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首页> 外文期刊>Radiotherapy and oncology: Journal of the European Society for Therapeutic Radiology and Oncology >Efficacy of routine pre-radiation dental screening and dental follow-up in head and neck oncology patients on intermediate and late radiation effects. A retrospective evaluation.
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Efficacy of routine pre-radiation dental screening and dental follow-up in head and neck oncology patients on intermediate and late radiation effects. A retrospective evaluation.

机译：常规放射前牙科筛查和头颈肿瘤患者的牙科随访对中晚期放射作用的功效。回顾性评估。

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摘要

BACKGROUND AND PURPOSE: Head-neck radiotherapy is accompanied by a life-long risk of developing severe oral problems. This study retrospectively assessed oral foci detected during pre-radiation dental screening and follow-up in order to assess risk factors for developing oral problems after radiotherapy. MATERIALS AND METHODS: Charts of 185 consecutive head-neck cancer patients, subjected to a pre-radiation dental screening in the University Medical Center Groningen, the Netherlands, between January 2004 and December 2008 were reviewed. Eighty (partially) dentulous patients scheduled for curative head-neck radiotherapy met the inclusion criteria. RESULTS: Oral foci were found in 76% of patients, predominantly periodontal disease. Osteoradionecrosis had developed in 9 out of 80 patients (11%). Overall, patients presenting with periodontal pockets >/= 6mm at dental screening had an increased risk (19%) of developing osteoradionecrosis compared to the total group of patients. Patients in whom periodontal disease treatment was composed of initial periodontal in stead of removal of the affected teeth, the risk of developing osteoradionecrosis was even higher, viz. 33%. CONCLUSIONS: A worse periodontal condition at dental screening and initial periodontal therapy to safeguard these patients to develop severe oral sequelae after radiotherapy were shown to be major risk factors of developing osteoradionecrosis.
机译：背景与目的：头颈放疗伴有终身出现严重口腔问题的风险。这项研究回顾性评估了放疗前牙科筛查和随访期间检测到的口腔病灶，以评估放疗后发生口腔问题的危险因素。材料与方法：回顾了2004年1月至2008年12月在荷兰格罗宁根大学医学中心接受放射线牙科筛查的185名连续头颈癌患者的图表。计划进行头颈部放射治疗的八十名（部分）齿牙患者符合纳入标准。结果：76％的患者发现了口腔病灶，主要是牙周疾病。 80名患者中有9名（11％）发生了骨放射性坏死。总体而言，与全部患者相比，在进行牙科筛查时出现牙周袋> / = 6mm的患者发生骨放射性坏死的风险增加（19％）。牙周疾病治疗由最初的牙周组成而不是去除受影响的牙齿组成的患者，发生骨放射性坏死的风险甚至更高。 33％。结论：在牙科检查和最初的牙周治疗中，使这些患者在放疗后发展为严重的口腔后遗症时，牙周状况恶化是导致骨坏死的主要危险因素。

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