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| dental treatment after radiation therapy: Dentistry, Interdisciplinary Management of Patients Having Medically Compelling Needs for Dental Treatment United States. Veterans Health Services and Research Administration, 1990 |
| dental treatment after radiation therapy: A Practical Approach to Special Care in Dentistry Pedro Diz Dios, Navdeep Kumar, 2021-12-07 A Practical Approach to Special Care in Dentistry Learn to treat dental patients with disabilities or who are medically compromised A Practical Approach to Special Care in Dentistry delivers a comprehensive and robust overview of special care dentistry reflecting the most common compromised clinical conditions dentists will regularly encounter. It discusses more than 50 topics based on real-world clinical cases focusing on two main areas: patients with disabilities and medically compromised patients. The book uses a problem-based learning approach and helps the reader to apply knowledge in a clinical case context. Each chapter contains a case report establishing the main risk factors relating to the provision of dental treatment. That is followed by a practical and realistic set of adaptations for the reader to follow to minimise the rate and severity of potential complications for their patient. The book also includes: A thorough introduction to patients suffering from disabilities, including physical disabilities, like cerebral palsy and epilepsy, and cognitive impairments, like Down’s Syndrome Comprehensive explorations of the treatment of medically compromised patients, like those with infectious diseases, endocrine diseases, hepatorenal disease, and cardiovascular disease Practical discussions of other special patient situations, like those with allergies, antiresorptive and antiangiogenic drugs, terminal patients, underhoused patients, and pregnant or breastfeeding patients Perfect for general dentists, undergraduate students of odontology, and graduate students of special care dentistry, A Practical Approach to Special Care in Dentistry is also a must-read resource for dental specialists in special care dentistry, hospital odontology, geriatric odontology, oral surgery, and dental hygienists. |
| dental treatment after radiation therapy: The Dentist's Quick Guide to Medical Conditions Mea A. Weinberg, Stuart L. Segelnick, Joseph S. Insler, 2015-04-15 With increasing numbers of dental patients being elderly or having medical conditions, it is important for the dentist to understand how these conditions may impact dental treatment. The Dentist’s Quick Guide to Medical Conditions presents the relevant information dentists need—symptoms, diagnostic tests, medications prescribed, and dental management—for each disease and condition. Chapters will focus on each major bodily system, including respiratory, cardiovascular, hematologic, endocrine, gastrointestinal, immune, nervous, reproductive, and urinary, as well as chapters on the liver, kidneys, skin, and psychological conditions. Appendices list guidelines for antibiotic prophylaxis, additional conditions requiring antibiotics, and a quick list of diagnostic tests. |
| dental treatment after radiation therapy: Dental Management of the Medically Compromised Patient - Pageburst on VitalSource James W. Little, Donald Falace, Craig Miller, Nelson L. Rhodus, 2007-07-24 Ensure your patients' health and safety! Practical guidance helps you determine the severity and stability of common medical disorders in the dental office, so you'll always know how to proceed to provide the best possible care and avoid complications. Concise, clinically focused coverage details the basic disease process for each condition, along with the incidence and prevalence, pathophysiology, signs and symptoms, laboratory findings, currently accepted medical therapies, and recommendations for specific dental management. Reference lists provide places where the reader can go to obtain more detailed information on the topics discussed in the chapter. Dental Management Summary Table synthesizes important factors for consideration in the dental management of medically compromised patients. Center for Disease Control and Prevention Guidelines for Infection Control in Dental Health Care Settings appendix provides certified standards for infection control. Therapeutic Management of Common Oral Lesions appendix provides quick reference for lesions commonly encountered in dental practice. Drug Interactions of Significance to Dentistry appendix alerts practitioners to potential drug interactions. For the first time, the table of contents will be divided into parts by the category of medical condition, making it faster and easier for the dental professional to search by condition. Bacterial Endocarditis Prophylaxis, Chapter 2, incorporates the latest American Heart Association guidelines to help prevent endocarditis. Smoking and Tobacco Use Cessation, Chapter 8, discusses the systemic and oral effects of smoking and includes suggestions for encouraging smoker cessation. Tuberculosis, Chapter 9, clearly defines related oral complications and adverse drug effects of the disease and identifies methods for management in dental patients. Sleep-Related Breathing Disorders, Chapter 10, details obstructive sleep apnea and treatment options including oral appliances and surgical procedures. Rheumatologic and Connective Tissue Disorders, Chapter 21, discusses treatment options for patients with rheumatoid arthritis, Osteoarthritis, Systemic Lupus Erythematosus, Lyme Disease, and Sjögren's Syndrome. Chapters 23 and 24 highlight the oral complications of both red and white blood cell disorders. Behavioral and Psychiatric Disorders, Chapters 28 and 29, provide guidelines for managing conditions like depression, eating disorders, anxiety, and schizophrenia, and indicate proper drugs for treatment. Alternative Drugs Appendix provides treatment options from the growing areas of alternative and complementary medicine. |
