--- abstract: 'Head and neck cancer is becoming a more recognizable pathology to the general population and dentists. The modes of treatment include surgery and/or radiation therapy. Where possible, pretreatment dental assessment shall be provided for these patients before they undergo radiation therapy. There are occasions, however, whereby head and neck cancer patients are not prepared optimally for radiation therapy. Because of this, they succumb to complicated oral complications after radiation therapy. The management of xerostomia has been reviewed in Part I of this series. In this article, the management of dental caries, a sequalae of xerostomia following radiation therapy is reviewed. {\^A}{\copyright} 2006 Elsevier. All rights reserved.' altloc: [] chapter: ~ commentary: ~ commref: ~ confdates: ~ conference: ~ confloc: ~ contact_email: ~ creators_id: - ~ - ngeowy@um.edu.my - ~ - ~ creators_name: - family: Chai given: W. L. honourific: '' lineage: '' - family: Ngeow given: W.C. honourific: Dr. lineage: '' - family: Ramli given: R. honourific: '' lineage: '' - family: Rahman given: R. A. honourific: '' lineage: '' date: 2006-12 date_type: published datestamp: 2012-11-09 19:38:05 department: ~ dir: disk0/00/00/81/56 edit_lock_since: ~ edit_lock_until: 0 edit_lock_user: ~ editors_id: [] editors_name: [] eprint_status: archive eprintid: 8156 fileinfo: application/pdf;http://cogprints.org/8156/1/Managing%20Complications%20Of%20Radiation%20Therapy%20In%20Head%20And%20Neck%20Cancer%20Patients%2DPart%20II.%20Management%20Of%20Radiation%2DInduced%20Caries.pdf full_text_status: public importid: ~ institution: ~ isbn: ~ ispublished: pub issn: ~ item_issues_comment: [] item_issues_count: ~ item_issues_description: [] item_issues_id: [] item_issues_reported_by: [] item_issues_resolved_by: [] item_issues_status: [] item_issues_timestamp: [] item_issues_type: [] keywords: 'Caries Complication Fluoride Head and neck cancer Management anticaries agent saliva substitute toothpaste chemistry dental caries head and neck tumor human mouth hygiene radiation injury review Cariostatic Agents Fluorides Head and Neck Neoplasms Humans Mouthwashes Radiation Injuries Saliva, Artificial' lastmod: 2012-11-09 19:38:05 latitude: ~ longitude: ~ metadata_visibility: show note: 'Export Date: 7 March 2012 Source: Scopus PubMed ID: 17378334 Language of Original Document: English Correspondence Address: Ngeow, W.C.; Faculty of Dentistry, University of Malaya, 50603 Kuala Lumpur, Malaysia; email: ngeowy@um.edu.my Chemicals/CAS: fluoride, 16984-48-8; Cariostatic Agents; Fluorides; Mouthwashes; Saliva, Artificial; Toothpaste References: Epstein, J.B., Emerton, S., Lunn, R., Le, N., Wong, F.L.W., Pretreatment assessment and dental management of patients with nasopharyngeal carcinoma (1999) Oral Oncol, 35, pp. 33-39; Hutton, M.F., Patterson, S.S., Mitchell, D.F., Chalian, V.A., Hornback, N.B., The effects of cobalt-60 on the dental pulps of monkeys (1974) Oral Surg Oral Med Oral Pathol, 38, pp. 279-286; Meraw, S.J., Reeve, C.M., Dental considerations and treatment of the oncology patient receiving radiation therapy (1998) J Am Dent Assoc, 129, pp. 201-205; Brown, L.R., Dreizen, S., Handler, S., Johnston, D.A., Effect of radiation-induced xerostomia on human oral microflora (1975) J Dent Res, 54, pp. 740-750; Brown, L.R., Dreizen, S., Daly, T.E., Drane, J.B., Handler, S., Riggan, L.J., Interrelations of oral microorganisms, immunoglobulins and dental caries following radiotherapy (1978) J Dent Res, 57, pp. 882-893; Beumer, J.M., Curtis, T., Harrison, R.E., Radiation therapy of the oral cavity: Sequelae and management. Part 1 (1979) Head Neck Surg, 1, pp. 301-312; Lowe, O., Pretreatment dental assessment and management of patients undergoing head and neck irradiation (1986) Clin Prev Dent, 8, pp. 24-30; Mealey, B.L., Semba, S.E., Hallmon, W.W., The head and neck radiotherapy