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. Author manuscript; available in PMC: 2014 Jun 30.
Published in final edited form as: J Dent Hyg. 2014 Apr;88(2):100–113.

Table 4. Dental hygienists’ responses concerning their knowledge of breast cancer patient care and anti-estrogen cancer treatments.

Patient Care Strongly
Agree/
Agree
n (%)
Neutral
n (%)
Strongly
Disagree/
Disagree
n (%)
Don’t Know
n(%)
Consultation with an oncologist concerning a
breast cancer patient’s white blood
(neutropenia) cell count should be done prior to
dental appointments to avoid potential dental
infections.
180
(56%)
27
(8%)
33
(10%)
83
(26%)
Breast cancer patients should avoid having
blood pressure measurements taken on side
where lymph nodes were removed.
177
(55%)
16
(5%)
36
(11%)
93
(29%)
Breast cancer patients may develop breast
cancer related metastases as radiolucent areas
in the mandible or maxilla.
80
(25%)
27
(8%)
15
(5%)
198
(62%)
Breast cancer patients need to be pre-
medicated prior to dental treatment while
having a port for chemotherapy.
66
(20%)
14
(4%)
129
(40%)
113
(36%)
Anti-estrogen Therapy
The current anti-estrogen therapy for
premenopausal women with estrogen receptor
+ breast cancer is Tamoxifen.
69
(21%)
28
(9%)
19
(6%)
207
(64%)
The current anti-estrogen therapy for
postmenopausal women with estrogen receptor
+ breast cancer is Tamoxifen and/or aromatase
inhibitors.
66
(21%)
22
(7%)
10
(3%)
224
(70%)
Breast cancer patients may report increased
musculoskeletal pain including decreased grip
strength while on aromatase inhibitor drugs.
59
(18%)
24
(8%)
3
(1%)
235
(73%)
Aromatase inhibitors given to breast cancer
patients act by severely decreasing anti-
estrogen activity.
42
(13%)
13
(4%)
9
(3%)
257
(80%)
Bisphosphonate Use
Bisphosphonates (Fosamax, Boniva, Actonel)
are commonly prescribed for prevention and
treatment of osteoporosis.
251
(81%)
13
(4%)
37
(12)
22
(7%)
Bisphosphonates are commonly prescribed to
women prior/while using aromatase inhibitors.
45
(14%)
21
(7%)
6
(2%)
249
(77%)