| dental treatment after radiation therapy: The ADA Practical Guide to Patients with Medical Conditions Lauren L. Patton, 2015-10-26 With new medications, medical therapies, and increasing numbers of older and medically complex patients seeking dental care, all dentists, hygienists, and students must understand the intersection of common diseases, medical management, and dental management to coordinate and deliver safe care. This new second edition updates all of the protocols and guidelines for treatment and medications and adds more information to aid with patient medical assessments, and clearly organizes individual conditions under three headings: background, medical management, and dental management. Written by more than 25 expert academics and clinicians, this evidence-based guide takes a patient-focused approach to help you deliver safe, coordinated oral health care for patients with medical conditions. Other sections contain disease descriptions, pathogenesis, coordination of care between the dentist and physician, and key questions to ask the patient and physician. |
| dental treatment after radiation therapy: Radiation Therapy Treatment Effects Bridget F. Koontz, 2017-09-28 Radiation Therapy Treatment Effects is a practical guide to common and uncommon toxicities which occur related to radiation therapy. Organized by anatomic region, from CNS to skin and extremities, it concisely and comprehensively reviews the symptoms, timing, preventative measures, and treatment of acute, delayed, and chronic radiation toxicities and provides evidence-based recommendations for management of both early and late effects. Other important chapters consist of topics such as radiation toxicity management in children, systemic effects of radiation therapy, radioprotection for radiation therapy, risk and prevention of radiation-induced cancers, challenges and approaches to cancer survivorship and how to maximize cancer patient wellness after radiation therapy. This evidence-based handbook of radiation therapy side effects, is an invaluable reference for the daily management of cancer patients and survivors. The topic coverage will assist physicians, APPs, and nurses practicing or training in radiation oncology, other oncology specialties, and primary care providers caring for cancer survivors. Key Features: Provides management recommendations and clinical pearls from topic experts Organized for quick reference by body area and toxicity Numerous tables consolidate important radiation effects for ease of reference Summarizes each known toxicity, its presentation, prevention, and management |
| dental treatment after radiation therapy: Pharmacology and Therapeutics for Dentistry - E-Book John A. Yagiela, Frank J. Dowd, Bart Johnson, Angelo Mariotti, Enid A. Neidle, 2010-03-12 Use your knowledge of pharmacology to enhance oral care! Pharmacology and Therapeutics for Dentistry, 6th Edition describes how to evaluate a patient's health and optimize dental treatment by factoring in the drugs they take. It explores the basic fundamentals of pharmacology, special topics such as pain control, fear and anxiety, and oral complications of cancer therapy, and most importantly, the actions of specific drug groups on the human body. Whether you're concerned about the drugs a patient is already taking or the drugs you prescribe for treatment, this book helps you reduce risk and provide effective dental care. - An emphasis on the dental applications of pharmacology relates drugs to dental considerations in clinical practice. - Dental aspects of many drug classes are expanded to include antibiotics, analgesics, and anesthetics. - The Alternative Medicine in Dentistry chapter discusses chemicals used as alternative medicines and assesses their potential benefits and risks. - The Nonopioid Analgesics chapter groups together non-opioid analgesics, nonsterioidal anti-inflammatory drugs, and antirheumatic and antigout drugs, making these easier to locate and study. - Coverage of the endocrine system includes four separate chapters for the most comprehensive coverage. - Drug Interactions in Clinical Dentistry appendix lists potential interactions between drugs a patient is taking for nondental conditions and drugs that may be used or prescribed during dental treatment, including effects and recommendations. - Glossary of Abbreviations appendix includes the most common abbreviations used for drugs or conditions. - New Pharmacogenetics and Pharmacogenomics chapter covers the effects of genetic traits of patients on their responses to drugs. - A NEW introductory section offers tips for the study of dental pharmacology and relates pharmacology to dental considerations. - An updated discussion of drug-drug interactions covers the harmful effects of mixing medications. - Coverage of adverse effects and mechanisms of COX-2 inhibitors, antibiotic prophylaxis, and antiplaque agents explains the dental risks relating to common drug treatments. |
