Care of Head and Neck Cancer Patients for Dental Hygienists and Dental Therapists

An accessible advisory guide for dental professionals to the area of care for head and neck cancer patients

Care of Head and Neck Cancer Patients for Dental Hygienists and Dental Therapists is an advisory guide that enables dental hygienists, dental therapists, and other health care professionals to appreciate the journey undertaken by head and neck cancer patients. Focusing on the before, during, and after treatments, the book covers common head and neck cancer treatments such as surgery, radiotherapy, chemotherapy and innovative new therapies. It also discusses treatment complications such as halitosis, osteoradionecrosis, and radiation dermatitis. Some of the other sample topics discussed by the well-qualified authors include:

• An introduction to substance misuse and oral health and the early detection of mouth cancer
• The role of a dietitian in the care of head and neck cancer patients
• Proton beam therapy and transoral robotic surgery
• Physiotherapy for someone diagnosed with a head/neck cancer
• Lifestyle factors in oral cancer and pain management in head and neck cancer patients

Care of Head and Neck Cancer Patients for Dental Hygienists and Dental Therapists is an immensely valuable resource for dental hygienists, dental therapists, and other health care professionals who work in primary and secondary care.

Jocelyn Harding, DipDH PGCert, is a Dental Hygienist in the Department of Oral and Maxillofacial Surgery at Gloucestershire Royal Hospital, UK. She has over 30 years’ experience in dentistry, qualifying in the Royal Navy in 1992 and is currently studying for her MSc in Advanced and Specialist Healthcare at the University of Kent.

List of Contributors ix

Foreword xii
Ewa Rozwadowska

Preface xiii

Section 1 Primary Setting 1

1 The Early Detection of Mouth Cancer: An Initiative for the Whole Dental Team 3
Philip Lewis

2 Detection and Prevention of Skin Cancer for Dental Hygienists 14
Greg Knepil

3 Lip Cancer 20
Alison E. Lowe

4 Smoking and Vaping 23
Elaine Tilling

5 The Impact of Substance Dependence on Oral Health 29
Teresa Servas

6 Human Papillomavirus as a Risk Factor for Oropharyngeal Squamous Cell Carcinoma 36
Elizabeth Marsh

7 Pathologists: The Cornerstone of Head and Neck Cancer Diagnosis and Treatment 44
Paul Hankinson and Syed Ali Khurram

8 Mental Health and Well-Being Pretreatment 51
Lauren Barry

9 Flowchart 53
Stephanie Wright

Section 2 Specialists, Roles, and Departments 55

10 The Multidisciplinary Team 57
Lucy Baker

11 History of Oral and Maxillofacial Surgery 60
Mahesh Kumar

12 Head and Neck Cancer: Clinical Nurse Specialist Role 76
Sonja Hoy and Joanna Rydon

13 The Role of the Dietitian in the Care of Head and Neck Cancer Patients 78
Laura Kent and Hannah Cook

14 Speech and Language Therapy 85
Eve Ferguson and Sarah Hartigan

15 The Role of the Restorative Dentist in the Management of Head and Neck Cancer Patients 91
Michael Fenlon

16 The Role of the Dental Nurse in an Oral and Maxillofacial Unit 98
Laura Holdway

Section 3 Types of Head and Neck Cancer Treatment 101

17 Chemotherapy: An Overview 103
Helen Davies

18 Radiotherapy in Head and Neck Cancer 107
Muneeb Qureshi, Brindley Hapuarachi, and Bernadette Foran

19 The Role of Immunotherapy in Head and Neck Cancer Management 116
Brindley Hapuarachi, Muneeb Qureshi, and Bernadette Foran

20 Proton Therapy in the UK 123
Karol Sikora and John Pettingell

21 Transoral Robotic Surgery 129
Naseem Ghazali

22 Photobiomodulation Therapy for Management of Oral Complications Induced by Head and Neck Cancer Treatments 141
Reem Hanna

23 The Hologram, a New Imaging Modality in Head and Neck Cancer 157
Mark McGurk

24 Laryngectomy Care: What Is Required? 160
Lauren Smallwood

25 Mental Health and Well-Being during Treatment 169
Lauren Barry

Section 4 Head and Neck Cancer Treatment Complications 171

26 Chemotherapy and Risk Assessment in Dental Treatment Planning 173
StJohn Crean

27 Xerostomia, from the Greek (Xero = Dry, Stoma = Mouth) = Dry Mouth 176
Leigh Hunter

28 The Role of Acupuncture in Radiotherapy-Induced Xerostomia 191
Andrea N. Beech

29 Oral Ulceration, Viral Infection, and Candidosis 194
Mike Lewis

30 Halitosis 197
Charlotte M. Carling

31 Oral Mucositis 205
Shemifhar Freytes and Alessandro Villa

32 Nausea and Tooth Erosion 211
Lucy Harrison

33 Osteoradionecrosis 213
Imogen Fox

34 Mucus Secretions and Hypersalivation 216
Lucy Baker

35 Mouth Care and Quality of Life for Patients Living with Head and Neck Cancer 218
Jocelyn J. Harding

36 Obturators 231
Rhiannon Jones

37 Physiotherapy for Head and Neck Cancer Patients: An Overview 236
Leah Dalby

38 Radiotherapy: The Treatment That Keeps on Giving! 239
Emma Hallam

39 Management of Intraoral Hair Growth After Flap Reconstruction 241
Susan Smithies

40 Lifestyle Factors in Oral Cancer 245
Mike Nugent

41 Pain Management for Head and Neck Cancer Patients 249
Roddy McMillan

Section 5 Further Considerations, Patient Experiences and Support 253

42 Mental Health and Well-Being Post-treatment 255
Lauren Barry

43 Intimacy: Advice for the Patient from a Psychologist 257
Jo Hemmings

44 What Is Palliative Care? 258
Emma Husbands

45 My Cancer, My Journey 262
Roy Anthony

46 Life 2.0: How My Life Has Changed Since My Cancer Diagnosis 269
Shrenik Shah

47 Steve’s Story 272
Steve Baker

48 Living with the Legacy 275
Debbie Hemington

49 Look Good Feel Better 279
Lisa Curtis

Appendix A: Head and Neck Cancer Charities UK 281

Index 282

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