The Importance of Dental Health During Cancer Treatment

Cancer treatments are aggressive and bring a series of complications in other parts of the body, and the oral cavity is no exception. Before starting chemotherapies or radiotherapies, it is necessary to be evaluated by the dentist, to eliminate existing infections such as cavities and periodontal disease.

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Some of the complications that can occur during chemotherapies are: dry mouth, canker sores and ulcers, spontaneous bleeding from the gums, jaw pain, etc. All complications are preventable and, if they occur, are manageable.

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Knowledge is our best prevention weapon, that's why we share an interesting article that explains in detail the complications that can occur during cancer treatment and how we can prevent it.

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📌 Watch video 1 "Mouth Care During Your Cancer Treatment"

Youtube/ Memorial Sloan Kettering Cancer Center

📌 Watch video 2 "Oral Health Care During Cancer Treatment"

Youtube/ UR Medicine

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What is tooth sensitivity?

Exposure of dentin is the cause of tooth sensitivity, and can be caused by fractures, bruxism, cavities, maladjusted restorations, aggressive brushing, gingival recession, etc.

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Tooth sensitivity is evident when you consume a hot or cold food or drink. The pain is sharp and short-lived. There may also be pain from pressure and from chewing food.



The intervention of the dentist is important because tooth sensitivity could mean the existence of other types of pathologies. The dentist must find out what the reason for the dentin exposure is to prevent it from happening again.

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Bruxism: A medical or dental issue?

Bruxism is a parafunctional habit characterized by teeth grinding or clenching, usually at night. This activity generates a series of problems in the teeth, chewing muscles and jaw joint.

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Bruxism is often seen in the dental office and is listed as the “third most common form of sleep disorders after sleep talking and snoring.” This parafunctional habit (or parasomnia in medical terms) of grinding or gnashing the teeth and clenching the jaw has two different subdisorders—awake (diurnal) bruxism and sleep (nocturnal) bruxism—and is encompassed by a complex web of supposed causes and variables.

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Sleep bruxism (SB) exists in 8% to 31.4% of the population, while awake bruxism has a higher prevalence exhibited in 22.1% to 31% of the general population.

Unfortunately, both conditions have the same deleterious effects on the patient’s mouth and jaw, causing a cascade of destructive symptoms in the mouth, head, and neck. The parafunctional activities of bruxism cause hypersensitivity in teeth, headaches, painful muscles of the jaw and temporomandibular joint (TMJ), occlusal wear, and often, damage dental restorations, even dental implants.

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Indeed, 13% of failed implants are attributed to bruxism, making recognition of the disorder essential before commencing implantation work.

Without question, bruxism is a constant symptom in the dental office, at least in its presenting symptoms. However, there is more to this complex and perplexing disorder than meets the eye, as any dental professional who has been in the field for more than a few years can tell you. Beyond the local effects, the syndrome is correlated with a host of other medical and lifestyle issues. This leads us to the question: Is bruxism a medical or dental issue?

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Souce: https://www.rdhmag.com/pathology/oral-systemic/article/14169169/medical-problems-dental-solutions-bruxism-a-medical-or-dental-issue
Image: Vocal

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What Are The Causes Of TMJ Related Headaches?

The articulation of the jaw with the skull base is known as TMJ, and it can suffer a series of alterations, these are known as temporomandibular dysfunction (TMD).

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The chewing muscles and the joint are affected by TMD, and it prevents various actions such as: talking, yawning, eating and even breathing. Headache is another symptom of TMD.

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Treatment for TMD may consist of medication, massage to the affected area, and use of occlusal splints. Go to your trusted dentist for an evaluation and treatment.

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Image: Institute for Advanced Reconstruction

Pediatric oral RANULA: Clinical cases and follow-up

Oral ranulas are cystic lesions located on the floor of the mouth that arise from obstruction of the excretory duct of the sublingual gland. This causes an accumulation of mucoid material, leading to a well-circumscribed swelling in the oral mucosa of the floor of the mouth.

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Oral ranula is an infrequent pathology, appearing more frequently in children. A review of articles published on oral ranula between 2000 and 2009, found only 12 series, of which eight were specific to the pediatric population.

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The largest series corresponded to Chidzonga et al who analyzed 61 oral ranulas in children younger than 10 years. Some authors discuss ranulas in the general population and other authors have published isolated clinical cases.

