Dobroś Katarzyna, Hajto-Bryk Justyna, Wróblewska Małgorzata, Zarzecka Joanna
Department of Conservative Dentistry with Endodontics, Institute of Dentistry, Jagiellonian University Collegium Medicum, Krakow, Poland.
Contemp Oncol (Pozn). 2016;20(4):287-90. doi: 10.5114/wo.2015.54081. Epub 2015 Oct 23.
Overall improvement in the nationwide system of medical services has consequently boosted the number of successfully treated patients who suffer from head and neck cancer. It is essential to effectively prevent development of radiation-induced caries as the late effect of radiation therapy. Incidence and severity of radiationinduced changes within the teeth individually vary depending on the patient's age, actual radiation dose, size of radiation exposure field, patient's general condition and additional risk factors. Inadequately managed treatment of caries may lead to loss of teeth, as well as prove instrumental in tangibly diminishing individual quality of life in patients. Furthermore, the need to have the teeth deemed unyielding or unsuitable for the application of conservative methods of treatment duly extracted is fraught for a patient with an extra hazard of developing osteoradionecrosis (ORN), while also increasing all attendant therapeutic expenditures. The present paper aims to offer some practical insights into currently available methods of preventing likely development of radiation-induced caries.
全国医疗服务体系的整体改善,相应地增加了头颈癌成功治愈患者的数量。有效预防放射治疗晚期效应——放射性龋齿的发生至关重要。牙齿内放射性改变的发生率和严重程度因患者年龄、实际放射剂量、放射暴露野大小、患者一般状况及其他风险因素而异。龋齿治疗不当可能导致牙齿脱落,也会显著降低患者的生活质量。此外,对于牙齿被认为坚硬或不适于采用保守治疗方法的患者,适时拔牙会使其发生放射性骨坏死(ORN)的额外风险增加,同时也会增加所有相关治疗费用。本文旨在对目前预防放射性龋齿可能发生的可用方法提供一些实用见解。