| dental treatment after radiation therapy: Intensity Modulated Radiation Therapy for Head and Neck Cancer K. S. Clifford Chao, Gokhan Ozyigit, 2003 The first clinical book on the hottest topic in radiation oncology, this timely teaching text offers step-by-step guidance in use of IMRT for cancers at each subsite of the head and neck. The book's high-end content gives readers the clinical decision-making expertise and technical proficiency to incorporate this state-of-the-art radiation treatment technique into practice. Unique to this text is the site-specific instruction on target determination and delineation, to ensure adequate treatment of the tumor target while sparing adjacent normal tissue. More than 250 detailed full-color and black-and-white illustrations clarify each step in clinical implementations of head and neck cancer treatment, especially IMRT. The book provides a concise, pertinent overview of the natural course, lymph node spread, diagnostic criteria, and therapeutic options for each head and neck cancer subsite. Numerous tables provide extensive summaries of the IMRT literature. Figures with succinct explanatory text demonstrate the patterns of direct tumor extension and nodal metastasis with which target volumes are determined and delineated. Clinical outcomes for patients treated with IMRT and with conventional techniques are also included. |
| dental treatment after radiation therapy: Oral Complications of Cancer Chemotherapy Douglas E. Peterson, Stephen T. Sonis, 1983-03-31 This new work on oral complications of cancer chemotherapy is edited by two dentists who have made pioneering contributions in this previously neglected area. Their efforts have established the invaluable role of the dentist in oncologic research and cancer patient management. The editors have collected nine chapters that will be of interest to dentists and dental hygienists, oncology nurses, and all physicians treating cancer patients with chemo therapeutic agents. Background chapters on oral complications of cancer chemotherapy, the pharmacology of chemotherapeutic agents, and principles of infection management and prevention set the stage for more specific chapters focusing on prevention and treatment of chemotherapy induced oral and dental disorders. Valuable contributions to the supportive care of the cancer patient are contained in this book. A full comprehension of this book, coupled with an appreciation for advances in other areas of supportive care, such as antiemetic therapy and pain control, will allow all those involved in cancer treatment to be more successful. Peter H. Wiernik, M.D. Emil Frei, M.D. |
| dental treatment after radiation therapy: Diagnosis and Treatment Planning in Dentistry - E-Book Stephen J. Stefanac, Samuel P. Nesbit, 2015-12-30 Develop your skills in evaluation and dental treatment planning for all types of patients! Diagnosis and Treatment Planning in Dentistry, 3rd Edition provides a full-color guide to creating treatment plans based on a comprehensive patient assessment. Using evidence-based research, this book shows how risk assessment, prognosis, and expected treatment outcomes factor into the planning process. New chapters cover patient diagnosis and team-based treatment planning, and a new Evolve website includes videos and decision-making algorithms. Written by experienced dentistry educators Stephen Stefanac and Samuel Nesbit, this book is the only dental resource that combines patient examination and oral diagnosis with treatment planning. - Clear, logical organization builds your understanding with sections on comprehensive patient evaluation, key treatment planning concepts, a detailed review of the five phases of planning treatment and guidelines for selecting the appropriate plan of care, and care planning for patients with special needs. - In Clinical Practice boxes highlight situations that may be faced by the general dentist. - What's the Evidence? boxes cite research articles affecting clinical decision-making and treatment planning strategies. - Ethics in Dentistry boxes address ethical issues you may encounter in treatment planning. - Review exercises in each chapter let you apply concepts to clinical practice. - Expert authors and contributors provide a current, authoritative resource for effective treatment planning. - Key Terms and a Glossary highlight and define important terminology. - Evidence-based coverage demonstrates how to use research and clinical evidence in making treatment planning decisions. - NEW Common Diagnoses in Dentistry chapter provides guidelines to making an accurate patient diagnosis prior to beginning treatment. - NEW Interprofessional Treatment Planning chapter describes dental care in the context of a team-based collaborative approach, so that the dental treatment plan aligns with the overall treatment goals of the patient. - NEW! Full-color photographs illustrate clinical principles and pathologies, and a colorful design highlights key content. - Updated content reflects advances in dental techniques, materials, and patient treatment options based on research, clinical experience, and current literature. - NEW resources on an Evolve website include videos and decision-making algorithms. |
