Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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The clinical study of oral care for early radiation therapy in the head and neck cancer patients

두경부 악성 종양환자에서 조기 방사선치료를 위한 구강관리법에 대한 임상적 연구

  • Moon, Won-Kyu (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Yoo, Jae-Ha (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Cha, In-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Hyung-Jun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Jung, Young-Soo (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Lee, Chun-Ui (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Lee, Jong-Young (Department of Radiation Oncology, Wonju College of Medicine, Yonsei University) ;
  • Ryn, Mi-Heon (Department of Oral Pathology, School of Dentistry, Pusan National University)
  • 문원규 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 유재하 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 차인호 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김형준 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 정영수 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 이천의 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 이종영 (연세대학교 원주의과대학 방사선종양학교실) ;
  • 유미현 (부산대학교 치의학전문대학원 구강병리학교실)
  • Received : 2010.08.02
  • Accepted : 2010.12.10
  • Published : 2010.12.31
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Abstract

Introduction: Tooth requiring extraction before radiotherapy in head and neck cancer patients should be performed as long as possible before the initiation of radiation therapy. Conventionally, a minimum 2-week waiting primary healing period is recommended. Although the above 2-week period is ideal, it is not uncommon for the radiotherapist and cancer patient to feel an urgent need to proceed with radiotherapy despite the need for dental care. Therefore, alternative approaches for early radiotherapy, including conservative endodontic treatment and a 1-week waiting primary healing period after dental extraction at the time of radiotherapy were considered and applied based on a literature review Materials and Methods: The clinical study involved 120 head and neck cancer patients who were treated at Wonju Christian Hospital, Wonju College of Medicine, Yonsei University, from January 1995 to December 2004. Results: In the clinical study, there were no specific complications, such as, post-extraction wound infections, radiation osteitis and osteoradionecrosis over the recent 10 years despite the early radiotherapy. Conclusion: Based on the clinical study, a minimum 1-week waiting primary healing period for oral care before radiotherapy is suitable for early radiotherapy in head and neck cancer patients.

Keywords

References

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