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Oral Care for Cancer Patients

Custom Floride Carrier Trays from San Diego Prosthodontics
Custom Fluoride Carrier Trays

Prior to patients beginning radiation therapy or chemotherapy for cancer, Dr. Gulbransen will examine them to be sure there are no underlying dental infections. This involves the use of dental x-rays [latest digital technologies] and a complete oral exam. Any necessary treatment will be done so patients are ready to begin their cancer treatments as quickly as possible.  Please click on our blog for more infomation regarding pre-radiation dental evaluations. http://www.sandiegoprosthodontics.com/blog/40-general/109-importance-of-pre-radiation-dental-evaluations

Dental treatment following cancer therapy is also provided by Dr. Gulbransen. This includes control of dental decay, management of dry mouths plus any dental prostheses needed for comfort and function.

Patients are instructed in the need for excellent oral hygiene and the topical application of a highly concentrated fluoride gel to their teeth to avoid post-radiation dental disease. Custom fluoride trays fabricated in our laboratory are used to facilitate this.


Instructions for the Use of Fluoride Trays

  1. Brush and floss your teeth.
  2. Place enough fluoride gel to just cover the bottom of the fluoride trays.
  3. Place the fluoride trays over your teeth as directed
  4. LEAVE THE TRAYS ON YOUR TEETH FOR 5 MINUTES.
  5. Remove the trays and spit out the excess fluoride gel.
  6. DO NOT RINSE YOUR MOUTH, EAT OR DRINK ANYTHING FOR 30 MINUTES.
  7. Clean the trays with a toothbrush or cotton swab.
  8. Place the trays in water for storage.

As a convenience for our patients, we stock fluoride gel in an assortment of flavors. Please call our office for details.

The Importance of Fluoride Gel!

As a result of radiation, most patients experience dryness in the mouth. A certain amount of dryness will persist forever after radiation therapy to the head and neck. The most common problem associated with a dry mouth is rampant dental decay and periodontal (gum) disease. DAILY application of fluoride has been shown to be effective in preventing these problems. If a patient is not compliant, dental disease, oral infections, rampant tooth decay, and infections of the jaw bone are common problems.

For helpful hints on managing mouth problems associated with radiation therapy, go to FAQ’s.

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