JIDAM
"An Official Journal of IDA - Madras
Branch" ©2019.
Chemotherapy, a cornerstone treatment for childhood cancers, is associated with significant oral health complications due to its effects on rapidly dividing cells, including those in the oral mucosa. This article explores the impact of chemotherapy on oral health in children, focusing on conditions such as oral mucositis, xerostomia (dry mouth), and dental caries, which are common side effects of treatment. Chemotherapy-induced immunosuppression further increases the risk of oral infections, including fungal and bacterial infections. The article highlights the prevalence of these complications in pediatric oncology patients, emphasizing the importance of proactive oral care strategies to mitigate these effects. For xerostomia, salivary substitutes, chewing gum, and hydration are recommended to alleviate discomfort and prevent oral infections. The role of preventive oral hygiene, including gentle brushing with fluoride toothpaste and the use of soft-bristled toothbrushes, is stressed. Nutritional support also plays a crucial role in maintaining oral health, particularly for children with mucositis or xerostomia who may face difficulty eating. The article concludes by advocating for regular dental assessments, early intervention, and comprehensive care, including educational support for children and caregivers, to improve the quality of life for paediatric cancer patients undergoing chemotherapy. Early referral to specialized dental care is essential for optimal management of chemotherapy-induced oral health complications in this vulnerable population.
Childhood Cancer, Chemotherapy, Oral Mucositis, Xerostomia, Cancer Pain, Quality of Life
JIDAM/Volume:11/Issue:1/January - March 2024