Table 3.32.

Key considerations for dental management in chemotherapy (see text)

	Management modifications*	Comments/possible complications
Risk assessment	3	Dental screening; bleeding tendency; infection
Pain and anxiety control
– Local anaesthesia	1
– Conscious sedation	1
– General anaesthesia	3–5	Avoid in severe anaemia
Patient access and positioning
– Access to dental office	0
– Timing of treatment	0
– Patient positioning	0
Treatment modification
– Oral surgery	2	Complete before starting a new cycle; single procedures; evaluate partially erupted teeth
– Implantology	2	Complete before chemotherapy; avoid during mucositis
– Conservative/Endodontics	1
– Fixed prosthetics	1
– Removable prosthetics	1
– Non-surgical periodontology	2	Complete before chemotherapy
– Surgical periodontology	2	Complete before chemotherapy
Hazardous and contraindicated drugs	1	Avoid aspirin

^*0 = No special considerations. 1 = Caution advised. 2 = Specialised medical advice recommended in some cases. 3 = Specialised medical advice mandatory. 4 = Only to be performed in hospital environment. 5 = Should be avoided.