At the time of a cancer diagnosis, the patient and family are overwhelmed with information, treatment options and decisions that must be made with all due speed. Coupled with the emotional impact of a cancer diagnosis, these factors converge to create one of the most difficult physical and emotional periods of life. Coordination by a comprehensive oncology “team” can significantly reduce the emotional toll and contribute to successful treatment outcomes. Pre-treatment oral assessment and supportive oral care during and after cancer therapy can increase quality of life and decrease higher treatment and supportive care costs.
Cancer treatment is no longer exclusively delivered in large cancer centers staffed by a multidisciplinary team. Furthermore, therapeutic modalities are no longer considered in isolation, nor are the oral complications. Clinicians across the spectrum of healthcare in the community must by necessity become the patient’s treatment team. Compromised oral health prior to, during and following cancer therapy dramatically affects treatment outcomes and quality of life. The intent of this monograph is to provide the most current, practical clinical information and guidance to the practitioner to assist in providing patients and their families with appropriate services and advice prior to, during and following cancer therapy. The clinical orientation is evidenced by the organization of sections by treatment modality and the stage of cancer therapy (pre-therapy, during therapy and post-therapy).