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It was therefore interesting to analyze oral ranulas in a large sample of pediatric patients of the Oral and Maxi-llofacial Surgery Department of the La Fe University Children’s Hospital, Valencia. The aim is to analyze the clinical characteristics, treatment and outcome of oral ranulas in pediatric patients.



° Bonet-Coloma C, Minguez-Martinez I, Aloy-Prósper A, Galán-Gil S, Peñarrocha-Diago M, Mínguez-Sanz JM. Pediatric oral ranula: Clinical follow-up study of 57 cases. Med Oral Patol Oral Cir Bucal. 2011 Mar 1;16 (2):e158-62. http://www.medicinaoral.com/medoralfree01/v16i2/medoralv16i2p158.pdf

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Diagnosis of temporomandibular joint (TMJ) ankylosis in children

Temporomandibular joint (TMJ) ankylosis is a disabling condition of mastication in which the condylar movement is limited by a mechanical problem in the joint (true ankylosis) or a mechanical cause not related to the joint components (false ankylosis).

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In children, trauma is identifi ed as the main cause of TMJ ankylosis (57-63%). The other etiological factors are infections, rheumatoid arthritis, hypoparathyroidism, psoriasis, and burns.

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Ankylosis in children can have a tremendous effect on physical and psychological well-being due to restricted mouth opening, inability to chew food, and poor oral hygiene. Due to growth deformity, the child may become shy and reclusive and have a low self-esteem. Trauma to TMJ in early childhood can affect the growth potential of the mandible.

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Any traumatic injury to the joint, if left unnoticed and untreated immediately can cause loss of growth and function resulting in muscle and bone atrophy and subsequently micrognathia, microgenia, and retrognathia.



Shetty, Priya & Thomas, Ann & Sowmya, Bhykani. (2014). Diagnosis of temporomandibular joint (TMJ) ankylosis in children. Journal of the Indian Society of Pedodontics and Preventive Dentistry. 32. 266-70. 10.4103/0970-4388.135848.

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What are the symptoms of clenched teeth and how can we fix it?

Grinding and grinding of the teeth is called bruxism. This activity is nocturnal and in states of unconsciousness. The consequences of bruxism is varied, since it affects teeth, muscles and bones.

The teeth wear out quickly and may have some fissure or fracture of the enamel. In the case of muscles, they become inflamed and generate great pain when chewing or talking.

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If you want to know more information about bruxism and its consequences on our health, we invite you to watch the following video.

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What is Trismus and what causes it?

Trismus has a number of potential causes, which range from the simple and non-progressive to those that are potentially life-threatening. Kazanjian divided ankylosis of the temporomandibular joint into true and false.

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The true type of ankylosis was attributed to pathological conditions of the joint, and false ankylosis was applied to restrictions of movement resulting from extra-articular joint abnormalities.

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This latter type of ankylosis is what most clinicians know as trismus. In a busy practice, it is not unusual to see several patients each month with a complaint of trismus. This condition may impair eating, impede oral hygiene, restrict access for dental procedures and adversely affect speech and facial appearance.

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What is Normal Opening of the Mouth?

The normal range of mouth opening varies from patient to patient, within a range of 40– 60 mm, although some authors place the lower limit at 35 mm. The width of the index finger at the nail bed is between 17 and 19 mm.



° Dent Update 2002; 29: 88–94 / P.J. DHANRAJANI AND O. JONAIDEL

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3 Reasons for the White Coating on Your Tongue

A healthy tongue is a clear demonstration of good general health. The color and shape of the tongue can be the manifestation of an ongoing disease or poor oral hygiene.

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A white tongue can be the product of dead debris, bacteria and cell phones that remain on the surface of the tongue.

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But a white tongue reveals some disease such as: candidiasis, leukoplakia, geographic tongue. We have more information about white tongue thanks to the BiteawayTV International channel.

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What is Mandibular Tori? What causes it?

The mandibular torus is an indeterminate bone growth that appears in the jaw. It generally appears on the inside of the jaw at the level of the premolars.

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When the torus appears in the upper jaw, it is called the Torus Palatinus, and it is usually found in the midline of the palate. This malformation is usually suffered by men.

