Oral problems are common in cancer patients. They can be a part of the disease itself; they can develop as a result of treatment; they can accompany other symptoms and present as a comorbidity; and they can even first present after the original disease itself has been cured. Oral symptoms can be complex to treat, both preventing administration of potentially life-saving treatment, and also directly causing additional life-threatening complications. However, many symptoms can be treated, and lead to tremendous relief of suffering for the patient. Oral complications of cancer and its management is the first book to focus on this unique set of symptoms, and provides an international, multi-professional reference with up to date, evidence-based, clinically relevant advice. It covers topics such as oral anatomy and physiology, oral assessment and oral hygiene, as well as more common oral complications of cancer and its treatment. Surgical, radiotherapy and chemotherapy side effects are detailed in all of the chapters whilst specific problems are discussed in detail in separate chapters. Other chapters focus on oral infections, and major oral symptoms experienced by patients with cancer. In addition there are chapters addressing the needs of specific groups of patient (e.g. paediatric patients, patients with advanced cancer), and the health economic impact of oral complications.
This book should become the complete reference source for the wide multi-disciplinary team involved in treating the cancer patient with oral problems; this includes oncologists (both medical and clinical), oncology nurses, oral medicine specialists, palliative care physicians and nurses, special care dentists, special care dental nurses/hygienists, and therapy radiographers.

1 Introduction Andrew Davies Davies, Andrew Joel Epstein Epstein, Joel 1

2 The oral cavity Anita Sengupta Sengupta, Anita Anthony Giles Giles, Anthony 11

3 Oral assessment Michael Brennan Brennan, Michael Peter Lockbart Lockbart, Peter 21

4 Common oral conditions Katherine Webber Webber, Katherine Andrew Davies Davies, Andrew 27

5 Pretreatment screening and management Peter Stevenson-Moore Stevenson-Moore, Peter Debbie Saunders Saunders, Debbie Joel Epstein Epstein, Joel 35

6 Oral hygiene Petrina Sweeney Sweeney, Petrina Andrew Davies Davies, Andrew 43

7 Oral cancer Crispian Scully Scully, Crispian Jose Bagan Bagan, Jose 53

8 Other tumours of the oral cavity Barbara Murphy Murphy, Barbara Jill Gilbert Gilbert, Jill Anderson Collier III Collier, Anderson, III 65

9 Overview of complications of oral surgery Antonia Kolokythas Kolokythas, Antonia Michael Miloro Miloro, Michael 79

10 Overview of complications of radio therapy (radiation therapy) Kate Newbold Newbold, Kate Kevin Harrington Harrington, Kevin 89

11 Trismus Pieter Dijkstra Dijkstra, Pieter Jan Roodenburg Roodenburg, Jan 99

12 Post-radiation osteonecrosis (osteoradionecrosis) of the jaws Fred Spijkervet Spijkervet, Fred Arjan Vissink Vissink, Arjan 117

13 Overview of complications of systemic chemotherapy Douglas Peterson Peterson, Douglas Rajesh Lalla Lalla, Rajesh 123

14 Oral complications of haematopoietic stem cell transplantation Sharon Elad Elad, Sharon Judith Raber-Durlacher Raber-Durlacher, Judith Michael Y. Shapira Shapira, Michael Y. 129

15 Oral mucositis Stephen Sonis Sonis, Stephen Nathaniel Treister Treister, Nathaniel 141

16 Bisphosphonate-related osteonecrosis of the jaws James Sciubba Sciubba, James Joel Epstein Epstein, Joel 151

17 Oral infections - introduction Susan Brailsford Brailsford, Susan David Beighton Beighton, David 163

18 Oral fungal infections Lakshman Samaranayuke Samaranayuke, Lakshman Mohaideen Sitheequc Sitheequc, Mohaideen 171

19 Oral bacterial infections Anthony Chow Chow, Anthony 185

20 Oral viral infections Deborah Lockhart Lockhart, Deborah Jeremy Bagg Bagg, Jeremy 195

21 Salivary gland dysfunction Andrew Davies Davies, Andrew 203

22 Taste disturbance Carla Ripamonti Ripamonti, Carla Fabio Fulfaro Fulfaro, Fabio 225

23 Halitosis Stephen Porter Porter, Stephen 233

24 Orofacial pain Paul Farquhar Smith Smith, Paul Farquhar Joel Epstein Epstein, Joel 241

25 Miscellaneous oral problems Andrew Davies Davies, Andrew 253

26 Oral care in paediatric cancer patients Alessandra Majorana Majorana, Alessandra Fulvio Porta Porta, Fulvio 261

27 Oral supportive care and the geriatric oncology patient Ira R. Parker Parker, Ira R. Joanne E. Mortimer Mortimer, Joanne E. Joel Epstein Epstein, Joel 271

28 Oral care in advanced cancer patients Andrew Davies Davies, Andrew 279

29 Quality of life and health economics Jennifer Beaumont Beaumont, Jennifer David Cella Cella, David Joshua Epstein Epstein, Joshua 291

30 Sources of information Andrew Davies Davies, Andrew Joel Epstein Epstein, Joel 301

Index 305