Palliative oral care in terminal cancer patients: Integrated review

Table 3 Suggested palliative care protocol based on the literature available for some frequent oral complications in terminal patient’s with cancer

Oral complications	Therapeutical measures
Oral candidiasis	Fluconazole: 100 to 200 mg/d
	In case of resistance: Itraconazole or variconazole and mouth rinsing with melaleuca oil after oral hygiene
Xerostomia	Daily and frequent water sip intake
	Artificial saliva use
	In severe cases: Discuss the possibility of replacing causative drugs
Dysgeusia	Discontinues 10 mo after antineoplastic therapy, on average
	In severe cases: Discuss the possibility of replacing causative drugs
Mucositis	Cryotherapy: Ice stones and ice cream kept in mouth decrease risk of mucositis and relieve pain (prescription according to chemotherapy)
	Low-level laser therapy
	Cold chamomile-based tea solutions