Stomatological management of head and neck cancer patients treated with chemotherapy and radiotherapy

Treatment of head and neck cancer with radiotherapy and/or chemotherapy can cause oral damage.Longterm treatment can damage the salivary glands,the oral mucosa,and the maxilla,leading to altered production of saliva and to multiple infections.These lesions can be prevented,limited or avoided by thorough evaluation prior to treatment and by therapeutic followup and preventive measures.The dentist must have strong medical knowledge of the possible short-,medium-,and long-term oral complications of the cancer treatment,and must have knowledge of the protocols for oral management of cancer patients.The availability of a multidisciplinary medical team together with a dentist to attend to the patient prior to the cancer treatment,as well as close communication between team members during and after treatment,is crucial.The aim of the present study was review the stomatological management of head and neck cancer patients treated with chemotherapy and radiotherapy and summarizing current treatments,therapeutic innovation and tissue regeneration perspectives.