Cancer-related oral health care services and resources: a survey of oral and dental care in Canadian cancer centres.
OBJECTIVE
Prevention and management of oral complications of cancer and cancer therapy will improve oral function and quality of life, and reduce morbidity and the cost of care. Oral assessment, and oral and dental care have been strongly recommended before cancer therapy and should be continued during and after cancer therapy. The purpose of this survey was to assess the resources available for oral care in Canadian cancer centres.


METHODS
Provincial cancer centres were assessed by questionnaire to determine the resources available for oral care in these facilities.


RESULTS
Wide variability in oral and dental care of patients with cancer across Canada and a lack of documented standards of care were reported. Very few cancer centres had institutionally supported dental staff to support the oral care of patients with cancer, and few had dental treatment capability on site. The majority of centres managed oral care needs in the community with the patient's prior dentist.


CONCLUSIONS
We recommend that national guidelines be developed for medically necessary oral and dental care for patients with cancer.
Epstein
Joel B
JB
Department of Oral Medicine, and Diagnostic Sciences, College of Dentistry, University of Illinois, Chicago, Illinois 60612, USA. jepstein@uic.edu
Parker
Ira R
IR
Epstein
Matthew S
MS
Stevenson-Moore
Peter
P
D000970:Antineoplastic Agents / Q000009:adverse effects; D002170:Canada; D002173:Cancer Care Facilities / Q000706:statistics & numerical data*; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000188:drug therapy / Q000532:radiotherapy; D016371:Cranial Irradiation / Q000009:adverse effects; D003729:Dental Care / Q000706:statistics & numerical data*; D003731:Dental Caries / Q000209:etiology / Q000628:therapy; D006295:Health Resources / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D009059:Mouth Diseases / Q000209:etiology / Q000628:therapy; D009062:Mouth Neoplasms / Q000150:complications / Q000188:drug therapy / Q000532:radiotherapy; D011795:Surveys and Questionnaires
D000970:Antineoplastic Agents