About this episode
"There is an old saying that if you ignore your teeth, they'll go away. I think that's a true, true statement. People may think they can get away without daily hygiene. I think that's kind of important, that you should at least get your teeth taken care of at least once or twice a day by brushing and flossing. I mean this has been proven. Our dental people have really taken the lead on preventive care with oral hygiene in that respect," Raymond Scarpa, DNP, APN-C, AOCN® clinical program manager of head and neck oncology and supervisory advanced practice nurse in the department of otolaryngology at the Rutgers Cancer Institute of New Jersey at University Hospital in Newark,told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about the importance of oral health for patients with cancer. Music Credit: " Fireflies and Stardust " by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by October 25, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to oral care for patients with cancer. Episode Notes The NCPD activity for this episode has expired, but you can still earn NCPD through many other ONS Podcast episodes. Find a full list of opportunities . Oncology Nursing Podcast ™ episodes: Episode 269: Cancer Symptom Management Basics: Gastrointestinal Complications Episode 116: Screen and Manage Malnutrition in Patients With Cancer ONS Voice articles: Manage Late Effects From HPV-Positive Oropharyngeal Cancers Nursing Considerations for Head and Neck Cancer Survivorship Care Research Shows That Vaping Alters Mouth Microbes The Case of the Missing Oral Mucositis What Advanced Practice Providers Need to Know About Oral Mucositis ONS book: Clinical Manual for the Oncology Advanced Practice Nurse (Fourth Edition) ONS course: Introduction to Nutrition in Cancer Care Clinical Journal of Oncology Nursing articles: Dental Care: Unmet Oral Needs of Patients With Cancer and Survivors HPV-Positive Oropharyngeal Cancer: The Nurse's Role in Patient Management of Treatment-Related Sequelae Low-Level Laser Therapy: A Literature Review of the Prevention and Reduction of Oral Mucositis in Patients Undergoing Stem Cell Transplantation ONS Symptom Interventions: Mucositis American Cancer Society Oral Cavity (Mouth) and Oropharyngeal (Throat) Cancer Palliative Treatment for Oral Cavity and Oropharyngeal Cancer Head and Neck Cancer Alliance To discuss the information in this episode with other oncology nurses, visit the ONS Communities . To find resources for creating an Oncology Nursing Podcast Club in your chapter or nursing community, visit the ONS Podcast Library . To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org . Highlights From This Episode "Radiation, with or without a combination of chemotherapy, can lead to xerostomia, which is like a dry mouth. When this occurs, there's reduced or even absent salivary flow. When this happens, it can lead to mucositis, which is a very painful swelling of the mucous membranes in the oral cavity. This increases the risk of infection and compromises speaking, chewing, and swallowing. Certain chemotherapeutic agents can also accelerate and increase the severity of these side effects." TS 3:54 "I think pretreatment of the oral cavity prior to starting any of these treatments is a key to managing some of the side effects that can occur. This includes a referral to the dentist for any kind of extractions and removal of any nonviable dentation, along with providing some what they call fluoride treatments. The nurses can also influence the patient by helping them with their nutrition. It's important for them to continue to try to swallow despite some of the side effects that can cause the discomfort in swallowing." TS 6:53 "I always encourage [patients] to try to use soft-bristle toothbrushes, [water flossers] if necessary, soft foods, nonspicy foods, foods with moderate temperatures. … Try to make sure that they have enough lubrication to get the nutrition they need by including some gravies or sauces or water to help them swallow when their saliva is altered due to these side effects from the treatments." TS 10:18 "I've been working in the head and neck cancer field for quite some time, and over the years, I've come to realize that this is probably one of the most devastating types of malignancies that someone has. … Head and neck cancer and oral cancers—they affect your basic survival needs. They affect your ability to communicate. They affect your ability to take in nutrition. They can affect your ability to breathe and certainly affect when someone looks at you. It's right there. It's staring them in the face. You can see the side effects of their treatments." TS 22:41