For Dentists and Other Dental Professionals: Dental Screening Program for Patients Who May Need Hematopoietic Stem Cell Transplantation (HSCT)
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1 For Dentists and Other Dental Professionals: Dental Screening Program for Patients Who May Need Hematopoietic Stem Cell Transplantation (HSCT) Dear Dental Care Provider, Thank you for your contribution to this screening program. Please review and complete all the attached materials for your patient who is a prospective candidate for hematopoietic stem cell transplantation (HSCT). PLEASE BE SURE TO SUBMIT THE FOLLOWING: Dental Evaluation Form (see final 2 pages of this document) Dental Radiographs (instructions below) HOW TO SEND THE DENTAL EVALUATION FORM your completed report to: bwhoralmedicine@partners.org Please use the following format for the subject header: HSCT, Smith, J this is the name of service (HSCT), the patient s last name (Smith), the patient s first name initial (J) and date of birth ( ) OR Fax your completed report to HOW TO SEND DENTAL RADIOGRAPHS A) Digital radiographs: to: bwhoralmedicine@partners.org Please use the following format for the subject header: HSCT, Smith, J this is the name of service (HSCT), the patient s last name (Smith), the patient s first name initial (J) and date of birth ( ). B) Film: Send by OVERNIGHT MAIL to: Division of Oral Medicine and Dentistry, Brigham and Women s Hospital, ATTN: HSCT Coordinator, 75 Francis St., Boston, MA Attention: If you send film, please keep the originals as these will not be returned. Please contact us at bwhoralmedicine@partners.org or if you have any questions for the Oral Medicine specialists regarding dental treatment issues or completion of the Dental Evaluation Form. For all other issues, please ask the patient for his or her oncologist s contact information. Thank you, The Division of Oral Medicine and Dentistry Providers Brigham and Women s Hospital, 75 Francis St., Boston, MA Page 1 of 6
2 INSTRUCTIONS FOR DENTAL EVALUATION OF PATIENTS UNDERGOING HEMATOPOIETIC STEM CELL TRANSPLANTATION Your patient is presenting to you for a dental evaluation in preparation for hematopoietic stem cell transplantation (HSCT), a potentially life-saving procedure used to treat cancer and certain non-cancerous blood disorders. Good oral health may reduce complications during and after HSCT. During admission for HSCT, your patient s neutrophil count will fall, placing him/her at risk for a life-threatening infection/septicemia. Therefore, elimination of all potential sources of oral infection is an important aspect of preparation for HSCT and we ask for your assistance in achieving this. Please give your patient priority for an appointment to expedite dental care. In some cases, you may have only one to two weeks in which to complete your evaluation and treatment. You should proceed with the radiographs and full evaluation even if the counts are low. If the platelet count is less than 50,000, or if the absolute neutrophil count (ANC) is less than 1,000, consult with your patient s oncologist or our oral medicine specialists before commencing dental treatment. Your patient should be able to tell you what his/her counts are. Please read the following instructions carefully. If you have questions regarding dental issues or the dental evaluation form, please call the Division of Oral Medicine and Dentistry at For medically related questions, please ask the patient for his or her oncologist s contact information. PROCEDURES 1) Perform a complete dental evaluation, including full mouth periodontal charting and sufficient radiographs to: a. Diagnose caries b. Diagnose periodontal disease c. Diagnose periapical pathology d. Visualize partial soft tissue impacted 3 rd molars 2) Complete the necessary dental treatment. 3) Send your Dental Evaluation Form to BWH Division of Oral Medicine and Dentistry. RADIOGRAPH GUIDELINES The radiographs should be current (within 6 months) and of high diagnostic quality. Please ensure that the radiographic examination is sufficient in your clinical judgment to diagnose the conditions listed above. These may include any/all or a combination of the following: Full mouth series Panoramic radiograph with bitewings Panoramic radiograph with select periapical radiographs (as many as clinically indicated) Page 2 of 6
