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This systematic review aimed to examine whether the incidence of osteonecrosis differed between patients who have dental extractions before or after radiotherapy (RT). The reported incidence of osteoradionecrosis (ORN) of the jaws following RT to the head and neck varies widely in the literature.
6 Ιαν 2017 · Extractions of vulnerable teeth should be completed before radiotherapy as extractions after treatment may result in bone necrosis, especially after oral radiotherapy.
27 Σεπ 2016 · Patients that have received 60-70Gy radiation therapy for head & neck cancer do, however, occasionally need extraction of teeth in the previous radiation field (long-term failure of endodontically treated teeth, trauma, etc.).
9 Ιουν 2023 · Unrestorable or periodontally hopeless teeth are extracted with minimal trauma before radiotherapy, irrespective of fields. All healthy teeth and deeply impacted teeth without pathology are...
Among the precautions to minimize these risks are antibiotic coverage, limited extractions at any one time, soft tissue closure, and hyperbaric oxygen treatment. Rapid epithelization and minimal bone exposure are essential after extractions in irradiated patients.
1 Απρ 2024 · Post-radiation dental extractions incur significant risk, even if performed within 4-months. Further follow-up is required to determine if any benefits exist as compared to observation without extraction.
4 Φεβ 2014 · Should this fail or if extractions become necessary, general dentists can safely extract teeth out of field or in fields less than 50 Gray with primary closure of the socket. Teeth in fields greater than 50 Gray should be referred to the treating oral and maxillofacial surgery department.
