Daily dental and oral care is very important for all of us, most especially when the mouth is affected by therapy. Chemotherapy for tumors in any part of the body can affect the mouth, (whereas radiation therapy affects the mouth only when applied directly). Brushing and flossing natural teeth should be brushed daily (and preferably after each meal, large or small) with the use of a soft-bristle toothbrush. A small amount of toothpaste is useful when brushing, excessive amounts of toothpaste actually does not make up for inadequate brushing and flossing. Flossing is an effective way to clean between the teeth, but your doctor may decide that it would be too irritating for your gums. Ask his or her advice also about massaging the gums and tongue, another element in mouth care.

Inadequate oral hygiene leads to bad breath, gum irritation , pyorrhea and tooth decay. Since the effects of tumor therapy can limit the extent of your mouth care, it is very important to take care of this area before the therapy is begun. Denture Care Dentures, like natural teeth, should be cleaned at least once a day. Remember to brush inside and out with a denture brush, no toothpaste is necessary. Do this over a sink or bowl containing a few inches of water -if the dentures are dropped, then they’re less likely to be damaged.If you are in home health care, then you can have your caregiver help you. After brushing, soak the dentures in water, or in a commercial denture cleaner if you wish, but remember, soaking does not take the place of thorough brushing. With the dentures removed, rinse your mouth vigorously with water or, again, a commercial mouth rinse. These simple procedures, when done daily after every meal or snack, will keep your mouth in the best possible health. Mouth Sores Some types of therapy, however, cause mouth sores and irritated gums (mucositis), and measures beyond simple home care hygiene may be needed. If you have mouth sores, stay away from irritating or spicey foods. Eat a bland, soft diet. Remove your dentures until the sores heal. Rinse four times daily with a 3% hydrogen peroxide solution diluted to half strength with water.

If you think this solution is too irritating to your mouth, continue diluting the solution until it no longer has this effect. You may also try a commercial mouthwash (such as Cepacol®). If your gums bleed very easily or are tender, use swabs, Toothettes®, or a damp cloth to clean your teeth and gums. Other non-irritating appliances are also available commercially.  Dry Mouth If dry mouth is a problem, your doctor may suggest an artificial “saliva” (such as Zero-lube®, or Saliva-aid®) but these products are not always successful. Another solution may be a saliva stimulant (such as Pilocarpine®). A simple and often effective remedy for dry-mouth is frequent rinses with water and sucking on ice chips. Sugarless tart candies or chewing gum may also help. The problem should not be ignored; keeping your mouth moist is essential both to oral care and to comfort if you are in homecare.

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