Presentation
Also, the Mucositis Study Group will announce its 2020 awards for outstanding research presentations. [mascc.org]
Around 40% of all chemotherapy patients present side effect in the mouth; this number reaches 90% in children under 12 years of age. [scielo.br]
Oral care, including removal of dentures if present and frequent mouth rinses (with water or a solution made by dissolving a teaspoon of baking soda in 4 ounces of water) may also be helpful. [jamanetwork.com]
OM presents a significant burden because symptoms are often of such a severity that they can require an interruption, or may lead to dose reduction of cancer therapy. [healthengine.com.au]
The objective of this study was to present a review on this condition, its causes and its treatment to professional clinical dentists, in order to help minimize patient suffering. [spandidos-publications.com]
Workup
[…] oral mucositis are the following: World Health Organization (WHO) Oral Toxicity Scale: Combines both objective and functional elements into a single score National Cancer Institute Common Toxicity Criteria (NCI CTC): Scores functional elements only See Workup [emedicine.medscape.com]
Treatment
Meanwhile, receiving treatment for mucositis can delay cancer treatments or cause additional side effects. Many cancer treatments affect the immune system, which is the body’s defense against infections. [medicalnewstoday.com]
“Most importantly, [patients] will not have to discontinue treatment,” Arany said. “People discontinue treatment because they can’t handle the oral mucositis. They are not eating well. Their overall immunity is down. [oncnursingnews.com]
These were evaluated in patients with different types of cancer, undergoing different types of cancer treatment. Benefits may be restricted to the disease and treatment combinations evaluated. [cochrane.org]
Here are some ways you can care for your mouth before, during, and after treatment: Visit your dentist before treatment. [cancercare.org]
Disruption of treatment: If mucositis becomes severe, your treatment(s) may have to be stopped for a while or the dosages of your treatment(s) may need to be adjusted. Quality of life: Oral mucositis can severely reduce your quality of life. [headandneck.org]
Prognosis
It is currently unknown whether photobiomodulation therapy directly targeted at the site of a malignant lesion has a negative impact on oncologic treatment (i.e., radiation therapy) or prognosis. [futuremedicine.com]
Due to its high incidence and clinical significance in patient prognosis, several studies were conducted to investigate the treatment and prevention of oral mucositis (11,18–20). [spandidos-publications.com]
Prognosis of oral mucositis The outlook for OM in the long-term is reasonably good as most lesions resolve within 2-4 weeks of stopping chemotherapy or radiation. [healthengine.com.au]
Prognosis Chemotherapy-induced oral mucositis is a self-limiting condition. [emedicine.medscape.com]
Etiology
Oral mucositis occurs independently of oral mucosal infections of viral and fungal etiology, but it may be exacerbated by such concomitant infections. [emedicine.medscape.com]
This review of the pertinent literature includes the definition, clinical findings, incidence, etiology, pathophysiology, associated morbidity, prevention and treatment of this form of oral mucositis. [scielo.br]
In 2011, the FDA cleared episil oral liquid for the management and relief of pain of oral lesions with various etiologies, including oral mucositis/stomatitis which may be caused by chemotherapy or radiation therapy. [en.wikipedia.org]
Gelclair helps to soothe oral lesions of various etiologies—including OM caused by chemotherapy or radiation therapy—by adhering to the mucosa of the mouth and forming a protective barrier. [touchoncology.com]
Epidemiology
Cancer Therapy-Induced Oral Mucositis - A Review of Epidemiology, Patophysiology, and Treatment 1 Department of Removable Prosthodontics, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, 2 Department of Periodontology [tmj.ro]
Epidemiology Frequency Some degree of oral mucositis occurs in approximately 40% of patients who receive cancer chemotherapy. [emedicine.medscape.com]
Perspectives on cancer therapy-induced mucosal injury: pathogenesis, measurement, epidemiology, and consequences for patients. Cancer. 2004;100(suppl 9):1995-2025. 7. National Cancer Institute. Common Terminology Criteria for Adverse Events (CTCAE). [uspharmacist.com]
Perspectives on Cancer Therapy-Induced Mucosal Injury: Pathogenesis, Measurement, Epidemiology, and Consequences for Patients. Cancer. 2004;100(S9):1995–2025. [PubMed] [Google Scholar] 14. Sonis ST, Peterson RL, Edwards LJ, et al. [ncbi.nlm.nih.gov]
Perspectives on cancer therapy-induced mucosal injury: pathogenesis, measurement, epidemiology, and consequences for patients. Cancer. 2004; 100(9 Suppl): 1995-2025. Epstein JB, Gorsky M, Guglietta A, Le N, Sonis ST. [healthengine.com.au]
Pathophysiology
Chemotherapy-induced damage differs from that of radiation in that radiation damage is considered as permanent risk areas throughout the patients life.25 Pathophysiology In 1998 a new theoretical model was described for the pathophysiology of radiotherapy-induced [scielo.br]
Therefore, oral mucositis can be a dose-limiting condition, disrupting a patient’s optimal cancer treatment plan and consequentially decreasing their chances of survival.[4] Pathophysiology[edit] The pathophysiology of mucositis is complex and multifactorial [en.wikipedia.org]
Because this toxicity clusters with dermatologic toxicities, rather than GI (as is the case with conventional mucositis) toxicities, this suggests that the underlying pathophysiology is likely very different. [emedicine.medscape.com]
Pathophysiology Historically, OM was thought to arise solely as a consequence of epithelial injury. [touchoncology.com]
Sonis (7), through several clinical and experimental observations, proposed that the stomatotoxicity of the drugs used leads to a complex pathophysiological mechanism underlying the development of oral mucositis, with a natural history including 4 biological [spandidos-publications.com]
Prevention
Use of palifermin for the prevention of high-dose methotrexate-induced oral mucositis. Ann Oncol 2008;19:1644-9. [Crossref] [PubMed] Papas AJE, Sobel S, Olsen TO. Effects of preventive regimen on oral mucositis. J Dent Res IADR 1981;544:940. [cco.amegroups.com]
Many interventions have been studied for the prevention and treatment of oral mucositis [5]. [futuremedicine.com]
Different strategies are used to try and prevent this condition, and the review of trials found that some of these are effective. [cochrane.org]
So it's also very important to see a dentist and a dental hygienist to get any treatment and advice to treat or prevent any dental problems. [patient.info]
Prevention and Treatment Most preventive and treatment strategies for OM are based on limited, anecdotal clinical data. [oncology.tv]