Assessment and Care of Oral Lesions for Patients Who Undergo Radioiodine Treatment for Thyroid Cancer

Am J Med Sci. 2021 Jan;361(1):8-13. doi: 10.1016/j.amjms.2020.07.035. Epub 2020 Aug 1.

Abstract

Patients with differentiated thyroid cancer who undergo radioiodine treatment often present oral complications with a significant impact on their oral cavity function. Any potential sources of systemic infections like periodontal disease, unfitted dentures, orthodontic appliances, deficient/rough fillings, or traumatic dentition must be treated by the dental practitioner, because they represent the main source of spread and dissemination. Any systemic complication of a dental foci may result from improper dental preparation of the patient before radioiodine therapy and inadequate post-radioiodine therapy oral care. Therefore, all patients proceeding into radioiodine treatment should be addressed by the oncological team to undergo thorough dental check-up and receive appropriate treatment in due time.

Keywords: Iodine-131; Oral health; Radioiodine; Thyroid cancer.

Publication types

  • Review

MeSH terms

  • Dentists
  • Humans
  • Iodine Radioisotopes / administration & dosage
  • Iodine Radioisotopes / adverse effects*
  • Mouth Diseases* / diagnosis
  • Mouth Diseases* / therapy
  • Thyroid Neoplasms / radiotherapy*

Substances

  • Iodine Radioisotopes