Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Support Care Cancer. 2014 Jul;22(7):1981-8. doi: 10.1007/s00520-014-2228-x. Epub 2014 Mar 28.
The identification of experienced and knowledgeable dental specialists to provide appropriate oral care for cancer patients, as well as the integration of this care within general oncology management, may be a challenge. This paper discusses the general and additional requirements for dental care providers to support the cancer patient and provide prevention and/or treatment for oral complications of cancer therapy.
We performed a literature review of specific issues regarding the oral cavity and adjacent structures in the cancer patient, including detection and early diagnosis of oral malignancy. We incorporated the systemic effects of cancer and its therapy that affect oral disease and treatment. We present a summary of how to seek expert dental care for cancer patients and for referral from the dental and medical community.
Due to the complexity conferred by the disease and its treatment, cancer patients require educated, experienced dentists for treatment and/or prevention of oral-related morbidity. Correct diagnosis and evidence-based prophylactic and therapeutic oral care can significantly improve patient quality of life and reduce morbidity and healthcare costs.
The knowledge and expertise of dental professionals regarding prevention/treatment of complications and secondary malignant lesions in cancer patients are critical. Integration of oral care with the oncology care and in survivors requires effective communication between dental and medical providers beginning ideally at diagnosis. These clinicians may be identified at the cancer center, nearby hospital dental programs, and, less commonly, in the community.
为癌症患者提供适当的口腔护理，需要经验丰富且知识渊博的牙科专家，将这种护理融入到肿瘤学的常规管理中，可能具有挑战性。本文讨论了牙科护理提供者的一般要求和额外要求，以支持癌症患者，并为癌症治疗的口腔并发症提供预防和/或治疗。
我们对癌症患者口腔及相邻结构的具体问题进行了文献回顾，包括口腔恶性肿瘤的检测和早期诊断。我们还纳入了癌症及其治疗对口腔疾病和治疗的全身影响。我们总结了如何为癌症患者寻求专业的牙科护理以及如何从牙科和医疗社区转介。
由于疾病及其治疗的复杂性，癌症患者需要接受过教育、经验丰富的牙医进行治疗和/或预防口腔相关疾病。正确的诊断和基于循证的预防性和治疗性口腔护理可以显著提高患者的生活质量，降低发病率和医疗保健成本。
牙科专业人员在预防/治疗癌症患者并发症和继发恶性病变方面的知识和专业技能至关重要。口腔护理与肿瘤学护理的整合以及癌症幸存者的护理需要牙科和医疗提供者之间进行有效的沟通，理想情况下应在诊断时开始。这些临床医生可能在癌症中心、附近医院的牙科计划中，以及在社区中较少见。