patient: Part 2. Management of oral complications (1994) Compendium, 15, pp. 442-452,446. , 444; Carl, W., Managing the oral manifestations of cancer therapy: Part I. Head-and-neck radiation therapy (1988) Compendium, 9, pp. 306-308,310-312,314; Engelmeier, R.L., A dental protocol for patients receiving radiation therapy for cancer of the head and neck (1987) Spec Care Dentist, 7, pp. 54-58; Katz, S., The use of fluoride and chlorhexidine for the prevention of radiation caries (1982) J Am Dent Assoc, 104, pp. 164-170; Nieuw Amerongen, A.V., Veerman, E.C., Current therapies for xerostomia and salivary gland hypofunction associated with cancer therapies (2003) Support Care Cancer, 11, pp. 226-231; Reynolds, E.C., Anticariogenic complexes of amorphous calcium phosphate stabilized by casein phosphopeptides: A review (1998) Spec Care Dentist, 18, pp. 8-16; Reynolds, E.C., Cai, F., Shen, P., Walker, G.D., Retention in plaque and remineralization of enamel lesions by various forms of calcium in a mouthrinse or sugar-free chewing gum (2003) J Dent Res, 82, pp. 206-211; Reynolds, E.C., Cain, C.J., Webber, F.L., Black, C.L., Riley, P.F., Johnson, I.H., Anticariogenicity of calcium phosphate complexes of tryptic casein phosphopeptides in the rat (1995) J Dent Res, 74, pp. 1272-1279; McComb, D., Erickson, R.L., Maxymiw, W.G., Wood, R.E., A clinical comparison of glass ionomer, resin-modified glass ionomer and resin composite restorations in the treatment of cervical caries in xerostomic head and neck radiation patients (2002) Oper Dent, 27, pp. 430-437; Haveman, C.W., Summitt, J.B., Burgess, J.O., Carlson, K., Three restorative materials and topical fluoride gel used in xerostomic patients: A clinical comparison (2003) J Am Dent Assoc, 134, pp. 177-184; Wood, R.E., Maxymiw, W.G., McComb, D., A clinical comparison of glass ionomer (polyalkenoate) and silver amalgam restorations in the treatment of Class 5 caries in xerostomic head and neck cancer patients (1993) Oper Dent, 18, pp. 94-102; Hu, J., Li, Y., Smales, R.J., Yie, K., A clinical evaluation of filling radiation caries (2002) Zhonghua Kou Qiang Yi Xue Za Zhi, 37, pp. 463-465; Hu, J.Y., Li, Y.Q., Smales, R.J., Yip, K.H., Restoration of teeth with more-viscous glass ionomer cements following radiation-induced caries (2002) Int Dent J, 52, pp. 445-448' number: 1 pagerange: 4-6 pubdom: TRUE publication: Singapore Dental Journal publisher: ~ refereed: TRUE referencetext: 'Epstein, J.B., Emerton, S., Lunn, R., Le, N., Wong, F.L.W., Pretreatment assessment and dental management of patients with nasopharyngeal carcinoma (1999) Oral Oncol, 35, pp. 33-39; Hutton, M.F., Patterson, S.S., Mitchell, D.F., Chalian, V.A., Hornback, N.B., The effects of cobalt-60 on the dental pulps of monkeys (1974) Oral Surg Oral Med Oral Pathol, 38, pp. 279-286; Meraw, S.J., Reeve, C.M., Dental considerations and treatment of the oncology patient receiving radiation therapy (1998) J Am Dent Assoc, 129, pp. 201-205; Brown, L.R., Dreizen, S., Handler, S., Johnston, D.A., Effect of radiation-induced xerostomia on human oral microflora (1975) J Dent Res, 54, pp. 740-750; Brown, L.R., Dreizen, S., Daly, T.E., Drane, J.B., Handler, S., Riggan, L.J., Interrelations of oral microorganisms, immunoglobulins and dental caries following radiotherapy (1978) J Dent Res, 57, pp. 882-893; Beumer, J.M., Curtis, T., Harrison, R.E., Radiation therapy of the oral cavity: Sequelae and management. Part 1 (1979) Head Neck Surg, 1, pp. 301-312; Lowe, O., Pretreatment dental assessment and management of patients undergoing head and neck irradiation (1986) Clin Prev Dent, 8, pp. 24-30; Mealey, B.L., Semba, S.E., Hallmon, W.W., The head and neck radiotherapy patient: Part 2. Management of oral complications (1994) Compendium, 15, pp. 442-452,446. , 444; Carl, W., Managing the oral manifestations of cancer therapy: Part I. Head-and-neck radiation therapy (1988) Compendium, 9, pp. 306-308,310-312,314; Engelmeier, R.L., A dental protocol for patients receiving radiation therapy for cancer of the head and neck (1987) Spec Care Dentist, 7, pp. 54-58; Katz, S., The use of fluoride and chlorhexidine for the prevention of radiation caries (1982) J Am Dent Assoc, 104, pp. 164-170; Nieuw Amerongen, A.V., Veerman, E.C., Current therapies for xerostomia and salivary gland hypofunction associated with cancer therapies (2003) Support Care Cancer, 11, pp. 226-231; Reynolds, E.C., Anticariogenic complexes of amorphous calcium phosphate stabilized by casein phosphopeptides: A review (1998) Spec Care Dentist, 18, pp. 8-16; Reynolds, E.C., Cai, F., Shen, P., Walker, G.D., Retention in plaque and remineralization of enamel lesions by various forms of calcium in a mouthrinse or sugar-free chewing gum (2003) J Dent Res, 82, pp. 206-211; Reynolds, E.C., Cain, C.J., Webber, F.L., Black, C.L., Riley, P.F., Johnson, I.H., Anticariogenicity of calcium phosphate complexes of tryptic casein phosphopeptides in the rat (1995) J Dent Res, 74, pp. 1272-1279; McComb, D., Erickson, R.L., Maxymiw, W.G., Wood, R.E., A clinical comparison of glass ionomer, resin-modified glass ionomer and resin composite restorations in the treatment of cervical caries in xerostomic head and neck radiation patients (2002) Oper Dent, 27, pp. 430-437; Haveman, C.W., Summitt, J.B., Burgess, J.O., Carlson, K., Three restorative materials and topical fluoride gel used in xerostomic patients: A clinical comparison (2003) J Am Dent Assoc, 134, pp. 177-184; Wood, R.E., Maxymiw, W.G., McComb, D., A clinical comparison of glass ionomer (polyalkenoate) and silver amalgam restorations in the treatment of Class 5 caries in xerostomic head and neck cancer patients (1993) Oper Dent, 18, pp. 94-102; Hu, J., Li, Y., Smales, R.J., Yie, K., A clinical evaluation of filling radiation caries (2002) Zhonghua Kou Qiang Yi Xue Za Zhi, 37, pp. 463-465; Hu, J.Y., Li, Y.Q., Smales, R.J., Yip, K.H., Restoration of teeth with more-viscous glass ionomer cements following radiation-induced caries (2002) Int Dent J, 52, pp. 445-448' relation_type: [] relation_uri: [] reportno: ~ rev_number: 8 series: ~ source: ~ status_changed: 2012-11-09 19:38:05 subjects: - JOURNALS - OJHAS succeeds: ~ suggestions: "Associate Prof. Dr. Ngeow Wei Cheong @ David Ngeow\r\nDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of\r\nMalaya, 50603 Kuala Lumpur, MALAYSIA\r\n\r\nAssociate Professor Dr. Ngeow Wei Cheong is currently a lecturer at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry of the University of Malaya. He graduated from the University of Malaya in 1992 and was a private practitioner for 9 months before he was offered the post of tutorship at his alma matter. Three years later, he went to do a house job at the Queen Victoria Hospital in East Grinstead, England. He obtained his Fellowship in Dental Surgery from the Royal College of Surgeons in Ireland and the Royal College of Surgeons ofEngland in 1996. He subsequently returned to Malaysia and was a pioneer lecturer at the then newly established Universiti Kebangsaan Malaysia. He left for private practice in 1999 but the temptation to return to academic life was greater, hence he returned to the University of Malaya the subsequent year. His research interest are craniofacial anthropometry, variations of the mandibular nerve, and recovery of peripheral nerves after microsurgical repair. \r\n \r\n\r\nAREAS OF EXPERTISE\r\n\t\r\nDentofacial Anthropometry (Head & Neck, anthropology)\r\n\r\nDental Analgesics (analgesic, local anaesthetic, COX-2 inhibitors)\r\n\r\nSurgical Anatomy (mental foramen, anterior loop)" sword_depositor: ~ sword_slug: ~ thesistype: ~ title: 'Managing complications of radiation therapy in head and neck cancer patients: Part II. Management of radiation-induced caries' type: journalp userid: 16514 volume: 28