Within the most current concepts of health, it is of fundamental
importance to consider the patient in a holistic manner. A multidisciplinary
team should form the oncology group, especially in the hospital setting. The
role of a dentist on this team is to diagnose, prevent and minimize the
immediate effects of chemotherapy and/or radiotherapy as well as identify the
effects of treatment to improve the quality of life of patients.
The objective of the protocol is to establish a standard for the
care of patients with cancer. Emphasize the importance of oral health, in
support for outcomes associated with oral care health, the knowledge of oral
health for effectiveness in continuing the therapeutic treatment of cancer and
awareness of effects acute and late in the mouth from cancer therapy:
prevention of local and systemic infections, control pain, maintain oral
functions, reduce side effects and improve the quality of life of patients.
Hematopoietic Stem Cell Transplantation (HSCT) is a procedure
that requires conditioning to high doses of chemotherapy and/or radiotherapy.
Dental treatment prior of HSCT is important. The oral mucosa and teeth should
be examined using panoramic radiography to document oral status prior to HSCT.
Moreover, such patients need to develop a specific oral hygiene regimen, the
instructions for which should be clear and concise. Motivation and
understanding with regard to oral care can have a considerable impact during
HSCT. Bacterial plaque should also be evaluated, as this is a key factor to the
development of gingival and periodontal disease and can contribute to acute
infection as well as systemic disorders.
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