Discuss Adverse effects and dental management in paediatric patients undergoing chemotherapy.
Mucositis: This is inflammation and ulceration of the mucous membranes lining the mouth and throat. It can cause pain, difficulty swallowing and speaking, and an increased risk of infection.
Xerostomia: This is a decrease in saliva production, which can cause dry mouth, difficulty in speaking, swallowing, and tasting food.
Gingival bleeding: Chemotherapy can lead to bleeding gums, which can increase the risk of infection.
Tooth decay: Patients undergoing chemotherapy are at an increased risk of developing tooth decay due to
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Enamel hypoplasia: Chemotherapy can cause developmental defects in the enamel of teeth, leading to enamel hypoplasia.
Dental management in paediatric patients undergoing chemotherapy should focus on preventing and managing these adverse effects. Some strategies that can be employed are:
Regular dental check-ups: Paediatric patients undergoing chemotherapy should have regular dental check-ups to monitor and manage any oral health issues.
Oral hygiene: The patients should be encouraged to maintain good oral hygiene by brushing twice a day with fluoride toothpaste and flossing daily.
Fluoride treatment: Fluoride treatment can help strengthen the teeth and prevent tooth decay.
Salivary substitutes: Salivary substitutes can be used to alleviate the symptoms of xerostomia and prevent tooth decay.
Nutritional counselling: Nutritional counselling can help prevent mucositis by encouraging patients to consume a balanced diet and avoid acidic and spicy foods.
Antibacterial mouthwash: Antibacterial mouthwash can be prescribed to reduce the risk of infection and gingival bleeding.
In conclusion, dental management in paediatric patients undergoing chemotherapy should focus on preventing and managing adverse effects, as well as promoting good oral hygiene and nutrition. Regular dental check-ups and close collaboration between dental and medical professionals are essential to ensure the best possible oral health outcomes for these patients.