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Among the factors that contribute to the formation of the torus, we have the genetic factor, stress and bruxism. See with us this interesting video where they explain what a mandibular torus is.

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How to Reduce a TMJ Dislocation?

The temporomandibular joint (TMJ) is a joint between the mandible and the temporal bone of the skull. The condyle of the mandible articulates bilaterally in a concavity known as the glenoid fossa or mandibular fossa.

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Dislocation of the temporomandibular joint is a painful condition that occurs when the mandibular condyle becomes fixed in the anterosuperior aspect of the articular eminence.

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Dislocations of the temporomandibular joint (TMJ) are common and occur in as many as 7% of the entire population, at some point in their lives . They can occur at any age but are most common between 20-40 years of age.

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Diagnostic Aids in Pediatric Dentistry

Childhood is the period of life’s greatest physical, psychological and emotional growth; the child we see today is no longer the same tomorrow. The child patient presents a challenge to the dentist, who must solve the problems of today with an eye to the future and dental health of an adult.

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Diagnosis is a process by which the practitioner distinguishes one disease from another, differentiates between normal and abnormal, and determines the etiology of abnormal conditions (Forrester). Accurate diagnosis can only be achieved by systematic and methodical collection of data.

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The present article illustrates the various diagnostic aids that can be used clinically in pediatric dentistry for detection and evaluation of commonly seen dental diseases.

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The various diagnostic aids can be categorized as:

• Routine diagnostic aids
• Specialized diagnostic aids
• Advanced diagnostic aids.



° International Journal of Clinical Pediatric Dentistry, January-April 2011;4(1):1-7 1
° Gopakumar R, Manju Gopakumar

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Oral lesions related to dentures

Oral lesions in denture wearers constitute a heterogeneous group of tissue changes, both with regard to pathogenesis, clinical and histopathological appearance, and possible complications.

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Dentures may be the direct cause of these conditions, due to changing environmental conditions of the oral cavity and loading of the oral mucosa. However, systemic conditions and general diseases may influence the oral environment and alter tissue responses and resistance.

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Different medical conditions associated with hyposalivation and parafunctional activity may result in higher risk of oral mucosal alterations. Dundar and IlhanKal reported diabetes mellitus as a risk factor for denture stomatitis and denture hyperplasia.

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The prevalence of oral mucosal lesions has been shown to increase with age.Coelho et al. have explained that tooth loss increases with age, and a removable partial denture (PD) may be later substituted by a complete denture (CD).



Souce: jispcd.org / Prevalence of denture-related oral lesions among patients attending College of Dentistry, University of Dammam: A clinico-pathological study
Authors: Suhayla Mubarak, Ali Hmud, Suresh Chandrasekharan, Aiman A Ali
Image: Aesthetic Dentures

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Massage Tutorial: Myofascial release for TMJ/jaw pain

The temporomandibular joint can undergo some alterations that cause pain to the patient, and can limit the movements of the jaw. In this syndrome the muscles are also involved

It is important to determine what is the cause of the TMJ syndrome, to carry out a good treatment, for this, tests such as: x-rays, occlusal analysis, magnetic resonance, etc. are carried out.

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On this occasion we share with you a video tutorial on massages to relax the muscles involved in this painful TMJ syndrome. This video is thanks to the Massage Sloth channel.

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How the symptoms of Dry Mouth can be combated ?

Dry mouth or xerostomia is the consequence of decreased salivary flow, and is basically the symptom of some disease, or side effect of certain types of medications.

Having a xerostomia creates a series of discomforts in the patient, such as: alteration of food taste, burning mouth, fissures or sores in the mouth, halitosis, difficulty speaking.

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The patient with xerostomia must have good and correct oral hygiene and stimulate salivation. Pay attention to the recommendations of the bioXtra - DRY MOUTH RELIEF channel for patients suffering from xerostomia.

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Imagen: Pur Dental Center

Why did oral HPV cases increase in men?

HPV (Human Papillomavirus) is an infection whose most frequent contagion is by sexual transmission. This infection can cause genital warts and in other cases cause uterine cancer.

There are also certain types of HPV that can cause an oral infection and can also cause cancer in the oral cavity.

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A study conducted in 2017 highlighted that 11 million men were infected with oral HPV between 2011 and 2014. What is oral HPV and why does it increase the risk of oral cancer in men?

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Source: Youtube/ Fox News