Pre-Cancer Treatment
Overview

Recently diagnosed cancer patients should pay immediate attention to their oral health, by taking the recommended measures to identify, stabilize and/or eliminate potential sources of oral discomfort. Early on, patients should prepare to face the oral discomfort challenges associated with planned cancer treatment.

Causes of oral discomfort occur: in almost all patients receiving radiation for head and neck malignancies, in more than 75% of bone marrow transplant recipients, and in nearly 40% of patients receiving chemotherapy. Some sources of oral discomfort occur only during treatment, while others, such as Dry mouth (Xerostomia) may persist for year.

What should I do to prepare my mouth for cancer treatment?
You can help reduce the risk and severity of oral discomfort, commonly associated with cancer therapies, by optimizing the health of your mouth in advance of the treatment. Oral discomfort often occurs because a patient’s mouth, at the start of treatment, is in poor health and at a high risk to develop:

Mouth sores (Oral Mucositis)

  • inflammation and ulceration of the mucous membranes; can increase risk of pain, oral and systemic infection, and nutritional compromise
Infection
  • viral, bacterial, and fungal; results from dry mouth (Xerostomia) and damage to the mucosa from chemotherapy and radiation therapy
Dry mouth (Xerostomia)
  • dryness of the mouth due to reduced or absent salivary flow; increases risk of oral infections, including oral thrush (Candidiasis), Stomatitis, Gingivitis, ulcers, and sores
Functional disabilities
  • impaired ability to chew, digest and swallow. Impaired ability to speak because of Mucositis, Xerostomia, and oral infections
Taste alterations
  • changes in taste perception of foods, ranging, from unpleasant to tasteless
Nutritional compromise
  • eating difficulties caused by oral discomfort can lead to nutritional deficiency that negatively impacts cancer treatment
Tooth demineralization
  • erosion of the tooth’s surface as a result of changes in both the quality and quantity of saliva from cancer treatment can lead to progressive decay and cavities
Bleeding gums
  • interproximal buildup of plaque bacteria can lead to ongoing oral bleeding during and after therapies
Radiation caries
  • lifelong risk of rampant dental decay and cavities as a result of cancer treatment.
Pre Treatment Oral Relief Protocol

The MEDActive® Oral Relief Protocol is an effective regimen for relieving oral discomfort. Maintaining a clean, moist and well lubricated mouth serves to support good general health and enhances ones quality of life.

Optimal preparation of the mouth for relief from oral discomfort with cancer treatment calls for:

  • cleansing
  • lubricating
  • moisturizing, and
  • protecting...
...SOFT TISSUE throughout the mouth and throat while simultaneously enhancing saliva flow. The recommended regimen includes daily flossing, brushing, and rinsing as well as provision of sufficient lubrication and general moistening using Patient-Friendly™ Oral Relief Products.

STEP 1. Flossing - 3 Times daily

Removing debris and plaque from between teeth after every meal. Also rinse mouth with water after flossing. Floss at least three times daily.

STEP 2. Brushing - 3 times daily

Thoroughly clean your toothbrush with hot water. Brush teeth and gums with a soft bristle toothbrush at least twice daily.

STEP 3. Rinsing - 3 times daily

Rinse for 60 seconds with about half of the rinse, followed by gargling with the remainder for 30 seconds. Avoid food and drinks for at least 15 minutes after use.

STEP 4. Spraying - As needed throughout the day

Apply 3-4 sprays on tongue, while swishing, to cover all mouth surfaces. Use as needed throughout the day, to maintain lubrication and enhance saliva flow.

STEP 5. Lozenges - Use 6-8 lozenges daily

For maximum saliva enhancement, use 6-8 lozenges per day. For optimally effectiveness, eventually move lozenges under the tongue. Avoid drinks for at least 15 minutes after use.

STEP 6. Maintaining & Protecting

  • Once symptoms have subsided, continue flossing and rinsing daily preferably just before retiring at night.
  • Brush at least twice a day.
  • Supplement daily rinsing and flossing with spray and lozenges as required throughout the day. Preferably use the spray after meals, snacks, and coffee breaks.
  • Schedule regular visits with your dental professional for cleanings and exams. If you notice any signs or symptoms that may suggest oral health problems, contact your doctor and/or dental professional.

    Other Considerations
    • Avoid candy, gum, and soda unless they are sugar-free.
    • Avoid spicy or acidic foods, toothpicks, tobacco products, and alcohol.
    • Keep the appointment schedule recommended by your doctor and/or dental professional.
    • Notify your doctor and/or dental professional about any changes in your oral health.
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