Bridging the gap - Establishing a dental-oncology service in a cancer centre

Support Care Cancer. 2024 Sep 28;32(10):693. doi: 10.1007/s00520-024-08872-x.

Abstract

Dental disease remains the most common non-communicable disease worldwide. It predisposes patients to significant morbidities following bone modifying agents or radiation therapy to the head and neck. Preventative dental regimes effectively reduce the risk of both medication-related osteonecrosis of the jaw (MRONJ) and osteoradionecrosis (ORN) in these patients. Co-ordination of routine dental care as a component of mainstream oncology treatment optimises long term outcomes for oncology patients. This case series offers insights into patient, institutional and social difficulties that challenge the dental-oncology interface. These obstacles and subsequent resolutions experienced whilst establishing a dental-oncology service in a cancer centre highlight the importance of effective multidisciplinary lead care for oncology patients. It reinforces the need for structured, supported dental pathways for these oncology patients.

Keywords: Bone modifying agents; Dental-oncology service; Head and neck radiation therapy; Multidisciplinary.

Publication types

  • Case Reports

MeSH terms

  • Cancer Care Facilities / organization & administration
  • Head and Neck Neoplasms / radiotherapy
  • Head and Neck Neoplasms / therapy
  • Humans
  • Neoplasms / complications
  • Neoplasms / therapy
  • Osteoradionecrosis* / etiology
  • Osteoradionecrosis* / prevention & control
  • Osteoradionecrosis* / therapy