SY17-2 - Approach of medical-dental cooperation in National Cancer Center Hospital

Abstract

Oral complications are common in patients receiving chemotherapy or undergoing radiation therapy of the head and neck. Oral complications during cancer treatment are directly linked to ingestion problems, and may even serve as a source of various infections such as aspiration pneumonia, thereby exacerbating systemic conditions, and sometimes preventing the completion of cancer treatment with negative effects on treatment prognoses. Oral health status of patients with cancer is associated with the incidence rate and the degree of severity of oral complications. Effective oral hygiene management before initiating cancer treatment will contribute to the reduction of oral complications such as mouth sores, oral mucositis, or dental infections, and provide important support to facilitate smooth cancer treatment. To prevent or reducing oral complications, we check complication during cancer treatment oral conditions of the patients, identify the patients at risk, start preventive measures before cancer therapy begins. Our routine activities for cancer patient is below: 1. Management of oral complications of high-dose chemotherapy and/or stem cell transplant before treatment begins 2. Prevention and treatment of oral complications during chemotherapy and/or radiation therapy 3. Perioperative dental management for the prevention of postoperative pneumonia with oral, pharynx and esophageal surgery 4. Making prostheses for restoration of postoperative facial defects 5. Prevention and treatment of medication-associated osteonecrosis of the jaw (MRONJ) 6. Cooperation business of a medical department and dentistry for the solution to dental problem of the cancer patient So that all cancer patients may receive dental support during cancer treatment, We started that coordinated approach with the Japan Dental Association. We report that medical-dental coordinated system between national cancer center hospital and Japan Dental Association.