Stomatological complications and comprehensive oral care of post-menopausal patients undergoing breast cancer treatment

Nandakishore Ghoshal, Susanchita Singh
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Abstract

Breast cancer is one of the widespread diseases all over the world. Breast cancer is the leading variant of cancer among females. Oral diseases are potentially thought to be relevant to systemic disease. Surgical approaches lumpectomy, partial mastectomy along with post surgical radiotherapy (RT) or chemotherapy (CT) is the mainstream gold standard treatment of breast cancer. But unfortunately RT/CT comes with some unavoidable stomatological complications especially in post menopausal age. There are many studies found some definite oral complications during the treatment periods of breast cancer therapy like sore mouth, mucositis, salivary gland dysfunctions, dysguesia, dysesthesia, cervical caries, periodontitis, alveolar bone loss, opportunistic infections, and osteoradionecrosis etc. Obtained from present knowledge available, different oral complications are discussed like proper oral hygiene (both professional and domiciliary), pretreatment prophylaxis, appropria te diet, periodontal check up, fluoride varnish, salivary substitutes which minimize the chance to develop complications. Certain measures are to be taken at pretreatment and post treatment sessions in order to prevent possible complications. We will try to discuss the possible oral complications and way outs in the article.
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接受乳腺癌治疗的绝经后患者的口腔并发症和综合口腔护理
乳腺癌是全世界普遍存在的疾病之一。乳腺癌是女性癌症的主要变种。口腔疾病可能被认为与全身性疾病有关。手术方法包括肿块切除术、乳房部分切除术以及术后放疗(RT)或化疗(CT),这是乳腺癌的主流金标准治疗方法。但遗憾的是,RT/CT 会带来一些不可避免的口腔并发症,尤其是在绝经后年龄段。许多研究发现,在乳腺癌治疗期间会出现一些明确的口腔并发症,如口腔溃疡、粘膜炎、唾液腺功能障碍、咽痛、疼痛、宫颈龋、牙周炎、牙槽骨缺损、机会性感染和骨坏死等。根据现有的知识,讨论了不同的口腔并发症,如正确的口腔卫生(专业和家庭)、治疗前预防、适当的饮食、牙周检查、氟化物清漆、唾液替代品等,这些都能最大限度地减少并发症的发生。在治疗前和治疗后都要采取一些措施,以预防可能出现的并发症。我们将在本文中讨论可能出现的口腔并发症和解决方法。
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