OM E6 - Oral Complications of H&N Cancer Treatment
It appears while chemo can lead to viral/bacterial/fungal infections, radiation therapy can only lead to fungal infections.
Got it.
ACUTE Complications of Radiation Therapy
Mucositis Hypogeusia/dysgeusia Xerostomia Fungal infections
Complications of chemotherapy
Mucositis, oral ulceration Anemia, thrombocytopenia, leukopenia Infection: viral, bacterial, fungal Neurotoxicity: secondary to medication Osteonecrosis of the jaw: secondary to osteolytic medications Xerostomia
It has been brought up multiple times but which oral manifestation is a common complication of radiation therapy.
Oral Mucositis
LATE Complications of Radiation Therapy
Osteoradionecrosis Dental caries Trismus Increased loss of periodontal attachment Nutritional deficiencies Fungal infections Chronic pain
Trismus
Result of contraction of the masticatory muscles and TMJ capsules Usually occurs 3-6 months after radiation therapy Prevalence of 5-45% Maximum opening can be reduced to 5-15 mm
Orofacial pain treatment options
Topical anesthetic Analgesic Anti-inflammatory Antimicrobial Anticonvulsant Anxiolytic Antidepressant Muscle Relaxant
Fluoride therapy
Trays: 0.4% stannous fluoride gel; 1.0-1.1% NaF gel to be used for 10 minutes nightly Brush with fluoride toothpaste: Prevident 5000 plus
MRONJ
medication related osteonecrosis of the jaw
Osteoradionecrosis
the destruction and death of bone tissue from radiation therapy