| dental treatment after radiation therapy: Integration of Medical and Dental Care and Patient Data Valerie Powell, Franklin M. Din, Amit Acharya, Miguel Humberto Torres-Urquidy, 2012-01-18 This book informs readers of the needs and rationale for the integration of medical and dental care and information with an international perspective as to how and where medical and dental care separated into specific domains. It provide high level guidance on issues involved with care and data integration and how to achieve an integrated model of health care supported by integrated HIT. A patient typically expects that a visit to a dentist can usually be resolved immediately. This expectation places a premium on instant, accurate, thorough, and current information. The state-of-the-art of fully integrated (dental-medical) electronic health record (EHR) is covered and this is contrasted with the current state of dental-medical software. While dentists in the US Veterans Health Administration (VHA), the US Indian Health Service (IHS), or the US military, for example, have access to fully integrated health records, most US clinicians still gather information from separate sources via fax or phone calls. The authors provide an in-depth discussion of the role of informatics and information science in the articulation of medical and dental practices and clinical data with the focus on applied clinical informatics to improve quality of care, practice efficiency, coordination and continuity of care, communication between physicians and dentists and to provide a more comprehensive care for the patients. Lastly, the book examines advances in medical and dental research and how these may affect dentistry in the future. Most new advances in healthcare research are information-intensive. |
| dental treatment after radiation therapy: Head and Neck Management of the Cancer Patient Douglas E. Peterson, E. George Elias, Stephen T. Sonis, 2012-12-06 This book presents in a comprehensive way cur the clinical care of the patient with head and neck rent advances in the management of neoplasia cancer involvement and/or its complications. and associated complications of the head and Today's complex treatments in oncology re neck. A broad range of clinical considerations is quire a comprehensive approach to effect a posi discussed following overviews of relevant basic tive result for the cancer patient whose facial biologic issues and the roles of various disci appearance and function are compromised. We plines. Each chapter has been structured to trust that physicians, dentists, nurses, dental stand by itself; at the same time, obvious rela hygienists, and individuals in the supportive ser tionships with other chapters have been noted. vices involved in the management of the cancer We are pleased that this book represents, in our patient will find this book beneficial. opinion, a truly multidisciplinary approach to Xl I. INTRODUCTION 1. CANCER, ITS COMPLICATIONS, AND THE HEAD AND NECK Stephen T. Sanis Few diseases are as complex in their biology, tumors, such as colorectal cancers, seems physiology, pathology, or management as can equivocal [3]. cer [1, 2]. In addition, the disease concurrently has extensive psychological impact on patients. |
| dental treatment after radiation therapy: Management of Complications in Oral and Maxillofacial Surgery Michael Miloro, Antonia Kolokythas, 2022-06-15 Management of Complications in Oral and Maxillofacial Surgery, 2nd Edition, presents clear and consistent guidance on all aspects of both common and less common, minor and major complications encountered in oral and maxillofacial surgery (OMS) practice. In-depth chapters provide thorough descriptions of each complication and recommend treatment strategies for associated complications of anesthesia, implant surgery, maxillofacial trauma, and more, using easy to read algorithms. Fully revised and expanded, the Second Edition incorporates the most current evidence and advances in the specialty, including implementation of virtual surgical planning for orthognathic and reconstructive surgery. Nine entirely new chapters address complications in minimally invasive cosmetic surgery, lip cancer, dermatopathology and skin cancer, microneurosurgery for trigeminal nerve injuries, transoral robotic surgery (TORS), sialoendoscopy complications, perioperative navigation for dental implants, head and neck radiotherapy, and ambulatory anesthesia in pediatric and geriatric patients. Highlights include: Provides a systematic, easy-to-read approach to complication prevention, recognition, and management Covers most potential complications, ranging from the routine to the complex Features more than 500 high-quality clinical images demonstrating all concepts discussed in the text Includes keywords, tables, learning objectives, and further readings in each chapter Includes treatment algorithms to guide clinical decision-making Edited by prominent oral and maxillofacial surgeons with contributions by leading experts in their respective areas Management of Complications in Oral and Maxillofacial Surgery, Second Edition is a must-have for all oral and maxillofacial surgeons, residents, and trainees, and a valuable resource for dental students and dental practitioners, for clinical practice, and for examination preparation. |
