Cancer diagnosis aur treatment mein dant ki care shayad sabse peeche aati hai — lekin honi chahiye pehle। Chemotherapy aur radiation — dono se muh aur dant pe serious effects pad sakte hain। Dr. Ritu Goyal, MDS Oral & Maxillofacial Surgeon is guide mein cancer patients aur unke parivaar ke liye zaroori dental jaankari de rahi hain।
Cancer Treatment Se Muh Pe Kya Asar Hota Hai
Chemotherapy Se
- Mucositis: Muh ke andar ki skin (mucosa) mein bahut dard wale ulcers — khaana peena mushkil
- Dry mouth (Xerostomia): Saliva glands affect hoti hain — cavity ka risk bahut badhta hai
- Taste change: Khaana ajeeb ya kadhwa lagta hai
- Infection risk: Immunity low hone se oral fungal/bacterial infections
- Bleeding gums: Platelet count kam hone se
Radiation (Especially Head/Neck) Se
- Permanent dry mouth: Salivary glands radiation se permanently damage ho sakti hain
- Osteoradionecrosis (ORN): Jaw ki haddi radiation se damaged ho jaati hai — bahut serious complication। Extraction ke baad jawbone heal nahi hoti
- Trismus: Jaw stiff ho sakta hai — theek se nahi khulta
- Radiation caries: Dry mouth se cavity bahut tez badhti hai
Treatment Se PEHLE — Most Important Step
Sabse zaroori: Cancer treatment shuru hone se pehle dental checkup ZAROOR karwayein — ideally 4-6 hafte pehle। Koi bhi infected ya problem tooth nikaal lena chahiye kyunki treatment ke dauraan kuch treatment safer nahi hota। Head-neck radiation ke baad extraction bahut risky hai (ORN risk)।
Treatment Ke Dauraan Oral Care
- ✅ Zyada soft brush: Ultra soft brush, halke haath se
- ✅ Fluoride: Daily high-fluoride rinse ya gel — cavity prevention
- ✅ Baking soda rinse: Mucositis mein soothing — 1/4 tsp soda + 1/4 tsp salt + 1 cup lukewarm water
- ✅ Saliva substitutes: Dry mouth ke liye — clinic se prescription
- ✅ Zyada paani: Sip karte rahein din bhar
- ✅ Koi bhi dental procedure: Oncologist se pehle clearance lein
- ❌ Alcohol-based mouthwash avoid — mucosa dry aur irritate karti hai
Khaane Ka Dhyan
- Soft, non-spicy foods — dahi, khichdi, smoothies, soup
- Acid aur cheeni kam — ulcers badh sakte hain
- Thanda soothing hota hai mucositis mein — cold water, ice chips
Important note: Yeh guide general awareness ke liye hai। Har patient ki situation alag hoti hai। Apne oncologist aur dental team ke saath close coordination mein chalein। Goyal Dental Care mein cancer patients ki dental care Dr. Ritu Goyal MDS Oral Surgeon handle karti hain — proper oncology coordination ke saath।
Cancer treatment ke dauraan ya baad mein dental problem — 9759864222 pe call karein।
Aksar Pooche Jaane Wale Sawaal (FAQ)
Chemotherapy se mucositis, dry mouth, taste change, infection risk. Radiation (head/neck) se permanent dry mouth, osteoradionecrosis, trismus, radiation caries. Pehle se dental checkup bahut zaroori hai.
Infected teeth nikaalein — treatment ke dauraan aur baad mein karna risky hai (especially head-neck radiation mein jaw osteonecrosis risk). 4-6 hafte pehle dental clearance lena best practice hai.
Bahut risky — head/neck radiation ke field mein extraction ke baad jawbone heal nahi karti (osteoradionecrosis). Radiation se pehle ya bahut careful planning ke saath oncology dentist ke saath karna chahiye.
Ultra soft brush, baking soda rinse, cold water sips, alcohol-free mouthwash. Oncologist se specific prescription mouthwash. Acid, spicy, rough foods avoid karein.
Head-neck radiation ke baad implant risky hai — jawbone vascularity affect hoti hai. Carefully assessed karna padta hai, hyperbaric oxygen therapy bhi sometimes use hoti hai. Specialist evaluation zaroori hai.