Everyone knows that in the treatment of cancer, radiation and chemotherapy can cause side effects that range from annoying to debilitating. But did you know that many of the side effects target teeth and gums and that a dentist can be a valuable partner in cancer treatment? An article in the January/February 2002 issue of Coping With Cancer details some very helpful self-care strategies that many people undergoing cancer treatment are unaware of but that can help keep the mouth healthy during treatment. First, though, what can a dentist do? If seen at least two weeks before the first treatment, he or she can assess your dental health and take steps to improve it, if necessary, according to the article. "Side effects often happen because a person's mouth is not healthy before treatment."

Here are some coping strategies:

* Work with your pharmacist to find products that keep your mouth moist (such as a moisturizing gel), that ease the pain of ulcers and other oral irritations, and that work to restore the natural antibacterial action of your saliva.

* Keep your mouth hydrated by sucking on ice and drinking lots of water.

* Clean your entire oral cavity-teeth, gums and tongue-and use an extra-soft toothbrush (the bristles first soaked in warm water if brushing is painful).

* Floss daily, but avoid areas that are bleeding or sore.

* Talk to your dentist about any dentures you wear that don't fit well-they can irritate the gums and cause further discomfort during cancer treatment-and about special fluoride gel that can help prevent dental problems.

* Avoid mouthwashes containing alcohol.

* Avoid foods that can further irritate your mouth: crunchy foods such as chips; hot, spicy foods and foods high in citric acid; and sugary foods that may cause cavities.

Copyright People's Medical Society Jun 2002
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