Cancer survival rates are increasing, and more people are living longer following a cancer diagnosis than ever before, due to early detection and new cancer treatments. When people think of cancer, most do not immediately consider the impact cancer treatment has on the oral cavity. Acute and chronic oral complications are common in many types of cancer patients.
Cavities, broken teeth, lost fillings, and gum disease can progress or cause problems during cancer treatment. Oral bacteria may cause an infection when the immune system is compromised or when white blood cell counts are low. These complications are compacted over the greater life expectancy of cancer patients today.
Cancer patients receiving high dose radiation to the head and neck develop chronic oral complications including severe xerostomia, mucosal fibrosis decreasing mandibular range of motion and osteoradionecrosis with invasive dental procedures of the jaws. As one of the most common complications during and after radiotherapy for head and neck cancer, xerostomia not only significantly reduces the quality of life (QoL) of potentially cured cancer patients, it may also lead to severe and long-term issues including oral discomfort or pain; difficulty speaking, chewing, or swallowing; alterations in taste; and an increased risk of cavities or oral infection.
While most patients receive regular dental care in the community, a subset of cancer patients are unable to afford routine dental care. The consequences of not obtaining the appropriate dental treatment prior to cancer treatment and a lack of management of chronic side effects can be significant and may lead to a deterioration in overall health and QoL.
At the direction of the oncologist, dentist and social worker, the BC Cancer Foundation can cover the cost of these procedures (up to $1,300) for this group of cancer patients through the Patient Dental Emergency Fund.
The numbers of patients diagnosed with cancer continues to increase in BC every year and, for patients facing financial pressure, the support and peace of mind offered by the Patient Dental Emergency Fund is needed more than ever.
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