HJAR Nov/Dec 2020

46 NOV / DEC 2020 I  HEALTHCARE JOURNAL OF ARKANSAS ORAL HEALTH REFERENCES 1 Stanko P, Izakovicova Holla L. Bidirectional asso- ciation between diabetes mellitus and inflammatory periodontal disease. A review. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub.2014;158(1):35-8. doi: 10.5507/bp.2014.005. Epub 2014 Jan 27. PMID: 24509898.: 2 Li X, Kolltveit KM, Tronstad L, Olsen I. Systemic dis- eases caused by oral infection. Clin Microbiol Rev. 2000 Oct;13(4):547-58. doi: 10.1128/cmr.13.4.547- 558.2000. PMID: 11023956; PMCID: PMC88948. 3 Arigbede, A. O., Babatope, B. O., & Bamidele, M. K. (2012). Periodontitis and systemic diseas- es: A literature review. Journal of Indian Society of Periodontology, 16(4), 487–491. https://doi. org/10.4103/0972-124X.106878. 4 PDQ Supportive and Palliative Care Editorial Board. Oral Complications of Chemotherapy and Head/Neck Radiation (PDQ®): Health Professional Version. 2016 Dec 16. In: PDQCancer Information Summaries [Inter- net]. Bethesda (MD): National Cancer Institute (US); 2002–. PMID: 26389320. 5 Barrett, R. (2020, Apr 11). Dental clearance of cancer patients - a preventive step in oncol- ogy therapy. Elsevier. https://doi.org/10.1016/j. oraloncology.2020.104677 6 Lowal KA,Alaizari NA,Tarakji B,PetroW,Hussain KA, Altamimi MA. Dental Considerations For Leukemic Pediatric Patients: An Updated Review For General Dental Practitioner.Mater Sociomed.2015;27(5):359- 362. doi:10.5455/msm.2015.27.359-362 7 PoulopoulosA,Papadopoulos P,Andreadis D.Chemo- therapy: oral side effects and dental interventions -a re- view of the literature.Stomatological Dis Sci 2017;1:35- 49. http://dx.doi.org/10.20517/2573-0002.2017.03 8 LustbergM.B.(2012).Management of neutropenia in cancer patients.Clinical advances in hematology & oncology: H&O, 10(12), 825–826. 9 Devi S, Singh N. Dental care during and after radio- therapy in head and neck cancer.NatlJMaxillofac Surg. 2014;5(2):117-125. doi:10.4103/0975-5950.154812. 10 Kalra S, Jain V. Dental complications and manage- ment of patients on bisphosphonate therapy: A re- view article.J Oral Biol Craniofac Res.2013;3(1):25-30. doi:10.1016/j.jobcr.2012.11.001 11 Omolehinwa TT, Akintoye SO. Chemical and Radi- ation-Associated Jaw Lesions. Dent Clin North Am. 2016;60(1):265-277.doi:10.1016/j.cden.2015.08.009. 12 Orphanidou, C., Biggs, K.,Johnston, M. E.,Wright,J. R., Bowman,A., Hotte, S.J., Esau,A., Myers, C., Blunt, V.,Lafleur,M.,Sheehan,B.,&Griffin,M.A.(2011).Pro- phylactic feeding tubes for patients with locally ad- vanced head-and-neck cancer undergoing combined chemotherapy and radiotherapy-systematic review and recommendations for clinical practice. Current oncology (Toronto, Ont.), 18(4), e191–e201. https:// doi.org/10.3747/co.v18i4.749 13 Dholam, K. P., Somani, P. P., Prabhu, S. D., & Am- bre, S. R. (2013). Effectiveness of fluoride varnish application as cariostatic and desensitizing agent in irradiated head and neck cancer patients. Interna- tional journal of dentistry, 2013, 824982. https://doi. org/10.1155/2013/824982 14 Vigneswaran N,Williams MD. Epidemiologic trends in head and neck cancer and aids in diagnosis. Oral Maxillofac Surg Clin North Am. 2014;26(2):123-141. doi:10.1016/j.coms.2014.01.001 15 Northridge ME, Yu C, Chakraborty B, et al. A com- munity-based oral public health approach to pro- mote health equity. Am J Public Health. 2015;105 Suppl 3(Suppl 3):S459-S465. doi:10.2105/ AJPH.2015.302562 16 Prasad M, Manjunath C, Murthy AK, Sampath A, Jaiswal S,MohapatraA. Integration of oral health into primary health care:Asystematic review.J FamilyMed Prim Care. 2019;8(6):1838-1845. doi:10.4103/jfmpc. jfmpc_286_19 17 Gambhir RS. Primary care in dentistry - an un- tapped potential. J Family Med Prim Care. 2015 Jan- Mar;4(1):13-8.doi: 10.4103/2249-4863.152239.PMID: 25810982; PMCID: PMC4366984. protects against infections that can lead to six types of cancer including oropharyngeal cancer. 14 It is recommended for pre-teens but can also be given through the mid-20s. Medical-dental integration is evident in all areas of care for patients. This collaboration should take root in education, academics and clinical practice, which affect public health communities in general. 15 Historical barriers, such as separate medical and dental educa- tion tracks, have resulted in a disconnect re- lating oral health association to overall health. Primary healthcare approach contains three elements according to the World Health Or- ganization. 16 These include meeting people’s health needs throughout their lives, address- ing determinants of health through policy and action and empowering people to take charge of their own health. 17 This approach fits both the medical and dental professions, as it does with so many other healthcare professions. All healthcare providers must treat in the best interest of the patient. This series of ar- ticles cites multiple rationales and makes compelling justifications for the medical and dental professions to work collaboratively. This treatment mode of working together in collaboration increases access to care, aligns health equity, treats preventively and pro- motes a patient-centered care model, which results in healthier lives. n endure treatment and receive nourishment. 12 There are many dental recommendations and treatment options before, during, and af- ter patients undergo these life-saving thera- pies. First and foremost is to obtain good oral health status by seeking dental treatment be- fore any of these therapies begin. Ridding the mouth of any disease or potential infection is essential. Fluoride trays should be used for orofacial cancers, especially for patients receiving radiation therapy. 13 During treat- ment, good oral hygiene must be maintained, and making the patient comfortable is key. Mucositis is very painful and managed with various rinses andmouthwashes that contain anesthetics. Artificial saliva products help in mastication and swallowing food. Saliva provides moisture for the dry intraoral tis- sues and aids in preventing irritation, which can lead to infection. Applying topical oral ointments, observing a soft diet, and avoiding use of alcohol or tobacco products should be strictly followed. After treatment, topical fluorides, fluoride rinses and many widely available oral aids are used to ease discom- fort. 13 Follow-up dental care, including any reconstruction due to surgery or complica- tion of therapies, can be done after healing is complete. The good news is that treatment advances have prolonged the lives of thousands. Apar- ticularly exciting one is the HPV vaccine. It “ Organ transplants, osteoporosis, cardiac surgery and multiple types of cancer therapies necessitate a positive dental clearance letter. ”