Patients receiving radiation therapy to the head and neck are at high risk for developing oral complications. Because of the risk of osteonecrosis in irradiated fields, the only opportunity to perform oral surgery may be before radiation treatment begins. Before treatment, we will consider extracting all potentially problem teeth.
Before Head and Neck Radiation Therapy
Before Radiation Therapy
After Radiation Therapy
Pre-Cancer Treatment Oral Health Examination
Identify and eliminate sources of oral trauma and irritation such as ill-fitting dentures, orthodontic bands, and other appliances.
Educate and train patients in preventive oral hygiene:
The oral complications of chemotherapy depend on the drugs used, the dosages, the degree of dental disease, and adjuvant radiation therapy.
Postpone if the
Resume a regular dental recall schedule when chemotherapy is completed and all side effects, including immunosuppression, have resolved.
Oral Complications of Cancer Treatment
Specific to Chemotherapy
Specific to Radiation Therapy
Blood and Marrow Transplantation
Delay elective oral procedures for 1 year.