Dental intervention for the irradiated patient: Time to re-evaluate dental treatment algorithms? Editorial


Authors: Rosen, E. B.; Ahmed, Z. U.; Randazzo, J. D.; Yom, S.; Estilo, C. L.; Huryn, J. M.
Title: Dental intervention for the irradiated patient: Time to re-evaluate dental treatment algorithms?
Abstract: Modern radiotherapy delivery systems and treatment strategies are aimed at limiting the irradiation of healthy structures in the head and neck. This seeks to mitigate post-treatment toxicities and complications such as osteoradionecrosis of the jaw. Given the changes to radiotherapy, conventional workflows for the management of patients requiring dentoalveolar surgery may no longer be suitable. It may therefore be appropriate to revisit current treatment algorithms for the management of patients with radiotherapy to the jaws who require dentoalveolar surgery. At present, there are poor data on this. Development of a randomised trial may be warranted to establish the true relative risk for extraction of teeth in the setting of modern radiation therapy delivery systems. © 2020 The British Association of Oral and Maxillofacial Surgeons
Keywords: radiotherapy; oncology; head and neck neoplasms; osteoradionecrosis; oral surgical procedures
Journal Title: British Journal of Oral and Maxillofacial Surgery
Volume: 58
Issue: 6
ISSN: 0266-4356
Publisher: Churchill Livingstone  
Date Published: 2020-07-01
Start Page: 711
End Page: 712
Language: English
DOI: 10.1016/j.bjoms.2020.03.028
PUBMED: 32475634
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 September 2020 -- Source: Scopus
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  1. Joseph M Huryn
    108 Huryn
  2. Cherry Estilo
    93 Estilo
  3. SaeHee Kim Yom
    42 Yom
  4. Zain Uddin Ahmed
    13 Ahmed