| dental treatment after radiation therapy: Newman and Carranza's Clinical Periodontology for the Dental Hygienist Michael G. Newman, Gwendolyn Essex, Lory Laughter, Satheesh Elangovan, 2020-03-24 **Textbook and Academic Authors Association (TAA) Most Promising New Textbook Award Winner, 2024** The complete health-focused approach makes this a must-have instructional resource to support you throughout your Dental Hygiene educational program and beyond. Based on the trusted content in Newman and Carranza's Clinical Periodontology, the most widely used periodontal textbook in the world, this resource provides the most up-to-date, complete, and essential information. The broad range of content covers everything from the biology of the periodontium – how it's structured and the functions it serves, the new classification of periodontal disease, the link between periodontal disease and systemic health, and more. An extensive clinical section contains a complete guide to everything from procedure instrumentation to patient management at the point of care. Full color photos, illustrations, radiographs show how to perform periodontal procedures. Case based practice questions and skill evaluation checklists promote board-exam readiness. The clear instruction and health-focused approach provides support throughout the Dental Hygiene program and beyond. - Online student and educator support on Evolve. - Dental hygiene emphasis and relevance provides solid foundational content. - Comprehensive topic coverage focuses on the translation of the science to evidence-based practice and clinical decision making. - Extensive full-color photos and illustrations clearly demonstrate core concepts and reinforce important principles. - Case-based clinical scenarios incorporated throughout the book mimic the patient case format used in credentialing exams. - Many new and important chapters on periimplantitis, resolving inflammation, evidence-based decision making, and critical thinking. - Robust art program of clinical images, charts, graphs, and unique illustrations enhances engagement. - The most complete atlas of periodontal pathology ever offered for the dental hygienist. - Key information and highlights presented as call out boxes. |
| dental treatment after radiation therapy: Oral and Maxillofacial Surgery for the Clinician Krishnamurthy Bonanthaya, Elavenil Panneerselvam, Suvy Manuel, Vinay V. Kumar, Anshul Rai, 2021 This is an open access book with CC BY 4.0 license. This comprehensive open access textbook provides a comprehensive coverage of principles and practice of oral and maxillofacial surgery. With a range of topics starting from routine dentoalveolar surgery to advanced and complex surgical procedures, this volume is a meaningful combination of text and illustrations including clinical photos, radiographs, and videos. It provides guidance on evidence-based practices in context to existing protocols, guidelines and recommendations to help readers deal with most clinical scenarios in their daily surgical work. This multidisciplinary textbook is meant for postgraduate trainees, young practicing oral surgeons and experienced clinicians, as well as those preparing for university and board certification exams. It also aids in decision-making, the implementation of treatment plans and the management of complications that may arise. This book is an initiative of Association of Oral and Maxillofacial Surgeons of India (AOMSI) to its commitment to academic medicine. As part of this commitment, this textbook is in open access to help ensure widest possible dissemination to readers across the world. ; Open access Unique presentation with contents divided into color-coded core competency gradations Covers all aspects of oral and maxillofacial surgery Supplemented with videos of all commonly carried out procedures as operative video Every chapter or topic concludes with future perspective and addresses cutting edge advances in each area Every topic has a pull out box that provides the most relevant systematic reviews/ key articles to every topic. |
| dental treatment after radiation therapy: Acute Side Effects of Radiation Therapy Ainaz Sourati, Ahmad Ameri, Mona Malekzadeh, 2017-06-14 This book provides clear guidance on how to manage a wide range of side effects frequently encountered when treating patients with radiation therapy. For each potential side effect, incidence, mechanism, symptoms, and grading are carefully described. All aspects of management are addressed, drawing on the latest available evidence and highlighting key details of importance in clinical routine. The introduction of new radiation therapy techniques such as 3D conformal radiation therapy, intensity-modulated radiation therapy, and image-guided radiation therapy has reduced normal tissue doses and, accordingly, treatment complications. Nevertheless, a significant percentage of patients still experience acute side effects, in part because the threshold doses for these toxicities are typically lower than those for late effects. Acute toxicities may lead to interruption of treatment and be associated with an increase in late damage. A swift and effective response is therefore essential. This book will enable the reader to provide effective care for each side effect, thereby improving patient compliance with treatment and treatment outcomes. |
