Print Print
CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.

Palliative cancer care - oral problems - Management
How should I prevent complications following chemotherapy and radiotherapy?

  • Start preventative measures before and during early cancer treatment to reduce the number of oral complications that follow chemotherapy and radiotherapy.
  • Stress the importance of regular oral care. See Self care.
  • Check that the person has had a pretreatment oral assessment and that any active dental work required is done.
  • Explain that smoking and drinking alcohol can aggravate oral mucositis.
  • Advise avoidance of abrasive foods likely to traumatise soft tissue and consider referral to a dietician for dietary advice as necessary.
Clarification / Additional information
  • A pretreatment oral assessment will usually be arranged by the oncology unit.
  • Any necessary dental treatment should be done urgently to avoid any delay in treatment.
  • Dental extractions should have a healing time of 10 days before commencement of chemotherapy or radiotherapy.
Basis for recommendation

© NHS Institute for Innovation and Improvement