Oral side effects during and after cancer treatment can be debilitating. For example, I once cared for a patient who had a severe case of graft-versus-host disease (GVHD). This condition can develop after a stem cell transplant when a donor’s immune cells attack tissues in the patient’s mouth or other areas of the body. This particular patient had enlarged salivary glands. Her mouth was so dry she could barely close it, and she was unable to talk or eat. Eventually, we were able to get the GVHD under control, and she went on to do really well. It’s gratifying to be able to work with people like her, to contribute to their health — even in a small way — during such a vulnerable time in life.
I focus on taking things step by step. When you’re facing a transplant or some other form of cancer treatment, there’s already a lot of information to take in. I think patients appreciate that I share what is helpful to know in the moment about maintaining oral health, rather than overburdening them with information that isn’t likely to be useful right now. People also seem to value that my colleagues and I on the Oral Medicine Service are always available for questions. We even work with patients remotely, if they have oral concerns and can’t visit the clinic. Knowing we’re here — whether in person, by phone or by email — can be a source of relief for many patients.
Oral complications of cancer and treatment
I specialize in managing oral symptoms and oral complications associated with cancer and treatment. My expertise includes working with patients who are undergoing hematopoietic (blood-forming) stem cell transplantation. For these patients, I provide pre-transplant evaluations to eliminate potential sources of infection, address any oral problems that appear post-transplant and help them maintain their oral health in the long term. I also work with people who receive other forms of cancer treatment and have oral concerns. In addition to caring for patients, I study the oral effects of chronic GVHD, seeking to better understand the disease process and to improve the management of this common post-transplant condition.
Burning Mouth Syndrome
Oral Graft-Versus-Host Disease
Medication-Related Osteonecrosis
Tempromandibular Joint Dysfunction
English
Hindi
Tamil
Undergraduate Degree
Meenakshi Ammal Dental College and Hospital, India
Medical Degree
Meenakshi Ammal Dental College and Hospital, India
Residency
Brigham and Women’s Hospital/ Harvard School of Dental Medicine
Other
Master of Science in Dentistry, Oral Medicine, University of Washington; Master of Public Health, Washington University
At Fred Hutch, you receive care from a team of providers with extensive experience in your disease. Your team includes doctors, a patient care coordinator, a registered nurse, an advanced practice provider and others, based on your needs. You also have access to experts like nutritionists, social workers, acupuncturists, psychiatrists and more who specialize in supporting people with cancer or blood disorders.
Fred Hutch accepts most national private health insurance plans as well as Medicare. We also accept Medicaid for people from Washington, Alaska, Montana and Idaho. We are working to ensure that everyone, no matter what their financial situation, has access to the care they need.
The Media Relations team at Fred Hutch is available to assist members of the news media who would like to arrange interviews with providers.
Email media@fredhutch.org or call 206.667.2210