Dental Extractions Related to Head and Neck Radiotherapy: Ten-year Experience of a Single Institution

Overview

Journal Oral Surg Oral Med Oral Pathol Oral Radiol Endod

Publisher Elsevier

Specialties Dentistry
General Surgery

Date 2008 Mar 11

PMID 18329909

Citations 13

Authors

Daniel Henrique Koga

Joao Victor Salvajoli

Luiz Paulo Kowalski

Ines N Nishimoto

Fabio Abreu Alves

Affiliations

Soon will be listed here.

Abstract

Objective: This study evaluates the frequency of osteoradionecrosis associated with dental extractions.

Study Design: A total of 405 patients submitted to radiotherapy and had dental extractions were evaluated. The patients were divided into 3 groups.

Results: In group 1, 316 patients were submitted to 1.647 dental extractions (mean 5.2 teeth per patient) and in another 47 patients the number of teeth removed was not clearly reported. Group 2 comprised 5 patients who had 33 teeth extracted (mean 6.6 each). In group 3, 55 patients had 290 teeth removed (mean 5.3 each) and in another 2 patients the number of dental extractions could not be established. In general, only 3 cases of osteoradionecrosis related to dental extractions were observed: 2 related to exodontias performed before and 1 after radiotherapy.

Conclusions: The low prevalence of osteoradionecrosis found in this work suggests the possibility of performing exodontias after radiotherapy by experienced dentists in the management of head and neck cancer.

Citing Articles

Survey of experiences and barriers to dental care post-head and neck cancer in OraRad study participants.

Threet E, Napenas J, Petersen C, Mitchell R, Long-Simpson L, Shadick R Oral Surg Oral Med Oral Pathol Oral Radiol. 2023; 135(4):501-509.

PMID: 36717342 PMC: 10101878. DOI: 10.1016/j.oooo.2022.11.011.

Risk factors for osteoradionecrosis of the jaw in patients with oral or oropharyngeal cancer: Verification of the effect of tooth extraction before radiotherapy using propensity score matching analysis.

Kojima Y, Otsuru M, Hasegawa T, Ueda N, Kirita T, Yamada S J Dent Sci. 2022; 17(2):1024-1029.

PMID: 35756814 PMC: 9201633. DOI: 10.1016/j.jds.2021.10.019.

Antibiotic therapy for the prevention of osteoradionecrosis following tooth extraction in head-and-neck cancer patients postradiotherapy: An 11-year retrospective study.

Palma L, Marcucci M, Remondes C, Chambrone L Natl J Maxillofac Surg. 2022; 12(3):333-338.

PMID: 35153427 PMC: 8820304. DOI: 10.4103/njms.njms_413_21.

Tooth Failure Post-Radiotherapy in Head and Neck Cancer: Primary Report of the Clinical Registry of Dental Outcomes in Head and Neck Cancer Patients (OraRad) Study.

Brennan M, Treister N, Sollecito T, Schmidt B, Patton L, Lin A Int J Radiat Oncol Biol Phys. 2021; 113(2):320-330.

PMID: 34879248 PMC: 9159492. DOI: 10.1016/j.ijrobp.2021.11.021.

Exposed bone in patients with head and neck cancer treated with radiation therapy: An analysis of the Observational Study of Dental Outcomes in Head and Neck Cancer Patients (OraRad).

Treister N, Brennan M, Sollecito T, Schmidt B, Patton L, Mitchell R Cancer. 2021; 128(3):487-496.

PMID: 34665873 PMC: 8776577. DOI: 10.1002/cncr.33948.