Effect of Malignant Disease and Treatments on Oral Structures

From Volume 36, Issue 10, December 2009 | Pages 594-603

Authors

Robin A Seymour

BDS, FDS RCS, FDS RCS(Edin), PhD, FHKAMS

Dean of Dentistry and Professor of Restorative Dentistry, School of Dental Sciences, Newcastle University, Framlington Place, Newcastle upon Tyne, NE2 4BW, UK

Articles by Robin A Seymour

Graham Walton

BDS, FDS, RCS(Eng), MB, BS, Dip Con Sed

Associate Specialist in Restorative Dentistry, Department of Restorative Dentistry, The Dental Hospital, Richardson Road, Newcastle upon Tyne NE2 4AZ, UK

Articles by Graham Walton

Abstract

There has been an increase in the diagnosis and treatment options for malignant diseases. In this article we provide an overview of the impact of the treatments of malignant diseases on the oral structures. Whilst some of the complications, such as oral mucositis and oral infection, are of short duration and respond once chemotherapy has been completed, other treatments have a prolonged effect. Of particular concern is the effect of bisphosphonates on bone turnover and the risk of osteonecrosis on the jaw and hormones affecting the periodontal tissues. These unwanted effects all impact upon the quality of life of many patients diagnosed with malignant disease.

Article