Post-radiation dental extractions posed an elevated risk for exposed bone and osteoradionecrosis in patients with head and neck cancer.
A recent study found higher incidences of exposed bone and osteoradionecrosis in patients with head and neck cancer who underwent dental extractions soon after radiotherapy, with the risk particularly elevated in those who received higher radiation doses.Guidelines recommend removing nonrestorable teeth before radiation therapy to prevent osteoradionecrosis in patients with head and neck cancer , but this can delay treatment by 2-4 weeks, potentially affecting overall survival.
Researchers evaluated the safety of performing dental extractions within 4 months of radiation therapy and the associated risks for exposed bone and osteoradionecrosis. The primary outcome was the cumulative incidence of exposed bone; secondary outcomes were the incidence of osteoradionecrosis and adherence to recommended post-radiation extractions. The median follow-up period was 26 months.A total of 30 patients had between 1 and 28 extractions at a median of 64.5 days after therapy, while 20 patients declined extractions. Out of those who had extractions, 26 patients had them performed within the recommended 4-month window following radiation therapy.
Head And Neck Cancer Head And Neck Cancer (HNC) Dentistry Oral Health Oral Medicine Dental Health Dental Oral Healthcare Oral Health Care Otolaryngology ENT Specialty Head And Neck Surgery ENT Speciality Bones Cancer Malignant Neoplasia Carcinoma Malignant Neoplasm Neck Cervical Region Of Neck Head And Neck Surgery Radiation Therapy Radiotherapy
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