Oral Health Management of Three Head and Neck Cancer Patients Performed by Dental Hygienists — Oak Academic Publishing
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Oral Health Management of Three Head and Neck Cancer Patients Performed by Dental Hygienists
Department of Pediatric Dentistry/Special Needs Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
,
Department of Basic Oral Health Engineering, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
,
Department of Dentistry, Tokyo Metropolitan Fuchu Medical Center for the Disabled, Tokyo, Japan
,
TI Dental Clinic, Tokyo, Japan
,
Division of General Dentistry 4, The Nippon Dental University Hospital, Tokyo, Japan
,
Department of Oral Health Sciences, School of Health Sciences, Meikai University, Chiba, Japan
,
Tokyo Medical and Dental University (TMDU), Tokyo, Japan
1 Department of Pediatric Dentistry/Special Needs Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
2 Department of Basic Oral Health Engineering, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
3 Department of Dentistry, Tokyo Metropolitan Fuchu Medical Center for the Disabled, Tokyo, Japan
4 TI Dental Clinic, Tokyo, Japan
5 Division of General Dentistry 4, The Nippon Dental University Hospital, Tokyo, Japan
6 Department of Oral Health Sciences, School of Health Sciences, Meikai University, Chiba, Japan
7 Tokyo Medical and Dental University (TMDU), Tokyo, Japan
Introduction: Oral health management is often difficult in patients after surgical tumor resection and/or radiotherapy due to defects, bulky flaps, limitation of tongue movement, and trismus. In addition, patients who have undergone radiotherapy have serious disabilities such as oral mucositis, mucosal weakening, soft tissue fibrosis, salivary gland disorder, and osteoradionecrosis. Dental hygienists must understand the characteristics of patients after surgical tumor resection and/or radiotherapy. In this report, the oral health management of three patients after maxillectomy, mandibulectomy, and radiotherapy was shown. Case Description: Case 1: A 53-year-old male patient visited our clinic after chemotherapy, radiotherapy, and partial maxillectomy for cancer of the right maxillary gingiva. Case 2: A 65-year-old male patient visited our clinic after radiotherapy for a right-sided tongue cancer, partial mandibulectomy of the right tongue to the oropharynx, a right-sided segmental mandibulectomy and a speech aid and a mandibular prosthesis were provided. Case 3: A 36-year-old female visited our clinic for radiotherapy for left-sided tongue cancer. Dental hygienists provided oral health management to the patients. In oral health management, it was suggested that intervention before cancer treatment, oral hygiene instructions tailored to patients’ symptoms, and frequent professional care are important. Conclusion: Oral health management by dental hygienists is extremely important for patients undergoing maxillofacial cancer treatment to maintain their quality of life in the long term.
KeywordsHead and Neck CancerDental HygienistOral Health ManagementMaxillectomyMandibulectomyInterstitial Radiotherapy
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