Radiotherapy-associated dental extractions and osteoradionecrosis

被引:42
|
作者
Beech, Nicholas M. [1 ,2 ]
Porceddu, Sandro [1 ,3 ]
Batstone, Martin D. [1 ,4 ]
机构
[1] Univ Queensland, Sch Med, Brisbane, Qld, Australia
[2] Univ Adelaide, Sch Dent, Dept Dent Surg, Adelaide, SA, Australia
[3] Princess Alexandra Hosp, Dept Radiat Oncol, Brisbane, Qld, Australia
[4] Royal Brisbane & Womens Hosp, Dept Oral & Maxillofacial Surg, Herston, Qld, Australia
关键词
radiotherapy; osteoradionecrosis; head and neck; oncology; dental extractions; dental; QUALITY-OF-LIFE; NECK-CANCER PATIENTS; RETROSPECTIVE EVALUATION; RADIATION-THERAPY; HEAD; HEALTH; ONCOLOGY;
D O I
10.1002/hed.24553
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background. Preradiotherapy dental extractions often form a part of the management plan for patients treated with radiotherapy for head and neck cancers in order to prevent complications, such as osteoradionecrosis. There is contention about whether these extractions should be performed and the timing of such extractions. The purpose of this study was to determine if pre- RT extractions were associated with the development of osteoradionecrosis of the jaws. Methods. Retrospective data on patients treated with RT for oropharyngeal cancer were pooled with a cross- sectional survey. Results. Pre- radiotherapy dental extractions were associated with a statistically significant increase in the risk of developing ORN. Conclusion. Pre-radiotherapy dental extractions do not protect against the development of osteoradionecrosis. (C) 2016 Wiley Periodicals, Inc.
引用
收藏
页码:128 / 132
页数:5
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