Clinical dental management of the head and neck irradiated patient: topics of interest for clinicians
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian journal of oral sciences (Online) |
Texto Completo: | https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8668447 |
Resumo: | To discuss important topics regarding the dental procedures performed in patients before, during and after the radiotherapy treatment. The biological effects of ionizing radiation on bone tissue focusing on clinical care will be described. The invasive and not invasive procedures after radiotherapy treatment in the head and neck region will be addressed using scientific evidences to determine the appropriate moment for tooth extractions, periodontal management, and preventive procedures for osteoradionecrosis. Methods: Thirty-three studies including original studies and reviews were selected in MEDLINE database (PubMed). No year of publication restriction was applied. Language was restricted to the English, and the following Medical Subject Heading terms were used: radiotherapy, osteoradionecrosis, dental management. Studies of osteoradionecrosis involving clinical management of irradiated patients, with an emphasis on updated guidelines and protocols were selected. Results: Care in dental procedures were related about restorative treatment, endodontic treatment, rehabilitation for edentulous regions using prostheses and implants and periodontal procedures before, during and after RTX treatment. Conclusions: The dental procedures should and can be performed before, during but also after radiotherapy. However, the clinical procedures should be less invasive as possible. A maintenance plan that reduces the necessity for major and more invasive treatments after radiotherapy is recommended. |
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Brazilian journal of oral sciences (Online) |
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Clinical dental management of the head and neck irradiated patient: topics of interest for cliniciansHead and neck neoplasmsRadiotherapyOsteoradionecrosis To discuss important topics regarding the dental procedures performed in patients before, during and after the radiotherapy treatment. The biological effects of ionizing radiation on bone tissue focusing on clinical care will be described. The invasive and not invasive procedures after radiotherapy treatment in the head and neck region will be addressed using scientific evidences to determine the appropriate moment for tooth extractions, periodontal management, and preventive procedures for osteoradionecrosis. Methods: Thirty-three studies including original studies and reviews were selected in MEDLINE database (PubMed). No year of publication restriction was applied. Language was restricted to the English, and the following Medical Subject Heading terms were used: radiotherapy, osteoradionecrosis, dental management. Studies of osteoradionecrosis involving clinical management of irradiated patients, with an emphasis on updated guidelines and protocols were selected. Results: Care in dental procedures were related about restorative treatment, endodontic treatment, rehabilitation for edentulous regions using prostheses and implants and periodontal procedures before, during and after RTX treatment. Conclusions: The dental procedures should and can be performed before, during but also after radiotherapy. However, the clinical procedures should be less invasive as possible. A maintenance plan that reduces the necessity for major and more invasive treatments after radiotherapy is recommended.Universidade Estadual de Campinas2023-10-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/otherapplication/pdfhttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/866844710.20396/bjos.v22i00.8668447Brazilian Journal of Oral Sciences; v. 22 (2023): Continuous Publication; e238447Brazilian Journal of Oral Sciences; Vol. 22 (2023): Continuous Publication; e2384471677-3225reponame:Brazilian journal of oral sciences (Online)instname:Universidade Estadual de Campinas (UNICAMP)instacron:UNICAMPenghttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8668447/32607Brazil; ContemporanyCopyright (c) 2022 Nuryê Rezende Prisinoto, Cariniana Macedo de Alcântara, Dhiancarlo Rocha Macedo, Meire Coelho Ferreira, Daniela Malagoni Fagundes, Priscilla Barbosa Ferreira Soareshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPrisinoto, Nuryê RezendeAlcântara, Cariniana Macedo deMacedo, Dhiancarlo RochaFerreira, Meire CoelhoFagundes, Daniela MalagoniSoares, Priscilla Barbosa Ferreira2023-10-17T12:13:29Zoai:ojs.periodicos.sbu.unicamp.br:article/8668447Revistahttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/PUBhttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/oaibrjorals@fop.unicamp.br||brjorals@fop.unicamp.br1677-32251677-3217opendoar:2023-10-17T12:13:29Brazilian journal of oral sciences (Online) - Universidade Estadual de Campinas (UNICAMP)false |
