Cancer of The Mouth for the Dental Team
18. Dental management
Vinod JoshThe most important risk factors for oral complications of cancer therapy are pre-existent oral or dental disease and poor care after cancer therapy..
17. Osteonecrosis
Carlos MadridRadiotherapy (RT) in high doses involving the oral cavity, maxilla, mandible and salivary glands may result in several undesired reactions, of which osteoradionecrosis (ORN) is probably the worst. ORN...
16. Infections
Jukka H MeurmanOral cancer and its treatment can cause a variety of oral problems. Surgery and scarring may mutilate tissues – which can hamper function and cleaning the teeth. The patient may have complicated...
15. Salivary and taste complications
Stephen R PorterSaliva is essential to oral health. Low salivary flow (hyposalivation) causes lack of mucosal wetting, lubrication and defences, which affects many functions, and can predispose to infections..
14. Mucositis
Judith E Raber-DurlacherRT is most often administered in small fractions over several weeks and to a localized area. Radiation-induced mucositis is invariable within the radiated field of mucosa and typically begins at...
13. Pain
Pedro Diz DiosCancer pain may arise from tumour invasion (especially where nerves are infiltrated), ulceration and infection, and the effects of diagnostic or therapeutic procedures (surgery, RT or CTX). Cancer...
12. Radiotherapy and chemotherapy
Christopher M NuttingX-rays were the first form of photon radiation to be used to treat cancer. The higher the energy of the x-ray beam, the deeper x-rays penetrate the target. Radiotherapy (RT) is an extremely effective...
10. Surgical management of oral cancer
Nicholas KalavrezosSurgery was the original treatment developed for oral cancer. It is still widely carried out, in order to achieve more than one of the following goals..
9. Quality of life
Simon N RogersOral cancer and its management are associated with tremendous physical, emotional and psychosocial disruption, as discussed in Article 8. This affects patients' ‘quality of life’ (QoL) and impacts not...
8. Communicating about cancer
J Tim NewtonSeveral key skills underlie communication with all patients (Table 2)..
7. Staging and diagnostic clinical aids
Pedro Diz DiosConventional oral exploration (visual and palpation examination) constitutes the current gold standard for oral cancer screening, while biopsy and histopathological examination are indispensable for...
6. Co-morbidities
Isaäc van der WaalPatients with oral cancer may also be prone to co-morbidities, mainly:.
5. Clinical features and diagnosis of cancer
Jose BaganThe most common locations for mouth cancer are the lower lip (40%), and the tongueand the floor of the mouth (50%). The lip is involved more frequently in some geographic areas with sunny climes....