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. 2022 Jun 18;30(11):8761–8773. doi: 10.1007/s00520-022-07211-2

1—All patients with advanced cancer should be regularly assessed for oral problems (Category of guideline – suggestion; Level of evidence—V)

2—All patients need a regular oral hygiene regimen, and dependent patients need appropriate support with oral hygiene (Category of guideline – suggestion; Level of evidence—V)

3—The management of oral problems should primarily involve treatment of the underlying cause (with appropriate symptom control) (Category of guideline – suggestion; Level of evidence—V)

4—The management of oral problems should be individualised (Category of guideline – suggestion; Level of evidence—V)

5—The management of oral problems should be evidence-based and/or based upon established principles from dentistry/oral medicine (Category of guideline – suggestion; Level of evidence—V)

6—Relevant treatments/interventions should be available in all settings wherever possible (Category of guideline – suggestion; Level of evidence—V)

7—All patients with oral problems should be regularly reassessed (Category of guideline – suggestion; Level of evidence—V)

8—Patients with resistant oral problems should be referred to a specialist for further management (Category of guideline – suggestion; Level of evidence—V)

9—Dental professionals should be members of the extended oncology and palliative care multidisciplinary teams (Category of guideline – suggestion; Level of evidence—V)

10—Oral care in the terminal phase should focus on patient comfort (Category of guideline – suggestion; Level of evidence—V)

11—Oral care in the terminal phase is not a substitute for clinically assisted hydration (Category of guideline – suggestion; Level of evidence—V)

12—Oral care should be an integral component of medical and nursing curricula (undergraduate, postgraduate) (Category of guideline – suggestion; Level of evidence—V)