title: The dentist's role within the multi-disciplinary team maintaining quality of life for oral cancer patients in light of recent advances in radiotherapy.
abstract: Every year in Ireland over 400 people are diagnosed with head and neck cancer. Oral cancer, a specific type of head and neck cancer, is usually treated with surgery and often requires radiotherapy (RT). However, side effects of RT treatment, which include mucositis, xerostomia, radiation caries, trismus and osteoradionecrosis, can seriously compromise a patient's quality of life. Treatment for oral cancer patients is managed in a multidisciplinary team. General dental practitioners (GDPs), consultant/specialist dentists and oral-maxillofacial surgeons play an important role in these patients' care. Recent advances in the delivery of RT have not only improved locoregional control and survival rates, but have also reduced the incidence and severity of RT-associated side effects; however, no mode of RT delivery has successfully eliminated side effects. The role of dentists is essential in maintaining oral health and all patients should be dentally screened prior to commencing RT. Recent reports have attempted to standardise the quality of care for the oral cancer patient and have highlighted the significance of the role of the GDP. Despite the advancements in RT delivery, the dental team is still faced with a number of challenges, including the high number of patients lost to follow-up dental care, lack of an effective treatment for xerostomia, poor patient compliance, and a lack of standardised guidelines and funding. Addressing these challenges will involve increased communication between all members of the multidisciplinary team and increased involvement of the GDP, thereby ensuring that dental care continues to evolve concurrently with new methods of RT delivery.
authors.affiliation: Dublin Dental University Hospital, Lincoln Place, Dublin 2.
authors.forename: Sarah
authors.initials: S
authors.lastname: Brody
authors.forename: Osama
authors.initials: O
authors.lastname: Omer
authors.forename: Jacinta
authors.initials: J
authors.lastname: McLoughlin
authors.forename: Leo
authors.initials: L
authors.lastname: Stassen
mesh_terms: D003729:Dental Care / Q000379:methods*; D006801:Humans; D033183:Interdisciplinary Communication; D009062:Mouth Neoplasms / Q000150:complications* / Q000532:radiotherapy; D010339:Pathology, Oral / Q000379:methods; D011788:Quality of Life; D018787:Radiation Oncology / Q000379:methods; D011878:Radiotherapy / Q000009:adverse effects* / Q000639:trends; D013280:Stomatitis / Q000628:therapy; D013515:Surgery, Oral / Q000379:methods*; D014987:Xerostomia / Q000628:therapy