Thanks to correct, daily oral hygiene it is possible to reduce the increase in duration of side-effects of cancer therapy.
Soft toothbrush, fluoride toothpaste (but without large amounts of detergents, particularly laureth sulphate which irritates mucosa, i.e. the one for children) should be performed twice or three times a day.
Toothbrush can be soaked in chlorhexidine solution (ATTENTION! The one that does not contain alcohol). After brushing, saline is best used for rinsing (or homemade salt solution – ¼ teaspoon for 250 ml water). Also during the day, it is advisable to rinse the mouth with saline or baking soda solution. These procedures do not irritate tissues, improve blood circulation and nutrition. They make it possible to moisturize the tissues, inhibit the accumulation of food residue, and enable the patient to rinse and dilute thick (due to therapy) mucous that covers oral mucosa. It is forbidden to use ready-made mouthrinses that contain alcohol. Also, hydrogen peroxide is not indicated for daily hygiene. Such solutions may irritate mucosa and intensify the feeling of dryness.
Solutions that contain chlorhexidine should be used carefully, also periodically and under the supervision of a clinician. Under no circumstances can they replace tooth brushing for a longer period of time. Out of all herbs, chamomile is safe.
Flossing should be performed once daily, and is best performed with waxed floss. Bleeding from papilla should motivate to make a break in cleaning for two or a few days (whereas other spaces should be cleaned).
It is important to use fluoride varnishes with high fluoride content. Such contact fluoride should be performed once daily. It reduces the very destructive radiation caries. Using nutritious cream on chapped lips is indicated. Lipsticks containing Vaseline and petroleum should be avoided, as they have dehydrating properties.
Removable prosthodontic restoration – if possible – should not be used for the duration of treatment. In other cases, they should be removed overnight and soaked in disinfecting solutions.