dc.title.none.fl_str_mv |
Clinical dental management of the head and neck irradiated patient: topics of interest for clinicians |
title |
Clinical dental management of the head and neck irradiated patient: topics of interest for clinicians |
spellingShingle |
Clinical dental management of the head and neck irradiated patient: topics of interest for clinicians Prisinoto, Nuryê Rezende Head and neck neoplasms Radiotherapy Osteoradionecrosis |
title_short |
Clinical dental management of the head and neck irradiated patient: topics of interest for clinicians |
title_full |
Clinical dental management of the head and neck irradiated patient: topics of interest for clinicians |
title_fullStr |
Clinical dental management of the head and neck irradiated patient: topics of interest for clinicians |
title_full_unstemmed |
Clinical dental management of the head and neck irradiated patient: topics of interest for clinicians |
title_sort |
Clinical dental management of the head and neck irradiated patient: topics of interest for clinicians |
author |
Prisinoto, Nuryê Rezende |
author_facet |
Prisinoto, Nuryê Rezende Alcântara, Cariniana Macedo de Macedo, Dhiancarlo Rocha Ferreira, Meire Coelho Fagundes, Daniela Malagoni Soares, Priscilla Barbosa Ferreira |
author_role |
author |
author2 |
Alcântara, Cariniana Macedo de Macedo, Dhiancarlo Rocha Ferreira, Meire Coelho Fagundes, Daniela Malagoni Soares, Priscilla Barbosa Ferreira |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Prisinoto, Nuryê Rezende Alcântara, Cariniana Macedo de Macedo, Dhiancarlo Rocha Ferreira, Meire Coelho Fagundes, Daniela Malagoni Soares, Priscilla Barbosa Ferreira |
dc.subject.por.fl_str_mv |
Head and neck neoplasms Radiotherapy Osteoradionecrosis |
topic |
Head and neck neoplasms Radiotherapy Osteoradionecrosis |
description |
To discuss important topics regarding the dental procedures performed in patients before, during and after the radiotherapy treatment. The biological effects of ionizing radiation on bone tissue focusing on clinical care will be described. The invasive and not invasive procedures after radiotherapy treatment in the head and neck region will be addressed using scientific evidences to determine the appropriate moment for tooth extractions, periodontal management, and preventive procedures for osteoradionecrosis. Methods: Thirty-three studies including original studies and reviews were selected in MEDLINE database (PubMed). No year of publication restriction was applied. Language was restricted to the English, and the following Medical Subject Heading terms were used: radiotherapy, osteoradionecrosis, dental management. Studies of osteoradionecrosis involving clinical management of irradiated patients, with an emphasis on updated guidelines and protocols were selected. Results: Care in dental procedures were related about restorative treatment, endodontic treatment, rehabilitation for edentulous regions using prostheses and implants and periodontal procedures before, during and after RTX treatment. Conclusions: The dental procedures should and can be performed before, during but also after radiotherapy. However, the clinical procedures should be less invasive as possible. A maintenance plan that reduces the necessity for major and more invasive treatments after radiotherapy is recommended. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-10-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/other |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8668447 10.20396/bjos.v22i00.8668447 |
url |
https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8668447 |
identifier_str_mv |
10.20396/bjos.v22i00.8668447 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8668447/32607 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.coverage.none.fl_str_mv |
Brazil; Contemporany |
dc.publisher.none.fl_str_mv |
Universidade Estadual de Campinas |
publisher.none.fl_str_mv |
Universidade Estadual de Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Oral Sciences; v. 22 (2023): Continuous Publication; e238447 Brazilian Journal of Oral Sciences; Vol. 22 (2023): Continuous Publication; e238447 1677-3225 reponame:Brazilian journal of oral sciences (Online) instname:Universidade Estadual de Campinas (UNICAMP) instacron:UNICAMP |
instname_str |
Universidade Estadual de Campinas (UNICAMP) |
instacron_str |
UNICAMP |
institution |
UNICAMP |
reponame_str |
Brazilian journal of oral sciences (Online) |
collection |
Brazilian journal of oral sciences (Online) |
repository.name.fl_str_mv |
Brazilian journal of oral sciences (Online) - Universidade Estadual de Campinas (UNICAMP) |
repository.mail.fl_str_mv |
brjorals@fop.unicamp.br||brjorals@fop.unicamp.br |
_version_ |
1800216404113227776 |