Dentaltown December 2012 - (Page 32)
oral pathology
message board
Radiation CA Treatment and Fluoride Trays
What type of fluoride tray do you use for patients who have cancer and are undergoing head and neck radiotherapy?
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NOV 6 2001
Dentaltown Message Boards > Oral Pathology, Pharmacology and Cariology > Oral Pathology > Radiation CA Treatment and Fluoride Trays
drdan417
Member Since: 11/09/03 Post: 1 of 14
Looking for information about type of fluoride to be used for patient with pending head and neck radiotherapy for cancer. And design of fluoride trays. Thanks. n Dr. Dan
marshall_white_dmd
Member Since: 05/08/00 Post: 2 of 14
Dan, I just use the same tray material I use for bleaching, only I don’t trim the tray as closely around the cervicals as I do with bleaching trays. In other words, more overlap of that scalloped edge onto the gingivae. I write Rx for PreviDent gel for the trays and have them wear it all night if they can tolerate it (most can); and I start them before the radiation treatment begins, like as soon as I know they’re doing it. I also have them brush with the toothpaste, Rx PreviDent 5000 Plus, and don’t rinse it out after brushing. Three-month recall. They get spotty in their compliance once the effects get bad, because of ulcerations and xerostomia. I try to talk with the oncologist if needed for other hints and tips they have. n
NOV 6 2001
dental-horizons
Member Since: 04/03/00 Post: 4 of 14
Hey Docs! I know this is an old post but I would love to hear more from you guys about your treatment with patients who are receiving chemo. All and anything you have to offer would be greatly appreciated. I am trying to get as much info from you all as possible so I can translate it to my cancer patients in my oncologist’s office and the oncology unit where I work. Also, I am in the process of being involved in a program between the hygiene program at a local university and the oncology unit where I work. Oral hygiene is so neglected in the hospital setting. It will improve here! Thanks for your input and help! n Bob
DEC 29 2001
GeoDeihs
Member Since: 05/03/01 Post: 5 of 14
Hi Mark, this is one area of dentistry that’s always troubled me. What kind of results do you get, short term, long term? I’ve only seen a few, but almost feel if I were in their shoes, and I required head-neck radiation treatment, I’d opt for full-mouth extractions and some dentures, before therapy. What’s been your experience? n
DEC 29 2001
nascargirl88
Member Since: 09/26/03 Post: 6 of 14
Hi Townies, I am making my first fluoride trays for a CA patient. I was reading these previous posts and I have a question. Do I need to put block-out material on the model? Thanks. n Kelly
FEB 13 2006
black-francis
Member Since: 03/21/04 Post: 7 of 14
You don’t need to, but it can’t hurt. As for a couple of the previous posts... you may not want to use Gel-Kam, unless they have a formulation that is neutral now. You want to try to use a neutral preparation – less tissue irritation, no problem with etching of existing restorations, etc. Not every pharmacy will carry neutral fluorides, the PreviDent
continued on page 34
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DECEMBER 2012 » dentaltown.com
t
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown December 2012
Howard Speaks: Develop Your Front Desk
Dentaltown.com Highlights
Professional Courtesy: In Pursuit of CAD/CAM Harmony
Continuing Education Update
Second Opinion: The Advantages of Strategic Giving for Your Practice
Radiation CA Treatment and Fluoride Trays
Localized Anterior Tooth Surface Loss and Dahl Appliance
Townie Choice Awards
Product Profile: Ivoclar Vivadent
Product Profile: Zest Anchors
Do-it-Yourself Finance, Part 1: Tame the Piles
Current Guide to All-ceramic Restorations
KöR Whitening System
Personal Disability Income Insurance: What Every Dentist Needs to Know
The State of Digital Dentistry in 2012
Dentaltown Research: Implants
Perio Reports
Ad Index
Prophy After Extraction
Doggie in the Dental Office
Dentally Incorrect
Dentaltown December 2012
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