29th March 2023

Oral Health During Chemotherapy: Safeguarding Your Smile

By Derek Bingham Dentist at Moira Cosmetic Dental

Chemotherapy is a powerful treatment used to combat cancer by destroying rapidly dividing cells in the body. Unfortunately, this also affects healthy cells, including those in the mouth, leading to a variety of oral health problems. In this blog post, we will discuss the importance of maintaining oral health during chemotherapy, potential side effects, and how to care for your mouth throughout treatment to prevent complications and ensure optimal dental well-being.

Common Oral Health Problems During Chemotherapy

Chemotherapy can lead to numerous oral health issues, some of which include:

  1. Mucositis: This condition involves inflammation and ulceration of the mouth’s mucous membranes, causing pain and difficulty eating, swallowing, or speaking.
  2. Xerostomia (dry mouth): Chemotherapy can reduce saliva production, leading to a persistently dry mouth that increases the risk of tooth decay and oral infections.
  3. Infections: A weakened immune system due to chemotherapy can make it easier for bacterial, viral, and fungal infections to take hold in the mouth.
  4. Bleeding gums: Chemotherapy may cause a decrease in platelet count, resulting in gums that bleed easily and are more susceptible to infection.
  5. Taste changes: Altered taste sensations, including a metallic taste, are common during chemotherapy and can impact appetite and food enjoyment.
The Importance of Good Oral Health During Chemotherapy

Maintaining good oral health during chemotherapy is crucial to prevent complications and minimize the risk of infection. Proper dental care can help alleviate some of the side effects and promote faster healing. Additionally, having a healthy mouth before starting chemotherapy can decrease the likelihood of experiencing severe oral health problems during treatment.

Tips for Maintaining Oral Health During Chemotherapy

To ensure your oral health remains in good shape during chemotherapy, follow these tips:

  • Visit your dentist before starting treatment: Schedule a dental health examination and hygiene maintenance before beginning chemotherapy to address any existing dental issues. It is important that you call us and let us know that you are starting treatment – because your teeth will be the least of your concerns we find that patients having treatment don’t contact us until they have already started treatment, and then we are reduced in what we can do in your mouth. At Moira Cosmetic Dental we are all about preventative dentistry, patients who visit regularly will usually have the benefit of well maintained oral health, but we are also conscious that 50% of the population in UK is believed not to have a dentist, and only attend in pain.
  • Practice good oral hygiene: Brush your teeth gently with a soft-bristle toothbrush at least twice a day, and floss daily. Consider using a fluoride toothpaste and alcohol-free mouthwash to help protect your teeth and gums. *
  • Stay hydrated: Drink plenty of water and suck on ice chips or sugar-free candy to stimulate saliva production and combat dry mouth.
  • Use a humidifier: Running a humidifier in your bedroom at night can help relieve dry mouth by adding moisture to the air.
  • Choose gentle oral care products: opt for non-abrasive toothpaste and mouthwashes that are specifically designed for sensitive mouths. Avoid toothpastes and mouthwashes that contain alcohol or harsh chemicals. *
  • Eat a balanced diet: Consume a variety of nutrient-rich foods, including fruits, vegetables, whole grains, lean proteins, and dairy products, to support your immune system and overall health.
  • Avoid tobacco and alcohol: Smoking and alcohol consumption can exacerbate oral health issues during chemotherapy. Quitting tobacco and limiting alcohol intake can significantly improve your oral health and overall well-being.
  • Communicate with your healthcare team: Inform your oncologist and dentist about any changes in your oral health or new symptoms you experience during chemotherapy. They can provide guidance and adjust your treatment plan accordingly.

Oral health is an essential aspect of overall well-being that should not be overlooked during chemotherapy. By taking steps to maintain good dental hygiene and address any issues promptly, you can minimize complications and ensure a healthier, more comfortable treatment experience. Remember to communicate with your healthcare team and dentist regularly for optimal care and support during this challenging time.

*At Moira Cosmetic Dental we provide all our members with a kit of products suitable and recommended during treatment.

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