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Radiation and chemotherapy kill cancer cells but they can also kill normal cells, including those in the mouth. These treatments can cause sore, inflamed gums; bleeding; mouth ulcers; infections; and dry mouth due to damaged salivary glands. Long-term side effects that may occur or continue after cancer treatment include chronic dry mouth and rampant tooth decay, jaw stiffness, inability to heal, permanent jaw bone damage, and in children, growth and developmental abnormalities of the bones and teeth.
These conditions can be so bad that patients may only be able to tolerate lower, less effective doses of anticancer medications, may postpone treatments, or may stop treatment entirely. Oral side effects can also be the source of infections that can interfere with cancer treatment and even threaten survival.
But cancer patients, working with their health care providers, can do a lot to prevent these problems or to reduce their severity, if they occur.
NIDCR’s materials provide patients with the tools they need to take charge of their oral health care. They explain the importance of seeing a dentist to ensure a healthy mouth before cancer treatment begins and how to care for the mouth during and after radiation or chemotherapy to help prevent complications. Written in an easy-to-read style, the materials provide practical self-care tips on such problems as keeping the mouth moist, brushing and flossing when the mouth is sore, and avoiding foods that could cause injury and pain.
The campaign is being conducted in partnership with NIH’s National Cancer Institute and National Institute of Nursing Research, the Centers for Disease Control and Prevention, and the Friends of the NIDCR, a nonprofit organization that advocates for oral health research and education.—a report from the NIH Word on Health, October 1999.
For more information on oral complications of cancer treatment, please contact:
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