Let us Keep the Smile of Oral Health!
Oral Supportive Oncology and Oral Oncology is an important part of supportive oncology. Oral Oncologist is a Stomatologist, who is experienced in the management of the oral problems in cancer patients.
New medications of classical chemotherapy, modern chemotherapy schemes and combination of drugs, biological, targeted therapies, antiresorptive agents, which maintain bone intergity or prevent bone disease and skeletal related events, and new techniques in radiation oncology have contributed to a tremendous progress in the management of cancer.
However, all the above medications and treatment modalities may adversely affect the oral cavity. Oral complications, which may develop in relation to cancer therapies include painful ulcers, gingival bleeding, infections of the jaw bones and teeth, fungal, herpetic and bacterial infections, osteonecrosis of the jaw, xerostomia, dental caries, difficulty in food intake, speach, sleep, loss of weight, and other less common complications.
Oral complications and Oral Oncology
Painful ulcers may develop during chemotherapy or head and neck radiotherapy and the condition is called «mucositis». Mucositis is managed according to certain guidelines, although no specific treatment is available. A special type of stomatitis may develop in association with targeted therapy, the mTOR inhibitors.
Gingival bleeding may be seen is relation to reduced numbers of platelets or when the patient receives angiogenesis inhibitors. An important, but uncommon complication in patients who receive antiresorptive agents or angiogenesis inhibitors is osteonecrosis of the jaw.
Severe oral complications may lead to cancer therapy interruptions, which may adversely affect the success of treatment.
The support and management of the oral complications by the Oral Oncologist during cancer therapy will prevent or lead to the early diagnosis of those problems in order to minimize their severity, will maintain the oral health related quality of life and will prevent cancer therapy interruptions. Oral Oncologist can diagnose early the development of fungal infection or herpes which may complicate oral mucositis.
Oral Oncologist can also assess the risk factors for the development of the osteonecrosis of the jaw and will recognize the lesion in early stages. It is well known that the early stages of osteonecrosis of the jaw can be successfully treated.
In conclusion, oral care and management of oral complications during cancer therapy by the Oral Oncologist can keep the smile of oral health and help the patient maintain his quality of life.
Contact us or book an appointment
If you are an oncology patient, please contact us or book an appointment for a stomatological examination.
See more about our oral oncology services from our oral oncology clinic.