Care of Head and Neck Cancer Patients for Dental H ygienists and Dental Therapists

Jocelyn Harding, DipDH PGCert, is a Dental Hygienist in the Department of Oral and Maxillofacial Surgery at Gloucestershire Royal Hospital, UK. She has over 30 years' experience in dentistry, qualifying in the Royal Navy in 1992 and is currently studying for her MSc in Advanced and Specialist Healthcare at the University of Kent.

List of Contributors ix Foreword xii Ewa Rozwadowska Preface xiii Section 1 Primary Setting 1 1 The Early Detection of Mouth Cancer: An Initiative for the Whole Dental Team 3 Philip Lewis 2 Detection and Prevention of Skin Cancer for Dental Hygienists 14 Greg Knepil 3 Lip Cancer 20 Alison E. Lowe 4 Smoking and Vaping 23 Elaine Tilling 5 The Impact of Substance Dependence on Oral Health 29 Teresa Servas 6 Human Papillomavirus as a Risk Factor for Oropharyngeal Squamous Cell Carcinoma 36 Elizabeth Marsh 7 Pathologists: The Cornerstone of Head and Neck Cancer Diagnosis and Treatment 44 Paul Hankinson and Syed Ali Khurram 8 Mental Health and Well-Being Pretreatment 51 Lauren Barry 9 Flowchart 53 Stephanie Wright Section 2 Specialists, Roles, and Departments 55 10 The Multidisciplinary Team 57 Lucy Baker 11 History of Oral and Maxillofacial Surgery 60 Mahesh Kumar 12 Head and Neck Cancer: Clinical Nurse Specialist Role 76 Sonja Hoy and Joanna Rydon 13 The Role of the Dietitian in the Care of Head and Neck Cancer Patients 78 Laura Kent and Hannah Cook 14 Speech and Language Therapy 85 Eve Ferguson and Sarah Hartigan 15 The Role of the Restorative Dentist in the Management of Head and Neck Cancer Patients 91 Michael Fenlon 16 The Role of the Dental Nurse in an Oral and Maxillofacial Unit 98 Laura Holdway Section 3 Types of Head and Neck Cancer Treatment 101 17 Chemotherapy: An Overview 103 Helen Davies 18 Radiotherapy in Head and Neck Cancer 107 Muneeb Qureshi, Brindley Hapuarachi, and Bernadette Foran 19 The Role of Immunotherapy in Head and Neck Cancer Management 116 Brindley Hapuarachi, Muneeb Qureshi, and Bernadette Foran 20 Proton Therapy in the UK 123 Karol Sikora and John Pettingell 21 Transoral Robotic Surgery 129 Naseem Ghazali 22 Photobiomodulation Therapy for Management of Oral Complications Induced by Head and Neck Cancer Treatments 141 Reem Hanna 23 The Hologram, a New Imaging Modality in Head and Neck Cancer 157 Mark McGurk 24 Laryngectomy Care: What Is Required? 160 Lauren Smallwood 25 Mental Health and Well-Being during Treatment 169 Lauren Barry Section 4 Head and Neck Cancer Treatment Complications 171 26 Chemotherapy and Risk Assessment in Dental Treatment Planning 173 StJohn Crean 27 Xerostomia, from the Greek (Xero = Dry, Stoma = Mouth) = Dry Mouth 176 Leigh Hunter 28 The Role of Acupuncture in Radiotherapy-Induced Xerostomia 191 Andrea N. Beech 29 Oral Ulceration, Viral Infection, and Candidosis 194 Mike Lewis 30 Halitosis 197 Charlotte M. Carling 31 Oral Mucositis 205 Shemifhar Freytes and Alessandro Villa 32 Nausea and Tooth Erosion 211 Lucy Harrison 33 Osteoradionecrosis 213 Imogen Fox 34 Mucus Secretions and Hypersalivation 216 Lucy Baker 35 Mouth Care and Quality of Life for Patients Living with Head and Neck Cancer 218 Jocelyn J. Harding 36 Obturators 231 Rhiannon Jones 37 Physiotherapy for Head and Neck Cancer Patients: An Overview 236 Leah Dalby 38 Radiotherapy: The Treatment That Keeps on Giving! 239 Emma Hallam 39 Management of Intraoral Hair Growth After Flap Reconstruction 241 Susan Smithies 40 Lifestyle Factors in Oral Cancer 245 Mike Nugent 41 Pain Management for Head and Neck Cancer Patients 249 Roddy McMillan Section 5 Further Considerations, Patient Experiences and Support 253 42 Mental Health and Well-Being Post-treatment 255 Lauren Barry 43 Intimacy: Advice for the Patient from a Psychologist 257 Jo Hemmings 44 What Is Palliative Care? 258 Emma Husbands 45 My Cancer, My Journey 262 Roy Anthony 46 Life 2.0: How My Life Has Changed Since My Cancer Diagnosis 269 Shrenik Shah 47 Steve's Story 272 Steve Baker 48 Living with the Legacy 275 Debbie Hemington 49 Look Good Feel Better 279 Lisa Curtis Appendix A: Head and Neck Cancer Charities UK 281 Index 282