Multiple tooth extractions in radiotherapy patients: indications, osteoradionecrosis risk and possible oral rehabilitation: case report

Authors

  • Andressa Bolognesi Bachesk State University of Maringa
  • Marcello Piacentini State University of Maringa
  • Ana Luiza de Moura Libório State University of Maringa
  • Gustavo Jacobucci Farah State University of Maringa
  • Neli Pieralisi State University of Maringa
  • Ângelo José Pavan State University of Maringa

DOI:

https://doi.org/10.14295/bds.2017.v20i1.1284

Abstract

Osteoradionecrosis (ORN) is one of the most severe oral complications after the head and neck cancer treatment. Tooth extraction, through its traumatic stimulation, is identified as an important predisposing factor. Indications and preventive methods for carrying out these procedures in irradiated patients are questioned, thus, establishing appropriate protocols is essential. This article reports a case of multiple tooth extractions in a cancer patient whose preventive measures were taken without the occurrence of complications. Based on a literature review, this paper accounts the appropriate indications of this procedure, the risk of developing osteoradionecrosis, and the prevention possibilities for this sequela. In addition, this report addresses a viable oral rehabilitation alternative after this kind of surgery by using overdenture on the lower jaw teeth.

Author Biographies

Andressa Bolognesi Bachesk, State University of Maringa

Department of Dentistry - Health Science Center

Marcello Piacentini, State University of Maringa

Department of Dentistry - Health Science Center - Resident in Oral and Maxillofacial Surgery of State University of Maringa

Ana Luiza de Moura Libório, State University of Maringa

Department of Dentistry – Health Science Center

Gustavo Jacobucci Farah, State University of Maringa

Department of Dentistry - Health Science Center - Doctor in Oral and Maxillofacial Surgery. Associate professor of Department of Dentistry of State University of Maringa

Neli Pieralisi, State University of Maringa

Department of Dentistry - Health Science Center - Doctor in Health Sciences. Associate professor of Department of Dentistry of State University of Maringa

Ângelo José Pavan, State University of Maringa

Department of Dentistry - Health Science Center - Doctor in Oral and Maxillofacial Surgery. Associate professor of Department of Dentistry of State University of Maringa.

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Published

2017-03-30

Issue

Vol. 20 No. 1 (2017): Jan. - Mar. / 2017 - Published February 2017

Section

Case Report or Clinical Technique

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