of cancer therapy are pre-existent oral or dental disease and poor care after cancer therapy.
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