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口腔肿瘤学在癌症治疗中的作用:综合治疗、教育及多学科协作的关键组成部分——一篇叙述性综述

The Role of Dental Oncology in Cancer Care: a Critical Component of Comprehensive Treatment, Education, and Interdisciplinary Collaboration- a Narrative Review.

作者信息

Kamel Amany Hany Mohamed, AlKindi Fatma, AlHarrasi Rawan, AlKindi Nadiya

机构信息

Dental Unit, Medical Specialties Department, Sultan Qaboos Comprehensive Cancer Care and Research Center, University Medical City, Muscat, Oman.

Faculty of Dentistry, Cairo University, Cairo, Egypt.

出版信息

J Cancer Educ. 2025 Apr 30. doi: 10.1007/s13187-025-02639-6.

Abstract

Dental oncology, a vital branch of special care dentistry, addresses the oral health needs of patients undergoing cancer treatment. This narrative review explores the critical role of dentists specializing in cancer care, known as "onco-dentists," in managing the unique oral complications caused by cancer therapies, including chemotherapy, radiation therapy, and surgery. These treatments often lead to a range of oral health issues, such as mucositis, xerostomia, dental caries, periodontal disease, and trismus, significantly impacting a patient's quality of life and potentially disrupting cancer care. By providing tailored preventive and therapeutic interventions, onco-dentists enhance treatment outcomes and improve overall patient well-being. Furthermore, their collaboration with oncologists and other healthcare professionals promotes integrated care plans that address both cancer treatment and oral health management, emphasizing the importance of a holistic approach to patient care. This review aims to highlight the multifaceted role of onco-dentists, the significance of interdisciplinary collaboration, and the necessity of proactive oral health management in comprehensive cancer care. Moreover, the review underscores the importance of education at multiple levels-integrating dental oncology into medical and dental curricula, raising public awareness, and providing patient education to empower individuals in managing their oral health during cancer treatment.

摘要

口腔肿瘤学是专科口腔医学的一个重要分支,致力于满足癌症治疗患者的口腔健康需求。本叙述性综述探讨了专注于癌症护理的牙医,即“肿瘤牙医”,在处理由癌症治疗(包括化疗、放疗和手术)引起的独特口腔并发症方面的关键作用。这些治疗常常导致一系列口腔健康问题,如黏膜炎、口干症、龋齿、牙周疾病和牙关紧闭,严重影响患者的生活质量,并可能干扰癌症治疗。通过提供量身定制的预防和治疗干预措施,肿瘤牙医可提高治疗效果并改善患者的整体健康状况。此外,他们与肿瘤学家及其他医疗保健专业人员的合作促进了综合护理计划的制定,该计划兼顾癌症治疗和口腔健康管理,强调了全面护理患者的整体方法的重要性。本综述旨在强调肿瘤牙医的多方面作用、跨学科合作的重要性以及在综合癌症护理中积极进行口腔健康管理的必要性。此外,该综述强调了多层次教育的重要性——将口腔肿瘤学纳入医学和牙科课程、提高公众意识以及开展患者教育,以使个人在癌症治疗期间能够自主管理口腔健康。

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