Supervision of oral health care is mandatory for patients who receive chemotherapy or radiotherapy to the neck and particularly if they receive both. All patients must undergo dental evaluation and prophylactic treatment and must receive instructions in home care of the teeth, including the use of fluoride prophylactically. Wisdom teeth, including those that are unerupted, and irreparable carious teeth must be removed. Patients must be followed closely during the second dentition to ensure prompt treatment of oral infections and other complications that can occur during the tooth-shedding process. Dental surveillance must continue after the patient is off therapy.
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