Levi Lauren E, Lalla Rajesh V
Department of Dentistry, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1187, New York, NY 10029, USA.
Department of Oral Medicine, UConn Health, 263 Farmington Avenue, Farmington, CT 06030-1605, USA.
Dent Clin North Am. 2018 Jan;62(1):121-130. doi: 10.1016/j.cden.2017.08.009. Epub 2017 Oct 7.
Oral cancer therapy is associated with a multitude of head and neck sequelae that includes, but is not limited to, hyposalivation, increased risk for dental caries, osteoradionecrosis of the jaw, radiation fibrosis syndrome, mucositis, chemotherapy-induced neuropathy, dysgeusia, dysphagia, mucosal lesions, trismus, and infections. Preparing a comprehensive treatment plan for patients undergoing cancer therapy is essential to help minimize their risks for developing these oral and dental complications. In addition, dentists must take into account a patient's ongoing oncologic therapy for those patients who present to the dentist while concurrently receiving cancer treatment.
口腔癌治疗会引发多种头颈部后遗症，包括但不限于唾液分泌减少、龋齿风险增加、颌骨放射性骨坏死、放射性纤维化综合征、黏膜炎、化疗引起的神经病变、味觉障碍、吞咽困难、黏膜病变、牙关紧闭和感染。为接受癌症治疗的患者制定全面的治疗计划，对于帮助降低他们出现这些口腔和牙齿并发症的风险至关重要。此外，对于在接受癌症治疗期间前来就诊的患者，牙医必须考虑到其正在进行的肿瘤治疗情况。
