Dear Members
20 years after treatment I had an extraction of my right molar tooth this month . A test confirmed that the nerves below the tooth were dead and and xray exposed a crack at the base of the tooth and was advised to have the tooth removed. My Dental Doctor next suggested to have me refer for further treatment.
For all head and neck survivors and patients the management or Oral hygiene is of paramount important because there are common oral problems occurring after radiotherapy and chemotherapy treatment . Some of these problems include : “mucositis (an inflammation of the mucous membranes in the mouth), infection, pain, and bleeding. Dehydration and malnutrition, commonly brought on by difficulties in swallowing (dysphagia). injuring the glands that produce saliva, or damage muscles and joints of the jaw and neck (trismus), reduction in blood vessels and blood supply of the bones of the mouth. In addition, treatments may affect other forms of dental disease (caries, or soft tissue complications), or even cause bone death
An internet article (revised) explained it succinctly :
“ … Radiation treatment for head and neck tumors can cause reduction in normal tissue blood flow and a variety of side effects. The mucous membranes of the mouth and salivary glands are especially sensitive. The damage to these tissues and glands can varies, depending on the amount and kind of radiation used (IMRT is usually least damaging compared to the conventional 3D conformal technique), the total dose, and the area irradiated. Damage caused by radiation therapy can be life long. It is of great importance that the patient's dentist is aware and educated in the issues regarding radiation therapy. The special dental considerations surrounding post-treatment care last forever. “
The last sentence that “ post treatment oral care last forever” is not something that all of us will like take lightly.
The coming talk “ Management of Oral Hygeine of Head and Neck Survivors “ is an important talk for all of us . And even though I have attended the talk many times, I have always learnt new points and for the new oral problems that I am experiencing that I would seek medical advice for the speaker. Dr Shawn Goh was invited again because from the feedback received most of those who have attended have benefited much. Sales Representatives from Oral 7 will be sharing about their various products and how they will be able to assist us in the management of oral hygiene problems.
The details of the talk at in the attachment above.
There will be survivors who will be sharing about their post cancer journey Please register with me early for the talk.
Peter Tang or npconeheart@gmail.com
