Your Mouth and Chronic Graft-versus-Host Disease 2021

Описание: Summary: Learn how chronic graft-versus-host disease can affect your mouth, and therapies available to treat the disease and symptoms. Graft-versus-host disease (GVHD) often occurs in the mouth and can cause mouth sores, dry mouth, tooth decay and difficulty swallowing

Presenter: Joel Epstein DMD, MSD, FRCD (c), RCS (Edin), Medical Director, Dental Oncology Services, City of Hope. Meet the Dr. Epstein: https://www.cityofhope.org/people/eps...

To read the transcript, go to: https://www.bmtinfonet.org/video/your...

Highlights:

Oral GVHD can affect mouth tissues, the tongue, gums, bone health, and tooth structure. Pain and a dry mouth are typical symptoms.
Photobiomodulation (low-level laser therapy) can reduce inflammation, help mouth sores heal and reduce pain in patients with oral GVHD.
Since evaluating and properly treating oral GVHD is more complex than a typical dental exam, patients at risk for developing oral GVHD should be managed by a dentist who has received specialized training in the sub-specialty of dentistry called oral medicine.

Presented at the 2021 Celebrating a Second Chance at Life Virtual Symposium, April17-23, 2021
Presentation is 37 minutes with 12 minutes of Q & A

Key Points:

(05:29) Oral GVHD can change both the quantity and quality of the saliva in the mouth.

(09:09) If the mouth is the only part of the body affected by GVHD, then local topical therapies can be used that don’t interact with other drugs the patient is taking.

(12:32) Photobiomodulation therapy (low level laser light therapy) helps heal mouth sores and control pain.

(19:32) Increasing saliva production can reduce the risk of developing infections in the mouth.

(21:34) GVHD can cause gum disease.

(22:59) GVHD can reduce the amount of calcium needed to maintain strong teeth.

(27:50) GVHD can cause skin in and around the mouth to become taut, which can make swallowing difficult.

(28:41) Oral GVHD can cause changes in taste.

(30:55) Certain medications can damage bones and cause dental problems after transplant.

(33:37) Cancer in the mouth can occur as late as 5-10 years after transplant.

Meet the speaker: https://www.cityofhope.org/people/eps...

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