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. Author manuscript; available in PMC: 2017 Sep 26.
Published in final edited form as: J Dent Hyg. 2015 Jun;89(Suppl 2):22–37.

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%)