| dental treatment after radiation therapy: Loading Protocols in Implant Dentistry Daniel Wismeijer, Daniel Buser, Urs C. Belser, 2019-09-03 Implant dentistry has become a standard option for the rehabilitation of fully and partially edentulous patients. With the ever-increasing number of dentists involved in implant dentistry, it is essential to ensure that their treatment methods follow the highest standard. The ITI Treatment Guide series, a compendium of evidence-based implant-therapy techniques in daily practice, is written by renowned clinicians and provides a comprehensive overview of various therapeutic options. Using an illustrated step-by-step approach, the ITI Treatment Guide shows practitioners how to manage different clinical situations, with the emphasis on sound diagnostics, evidence-based treatment concepts, and predictable treatment outcomes. The second volume of the ITI Treatment Guide is devoted to the restoration of partially dentate patients. Central to this volume of the ITI Treatment Guide are loading protocols available to the clinician and the patient and how they relate to various treatment indications, including both single and multiple missing teeth in the posterior and anterior regions of the mouth. Among potential topics for upcoming volumes are implant placement in extraction sockets, loading protocols in edentulous patients, implant therapy in the esthetic zone in extended edentulous spaces, and many more. |
| dental treatment after radiation therapy: Dental Hygiene - E-Book Margaret Walsh, Michele Leonardi Darby, 2014-04-15 Emphasizing evidence-based research and clinical competencies, Dental Hygiene: Theory and Practice, 4th Edition, provides easy-to-understand coverage of the dental hygienist’s roles and responsibilities in today’s practice. It offers a clear approach to science and theory, a step-by-step guide to core dental hygiene procedures, and realistic scenarios to help you develop skills in decision-making. New chapters and content focus on evidence-based practice, palliative care, professional issues, and the electronic health record. Written by Michele Leonardi Darby, Margaret M. Walsh, and a veritable Who’s Who of expert contributors, Dental Hygiene follows the Human Needs Conceptual Model with a focus on client-centered care that takes the entire person into consideration. UNIQUE! Human Needs Conceptual Model framework follows Maslow’s human needs theory, helping hygienists treat the whole patient — not just specific diseases. Comprehensive coverage addresses the need-to-know issues in dental hygiene — from the rationale behind the need for dental hygiene care through assessment, diagnosis, care planning, implementation, pain and anxiety control, the care of individuals with special needs, and practice management. Step-by-step procedure boxes list the equipment required and the steps involved in performing key procedures. Rationales for the steps are provided in printable PDFs online. Critical Thinking exercises and Scenario boxes encourage application and problem solving, and help prepare students for the case-based portion of the NBDHE. Client Education boxes list teaching points that the dental hygienist may use to educate clients on at-home daily oral health care. High-quality and robust art program includes full-color illustrations and clinical photographs as well as radiographs to show anatomy, complex clinical procedures, and modern equipment. Legal, Ethical, and Safety Issues boxes address issues related to risk prevention and management. Expert authors Michele Darby and Margaret Walsh lead a team of international contributors consisting of leading dental hygiene instructors, researchers, and practitioners. NEW chapters on evidence-based practice, the development of a professional portfolio, and palliative care provide research-based findings and practical application of topics of interest in modern dental hygiene care. NEW content addresses the latest research and best practices in attaining clinical competency, including nutrition and community health guidelines, nonsurgical periodontal therapy, digital imaging, local anesthesia administration, pharmacology, infection control, and the use of the electronic health record (EHR) within dental hygiene practice. NEW photographs and illustrations show new guidelines and equipment, as well as emerging issues and trends. NEW! Companion product includes more than 50 dental hygiene procedures videos in areas such as periodontal instrumentation, local anesthesia administration, dental materials manipulation, common preventive care, and more. Sold separately. |
| dental treatment after radiation therapy: Oral Complications of Cancer and Its Management Andrew Davies, Joel Epstein, 2010-02-25 Oral complications are hugely important for those treating cancer patients, either as an indication of disease or as a symptom of the disease. This is the first book to focus on this unique area of cancer care, providing international, evidence-based, clinical guidance for the whole team involved in treating the cancer patient with oral problems. |
