[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-340165-105":59,"doc-detail-340165-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","bridging-the-gapestablishing-a-dental-oncology-service-in-a-cancer-centre","Bridging the gap—Establishing a dental-oncology service in a cancer centre","","Dental disease is the most common non-communicable condition worldwide and increases morbidity in patients receiving bone modifying agents or head and neck radiation therapy. Preventive dental care programs reduce the risk of medication-related osteonecrosis of the jaw (MRONJ) and osteoradionecrosis (ORN). Coordinating routine dentistry within mainstream oncology improves long-term outcomes. This case series examines patient, institutional, and social barriers at the dental-oncology interface and the resolutions used while building a service, emphasizing effective multidisciplinary lead care and structured, supported dental pathways.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/bridging-the-gapestablishing-a-dental-oncology-service-in-a-cancer-centre/340165/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/bridging-the-gapestablishing-a-dental-oncology-service-in-a-cancer-centre/340165.png","ImageObject",300,407,{"name":92,"@type":93},"Rowan","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is dental disease a major concern in oncology care?","Question",{"text":112,"@type":113},"Dental disease is widespread and can lead to significant morbidities in patients after bone modifying agents or head and neck radiation therapy.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How do preventive dental regimes affect MRONJ and ORN risk?",{"text":117,"@type":113},"Preventative dental care reduces the risk of both medication-related osteonecrosis of the jaw (MRONJ) and osteoradionecrosis (ORN) in at-risk patients.",{"name":119,"@type":110,"acceptedAnswer":120},"What does the case series focus on when establishing a dental-oncology service?",{"text":121,"@type":113},"It highlights patient, institutional, and social difficulties at the dental-oncology interface and the resolutions used, supporting the need for effective multidisciplinary lead care and structured dental pathways.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},340165,1790081283,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":41},1099514067415,"https://ap-avatar.wpscdn.com/avatar/100002539d78ffe74a7?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779092875211072502","Supportive Care in Cancer (2024) 32:693  \n[https://doi.org/10.1007/s00520-024-08872-x](https://doi.org/10.1007/s00520-024-08872-x)  \nBridging the gap—Establishing a dental‑oncology service in a cancer centre  \nHarriet Byrne1 · Claire Curtin1 · Catherine S. Weadick2,3 · Rícheal Ní Riordáin1 · Seamus O’Reilly2,3  \nReceived: 1 June 2024 / Accepted: 10 September 2024 / Published online: 28 September 2024 © The Author(s) 2024  \nAbstract  \nDental disease remains the most common non-communicable disease worldwide. It predisposes patients to significant morbidities following bone modifying agents or radiation therapy to the head and neck. Preventative dental regimes effectively reduce the risk of both medication-related osteonecrosis of the jaw (MRONJ) and osteoradionecrosis (ORN) in these patients. Co-ordination of routine dental care as a component of mainstream oncology treatment optimises long term outcomes for oncology patients. This case series offers insights into patient, institutional and social difficulties that challenge the dentaloncology interface. These obstacles and subsequent resolutions experienced whilst establishing a dental-oncology service in a cancer centre highlight the importance of effective multidisciplinary lead care for oncology patients. It reinforces the need for structured, supported dental pathways for these oncology patients.  \nKeywords Dental-oncology service · Bone modifying agents · Head and neck radiation therapy · Multidisciplinary  \nIntroduction  \nIn dentistry, the term bridging refers to providing a connection or contact between two different subjects or matter [1] . The term also resonates in interdisciplinary care where bridges are created based on patient needs. Globally, dental disease has been the most common, noncommunicable disease worldwide for over 3 decades  \n* Harriet Byrne harriet.byrne@ucc.ie  \nClaire Curtin  \n[ClaireCurtin@ucc.ie](ClaireCurtin@ucc.ie)  \n[Catherine S. Weadick](Catherine S. Weadick)  \n[c.weadick@umail.ucc.ie](c.weadick@umail.ucc.ie)  \nRícheal Ní Riordáin  \n[Richeal.niriordain@ucc.ie](Richeal.niriordain@ucc.ie)  \nSeamus O’Reilly  \n[Seamus.oreilly@hse.ie](Seamus.oreilly@hse.ie)  \n1 Cork University Dental School and Hospital, University College Cork, Cork, Ireland  \n2 Cancer Research @UCC, College of Medicine and Health, University College Cork, Cork, Ireland  \n3 Department of Medical Oncology, Cork University Hospital, Wilton, Cork, Ireland  \n[2 , 3] . For oncologists, the dental-oncology interface is most evident in the conditions of medication-related osteonecrosis of the jaw (MRONJ) and osteoradionecrosis (ORN) . These well-recognised conditions have devastating quality of survival implications for patients [4] . Improved cancer outcomes have led to increased number of at risk patients and consequently a requirement for greater integration of dentistry into cancer care . Traditionally, this care relied upon non-structured, individual patient constructed bridges. In this paper, we outline the benefits of establishing formal bridging pathways in cancer care.  \nThe growing significance of the dental-oncology interface results from the widespread integration of bone modifying agents (BMAs) to combat skeletal-related events (SREs), bone metastases and hypercalcemia. SREs in cancer patients are associated with loss of mobility, reduced quality of life and healthcare expenditure [5–7] . BMAs are commonly prescribed to patients with prostate (85%), breast (70%), lung (40%), kidney (40%) cancer and multiple myeloma (95%)[8–10] . Their utilisation is integrated into guideline-based cancer care [9] . BMAs are also given to patients in the curative setting such as early breast cancer to reduce recurrence rates and improve survival [9] . MRONJ is the most concerning side effect of BMAs, a side effect compounded by the lack of dental integration into oncology practice. It  \nfollows a clinical path of exposed bone in the maxillofacial region, present for at least 8 weeks in a pati","cbCaik1pDGAczwji","https://ap.wps.com/l/cbCaik1pDGAczwji","pdf",822358,12,"English","# Abstract\n# Introduction\n## Dental disease and the dental-oncology interface\n## Bone modifying agents and MRONJ\n## Head and neck radiation therapy and ORN\n## Dental management and timing","[{\"question\":\"Why is dental disease a major concern in oncology care?\",\"answer\":\"Dental disease is widespread and can lead to significant morbidities in patients after bone modifying agents or head and neck radiation therapy.\"},{\"question\":\"How do preventive dental regimes affect MRONJ and ORN risk?\",\"answer\":\"Preventative dental care reduces the risk of both medication-related osteonecrosis of the jaw (MRONJ) and osteoradionecrosis (ORN) in at-risk patients.\"},{\"question\":\"What does the case series focus on when establishing a dental-oncology service?\",\"answer\":\"It highlights patient, institutional, and social difficulties at the dental-oncology interface and the resolutions used, supporting the need for effective multidisciplinary lead care and structured dental pathways.\"}]","Bridging the gap—Establishing a dental-oncology service in a cancer centre | PDF",1790034618]