3 RESTORATIVE TREATMENT Restore all carious teeth. If caries extends to the pulp, consider endodontic therapy or extraction. Whenever possible, consider amalgam restorations rather than composite restorations for posterior teeth or Class V restorations. Although your patient may receive between cgy of total body radiation, there is no need to fabricate fluoride trays. PERIODONTAL TREATMENT Your patient will need a dental prophylaxis if s/he has not had one within the last three months Areas with slight (mild) or moderate periodontal disease should receive deep scaling and root planing Slight (Mild) Moderate Severe (Advanced) Probing depths >3 and <5 mm 5 mm and 7 mm 7 mm Bleeding on probing Yes Yes Yes Radiographic bone loss Up to 15% root length or 16%-30% or > 30% or >5 mm 2mm and 3mm >3mm and 5 mm Clinical attachment loss 1-2 mm 3-4 mm 5 mm J Periodontol 2015: American Academy of Periodontology Task Force Report on the Update to the 1999 Classification of Periodontal Diseases and Conditions Teeth exhibiting severe (advanced) periodontitis should be extracted During your patient s hospital stay, which typically lasts 2-4 weeks, s/he will be using a soft toothbrush and rinsing with chlorhexidine ENDODONTIC TREATMENT All teeth that have received direct/indirect pulp caps or have large restorations should be tested for vitality and endodontically treated or extracted if non-vital Teeth that are symptomatic after endodontic therapy or with sinus tracts need careful reevaluation and may require retreatment, surgery, or extraction Teeth with persistent periapical radiolucency (usually < 5 mm) that are asymptomatic after endodontic therapy and without sinus tracts do not require treatment ORAL SURGERY All grossly decayed and non-restorable teeth should be extracted All teeth with severe periodontal disease should be extracted Adequate alveoloplasty and primary closure should be performed (when possible) Chlorhexidine rinse and prophylactic antibiotics may be considered for one week following extractions Allow at least 7 days for healing prior to HSCT hospital admission Third molars Third molars that are partially erupted and that have been symptomatic in the past (e.g., pericoronitis) should be extracted Fully impacted (soft tissue or bone) asymptomatic third molars need not be extracted Page 3 of 6
4 Areas of trauma Identify and eliminate all sources of oral trauma and irritation, such as sharp edges of teeth, ill-fitting dentures, orthodontic brackets, and other appliances Bisphosphonates and patients with multiple myeloma If your patient has a diagnosis of multiple myeloma, please ask her/him if s/he is or was on bisphosphonate therapy (e.g., monthly zoledronic acid), which places the patient at risk for developing jaw osteonecrosis Perform surgical procedures as atraumatically as possible Following a dental extraction, gently curette the socket and irrigate with saline. Prescribe antibiotic therapy (e.g., amoxicillin 500 mg TID or clindamycin 300 mg TID) for at least two weeks following the surgical procedure or until the soft tissue wound has closed Prescribe chlorhexidine rinse Re-evaluate the extraction site in approximately two weeks to ensure closure of the gingiva and adequate healing, with additional follow-up scheduled as needed Please help expedite your patient s dental treatment as any delays may cause a postponement of their transplant. Thank you for your help preparing your patient for cancer therapy. If you have any questions, please do not hesitate to call us at Page 4 of 6
5 DENTAL EVALUATION FORM (P1 OF 2) Please complete this form Patient's Name Date of Birth (DD/MM/YYYY) Examiner's Name Examiner s Address Examiner's Phone No. (include area code) Examiner's Patient's cancer diagnosis History of pericoronitis: Please comment if you circle Y. Y N Date of enclosed radiographs Intra-oral examination: Y N Symptomatic teeth Y N Vitality testing (any tooth with large restorations) Y N Areas of suppuration/fistulae/sinus tract Periodontal disease classification (select one): Mild Moderate Severe Radiographic findings: Presence of apical lucencies: Other findings (clinical, mucosal and radiographic): Page 5 of 6
6 DENTAL EVALUATION FORM (P2 OF 2) DENTAL TREATMENT PLAN Tooth Caries Severe Periodontal disease Other Partial Soft tissue impacted Other Completed Treatment Prophylaxis completed (date): Scaling root planning completed (if applicable): Other comments Signature of examiner/date Page 6 of 6
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