Good dental hygiene is particularly important for CLL patients. The mouth is a source of bacteria, which can be a problem for patients with compromised immune systems.

Early stage CLL patients generally do not need to take special precautions other than regular brushing, flossing, check-ups, and cleanings. Patients with advanced disease should take added precautions. The use of anti-bacterial rinses is often recommended, as are antibiotics in conjunction with dental work and cleanings. Some dentists will pre-treat with antibiotics for cleaning and dental work. Patients are encouraged to ask their dentists about pre-medication prior to their visits.

Prior to chemotherapy, it is a good idea to have a dental check-up, cleaning, and any required dental work. During chemotherapy, as blood counts fall, patients must exercise caution in their normal brushing and flossing. Gums will bleed easily and sores in the mouth often develop. This can set the stage for infections. Anti-bacterial rinses are helpful during this period and can be obtained through your dentist.

All patients should advise their dentists of their CLL. This is particularly important for patients with advanced stage CLL.