Terezhalmy G T, Whitmyer C C, Markman M
Department of Dentistry, Cleveland Clinic Foundation, Ohio, USA.
Dent Clin North Am. 1996 Jul;40(3):709-26.
Clinicians, in general, must understand the causes, methods of prevention, management principles, and complications of cancer therapy. They must recognize that patients with cancer require multidisciplinary treatment and coordination of care. The oncologist who manages the patient's care must involve the oral health care provider before the initiation of chemotherapy. The oral health care provider must recognize that cancer chemotherapeutic agents are not selectively tumoricidal and may produce adverse effects by direct toxicity at the cellular level or indirectly, characterized by myeloimmunosuppression, and has the obligation to deliver quality care, competently and timely before, during, and after cancer chemotherapy.
一般来说，临床医生必须了解癌症治疗的病因、预防方法、管理原则及并发症。他们必须认识到癌症患者需要多学科治疗及护理协调。负责患者护理的肿瘤学家在开始化疗前必须让口腔保健提供者参与进来。口腔保健提供者必须认识到癌症化疗药物并非选择性地杀灭肿瘤细胞，可能通过细胞水平的直接毒性或间接产生不良反应，其特征为骨髓免疫抑制，并且有义务在癌症化疗前、化疗期间及化疗后胜任且及时地提供高质量护理。
