Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.22
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2012, vol. 49, nr 1, January-March, p. 62–68

Publication type: review article

Language: Polish

Algorytm postępowania w chirurgii stomatologicznej u pacjentów leczonych energią promienistą – na podstawie piśmiennictwa

Algorithm of Conduct of Dental Surgery in Patients Treated by Radiant Energy on the Basis of Literature

Aneta Wrzosek1,, Dariusz Mateńko1,, Andrzej Wojtowicz1,, Stanisław Starościak2,

1 Zakład Chirurgii Stomatologicznej Warszawskiego Uniwersytetu Medycznego

2 Klinika Nowotworów Głowy i Szyi Centrum Onkologii Instytutu M. Skłodowskiej-Curie w W arszawie

Streszczenie

Opieka nad pacjentami poddawanymi radioterapii z powodu nowotworów głowy i szyi jest wyzwaniem dla lekarzy wielu specjalności, którzy muszą ze sobą ściśle współpracować. Zastosowanie radioterapii powoduje wystąpienie wielu działań niepożądanych. Wśród nich jest martwica popromienna kości (ORN), której leczenie jest trudne i długotrwałe, dlatego aby jej zapobiegać, ważna jest właściwa opieka stomatologiczna zarówno przed, podczas, jak i po zakończeniu terapii radiacyjnej. Celem pracy jest przedstawienie najnowszych doniesień w piśmiennictwie na temat postępowania z pacjentami leczonymi energią promienistą w obrębie twarzowej części czaszki w taki sposób, aby zminimalizować ryzyko wystąpienia martwicy popromiennej kości.

Abstract

Treatment of patients undergoing radiotherapy for head and neck cancer is a challenge for physicians of many specialties who have to cooperate closely. The use of radiotherapy is associated with the occurrence of many side effects. The radiation bone necrosis is one of them. Its treatment is difficult and slow, so a big role in the prevention of ORN is played by proper dental care both before, during, and after the completion of radiation therapy. The aim of this study is to present the latest reports in the literature on management of patients treated with radiant energy within the facial part of the skull in such a way as to minimize the risk of ORN.

Słowa kluczowe

radioterapia, martwica popromienna kości, ekstrakcje zębów

Key words

radiotherapy, radiation necrosis of bone, tooth extractions

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