Oral Mucositis Induced By Anticancer Therapies
Sali Al-Ansari1, Judith A E M Zecha2, Andrei Barasch3
1Department of Medical Dental Interaction, Academic Center for Dentistry Amsterdam, University of Amsterdam and VU University, Gustav Mahlerlaan 3004, 1081 LA Amsterdam, The Netherlands.
Oral mucositis, a painful side effect of cancer treatment, significantly impacts patient quality of life and can disrupt therapy. This review covers its causes, effects, and management, including insights into newer targeted therapies.
Area of Science:
- Oncology
- Cancer Therapy
- Oral Medicine
Background:
- Oral mucositis is a frequent and severe complication of cytotoxic chemotherapy and radiotherapy.
- Symptoms include pain, dose reduction, treatment interruption, and reduced quality of life.
- Ulcerative mucositis poses a risk for life-threatening infections in immunocompromised patients.
Approach:
- This article reviews the epidemiology, pathobiology, and management of oral mucositis.
- It discusses oral mucosal injury associated with conventional cytotoxic therapies.
- Emerging information on oral mucosal injury from targeted therapies is also summarized.
Key Points:
- Conventional cancer therapies commonly induce oral mucositis, causing significant pain and impacting treatment adherence.
- While targeted therapies may reduce mucosal injury, they do not eliminate it.
- Dental professionals play a crucial role in managing oral mucositis and improving patient care.
Conclusions:
- Effective management of oral mucositis is essential for maintaining cancer treatment integrity and patient well-being.
- Further research is needed to develop more effective supportive care strategies.
- Collaboration between oncologists and dental experts is vital for advancing oral mucositis research and clinical practice.
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