What type of services does Dr. Levi provide?
With advanced training in dental oncology from Memorial Sloan Kettering Cancer Center, Dr. Levi is an leader in the treatment of the oral manifestations of cancer therapy. Additionally, she has extensive experience in treating orofacial and TMJ related pain conditions as well as obstructive sleep apnea with mandibular advancement devices.
When should I visit a dental oncologist?
Ideally, the best time to visit Dr. Levi is before undergoing cancer therapy which includes chemotherapy, head and neck radiation treatment, a stem cell or bone marrow transplant or other cancer therapeutic regimens. No matter where you are in your cancer treatment, it is recommended that you schedule a visit with Dr. Levi.
As part of my cancer treatment, I am receiving or have received anti-resorptive medications such as bisphosphonates or denosumab. Should I see a dental oncologist?
These drugs are often prescribed to patients with multiple myeloma, bone metastases, Gorham's Disease or other bone conditions. They alter the normal functioning of bone cells and may be associated with jaw complications and delayed wound healing. It is important to visit a dentist with advanced knowledge of dental oncology before starting these drugs or if you have a history of taking them. Doing so may help minimize the risk of developing oral side effects resulting from these drugs.
How can chemotherapy affect my dental health?
Chemotherapy may be associated with mouth sores, dry mouth, and a compromised immune system, leaving you prone to infections and dental decay. The dental oncology team is trained to manage these conditions.
My child has history of chemotherapy. Does Dr. Levi have experience treating children?
Yes, Dr. Levi is knowledgeable in how chemotherapy affects dental development. Children with a history of chemotherapy should regularly visit a dentist with dental oncology training.
How does radiation therapy to the head and neck affect my oral and dental health?
Radiation therapy can alter your salivary flow resulting in dry mouth, mouth sores, and an increased likelihood of dental decay. Certain dosages of radiation therapy to the head and neck are linked to a heightened risk for osteoradionecrosis of the jaw (ORN), a condition characterized by delayed or abnormal wound healing. It is advisable to visit the dentist before undergoing radiation treatment, as certain dental procedures may not be performed after radiation therapy depending on the radiation dosage you receive or have received. Nevertheless, patients should not hesitate to visit Dr. Levi even after beginning radiation treatment.
Should I visit a dental oncologist before receiving a bone marrow or stem cell transplant?
After receiving the transplant, your immune system will be compromised and you will be at an increased risk for infections, including those in your mouth. Visiting a dental oncologist prior to receiving the transplant may help lower your risk of oral infections.
What should I bring to my first visit?
You should bring a completed patient history form if it was emailed to you, a list of your medications, your most recent lab values (if you have them), a list of doctors with whom you'd like Dr. Levi to communicate, and any other information from your physician that you have.