The treatment of people with a systematic condition tends to differ from common therapy. People with such health issues often have a weaker immune system or cannot receive some type of care (or medication). Cancer patients are often vulnerable due to the therapy they receive to address their health issues. Their immune system is prone to diverse infections, so dentists (as well as other healthcare professionals) have to be specifically attentive to infection prevention. Hong et al. claim that infections at the dentist’s office are rather rare (reaching up to 4% of such patients (155). However, the rate of complications linked to third molars extraction is as high as 40% among cancer patients undergoing intensive chemotherapy care (Hong et al. 155). Such a high incidence of complications suggests that these patients have special needs that need to be considered when providing dental care. The provision of care to these patients is specific in terms of the procedures implemented and medications utilized.
First, it is preferable to postpone the procedure while the patient is undergoing chemotherapy if it is possible, of course. Some minor procedures (such as caries treatment) are possible but still should be carried out with increased cautions. As for serious invasive procedures and extraction, the utilization of fluoride mouth rinses and chlorhexidine is essential (Hong et al. 155). The dentist should employ resin-modified glass ionomer cement, composite resin, as well as amalgam restorations. These measures can contribute to avoiding infections and other adverse effects during third molars extraction in cancer patients who receive chemotherapy. Clearly, the aspects mentioned above should be discussed with the patient prior to commencing therapy, and all possible hazards have to be considered. Patients should have complete information regarding the benefits and potential harm of every procedure to make the optimal decision.
Work Cited
Hong, Catherine H. L., et al. “A Systematic Review of Dental Disease Management in Cancer Patients”. Supportive Care in Cancer, vol. 26, no. 1, 2017, pp. 155-174.