Connecting with Cancer Patients

Patients recently diagnosed with cancer have much to learn about their treatment, including managing oral health care so that dental problems do not interfere with cancer treatments. The Dental Oncology Clinic in the College of Dentistry works closely with The James Cancer Hospital and Solove Research Institute (The James) to ensure the dental needs of these patients are considered during their cancer treatment.  

“Radiation and certain medications used in cancer treatment can cause problems with healing,” said Suzanne Konieczkowski, DMD, assistant professor and director of the Dental Oncology Clinic. “Patients often need to avoid extractions and other invasive procedures. Preventive care becomes even more important.” 

Cancers of the neck and head that require radiation can result in additional complications. “Radiation therapy for head and neck cancers can damage salivary glands,” Dr. Konieczkowski said. “Patients may develop xerostomia, or dry mouth.” 

Because of radiation patients’ increased risk of cavities, Dr. Konieczkowski recommends they get their teeth cleaned every three or four months, rather than every six months.

Dry mouth—also a side effect of some medications—can lead to more cavities and discomfort in the mouth. There are treatments available. “Nothing is as good as natural saliva,” Dr. Konieczkowski said. “Patients learn to sip lots of water, and there are helpful products such as Biotene. Often, medications that help one side effect can cause other side effects.”

ONE OF THE FIRST OF ITS KIND

The Dental Oncology Clinic is one of the first in the country to focus on comprehensive care for cancer patients. The clinic was started about four years ago, and Dr. Konieczkowski joined the program in 2021. She is focused on building the connection between the college and The James and supporting patients. 

Dr. Konieczkowski said there are important complications to consider for cancer patients. Dry mouth is just one problem that can be caused by radiation in the head and neck areas. Osteoradionecrosis is a rarer complication from radiation therapy that unfortunately results in bone death. 

Metastatic cancers may increase the risk of bone fractures in cancer patients. Bone-strengthening medications such as bisphosphonates may prevent fractures. However, they can also increase the risk of osteonecrosis of the jaw. 

Dr. Konieczkowski helps patients navigate these and other complications. “I’m happy to be a resource for The James and I’d like to extend my help to community dentists who have patients being treated for cancer,” she said.

“I’m happy to be a resource for The James and I’d like to extend my help to community dentists who have patients being treated for cancer." - Suzanne Konieczkowski, DMD