The Journal of Japan Society for Health Care Management
Online ISSN : 1884-6807
Print ISSN : 1881-2503
ISSN-L : 1881-2503
Case Reports
Perioperative oral management of cancer patients:Collaboration of medicine, dentistry and the regional dental clinic
Hiromasa YoshikawaAtsushi IguchiKoji HiyamutaToru Muranaka
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2014 Volume 14 Issue 4 Pages 197-202

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Abstract

A review of the Cancer Control Basic Plan was carried out in June 2012. Promotion of oral care by the collaboration of the departments of Medicine and Dentistry and strengthening cooperation with dentists who specialize in oral management had been specified for the prevention and reduction of the side effects of the treatment of cancer. We have created a common oral management plan in order to ensure smooth cooperation between the departments. Before starting oral care, the dentist has to create an oral management plan based on a request from the medical doctor. The actual oral management is then performed by a regional dental clinic. We started our program in July 2012 to build the system. We had received a request for oral management for 323 cancer patients (252 preoperative patients and 68 chemotherapy patients) by July 2013, and have performed oral management programs for 283 patients. A total of 129 patients (94 preoperative patients and 35 chemotherapy patients) received oral management in our department, while 154 patients (139 preoperative patients and 15 chemotherapy patients) received care at the regional dental clinic. The contents of the oral management program were primarily periodontal disease control. There were no differences in the contents of oral management in the regional dental clinic and our department. However, tooth extractions and fixed teeth related to general anesthesia were more common in our department compared to the regional dental clinic.

We can share cancer patient information by creating a common oral management database. This means that collaboration between the regional dental clinic and general hospital for the oral management of cancer patients is possible.

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© 2014 Japan Society for Health Care Management
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