| dental treatment after radiation therapy: Integration of Medical and Dental Care and Patient Data Amit Acharya, Valerie Powell, Miguel H. Torres-Urquidy, Robert H. Posteraro, Thankam Paul Thyvalikakath, 2018-11-30 This largely revised second edition comprehensively reviews the need and rationale for the integration of medical and dental patient data. The reader will find extensive guidance on issues involved with care and data integration, and how to achieve an integrated model of healthcare. The book discusses how the use of state-of-the-art, fully integrated (dental-medical), electronic health records can improve clinical, financial as well as societal outcomes. In the book you will also find different aspects that play a role in integration including existing clinical software implementations (and their paths for integration), clinical touch points, and how current and future developments will facilitate the integration process in a more efficient way. This second edition of Integration of Medical and Dental Care and Patient Data details the available methods and technologies for successfully integrating patient medical and dental data. It is, therefore, an important and timely update for informaticians and a broad range of both dental and medical professionals and other health professionals (dental assistants, hygienists, nurses) as well as clinical students entering the professional environment. |
| dental treatment after radiation therapy: Treatment Planning in Dentistry - E-Book Stephen J. Stefanac, Samuel P. Nesbit, 2006-08-29 This book provides essential knowledge for creating treatment plans for adult dental patients. Treatment planning strategies are presented to help with balancing the ideal with the practical, with emphasis placed on the central role of the patient — whose needs should drive the treatment planning process. The focus is on planning of treatment, not on the comprehensive details of every treatment modality in dentistry. CD-ROM bound into book presents five cases of varying difficulty with interactive exercises that allow users to plan treatment. What's the Evidence? boxes link clinical decision-making and treatment planning strategies to current research. In Clinical Practice boxes highlight specific clinical situations faced by the general dentist. Review Questions and Suggested Projects, located at the end of each chapter, summarize and reinforce important concepts presented in the book. Key Terms and Glossary highlights the terms that are most important to the reader. Suggested Readings lists included at the end of most chapters provide supplemental resources. Chapter on Treatment Planning for Smokers and Patients with Oral Cancer addresses the dentist's role in managing patients with oral cancer, recognizing oral cancer and differential diagnosis of oral lesions, planning treatment for patients undergoing cancer therapy, and smoking cessation strategies. Chapter on Treatment Planning for the Special Care/Special Needs Patient examines the role of the general dentist in the management of patients with a variety of conditions including physical handicaps, mental handicaps, head trauma, hemophilia, and patients' needs before, during, or after major surgery. Chapter on Treatment Planning for the Alcohol and Substance Abuser discusses the challenges of treating this patient population, as well as how to recognize the problem, delivery of care, scope of treatment, and behavioral/compliance issues. Expanded content on Ethical and Legal Issues in Treatment Planning reflects new accreditation guidelines. Dental Team Focus boxes highlight the relevance of chapter content to the dental team. Ethics Topics boxes emphasize the ethical topics found within each chapter. International Tooth Numbering is listed alongside the U.S. tooth numbers in examples and illustrations. |
| dental treatment after radiation therapy: Internal Medicine for Dental Treatments Toshimi Chiba, |
| dental treatment after radiation therapy: Cancer Pain Relief World Health Organization, 1996 The second edition of a guide, which introduced a simple, yet highly effective method for the relief of cancer pain. Thoroughly revised and updated, the new edition further refines the WHO method, which advocates the use of a small number of relatively inexpensive drugs, including morphine. Revisions draw on experiences with millions of patients around the world as well as new knowledge about the specific pain syndromes unique to cancer. Completely new are chapters describing the international system by which morphine and other opioids are made available for medical purposes. The book has two parts. Part one provides a practical guide to the relief of cancer pain, concentrating on drug treatment as the mainstay of pain management. The most extensive section sets out detailed guidelines for the selection and prescribing of non-opioid analgesics, opioid analgesics, drugs for neuropathic pain, and adjuvant drugs for the treatment of adverse effects, the enhancement of pain relief and the management of concomitant psychological disturbances. Information ranges from explanations of how specific drugs work, through the precautions to take in the presence of certain disorders, to a list of factors that influence the effectiveness of opioids. Concerning the use of opioids, readers are reminded that psychological dependence does not occur in cancer patients and that the only correct dose of morphine is the one that relieves the pain. Part two provides a guide to opioid availability. A discussion of the reasons why opioids continue to be underprescribed or difficult to obtain is followed by an explanation of the Single Convention on Narcotic Drugs. |
| dental treatment after radiation therapy: Contemporary Oral Oncology Moni Abraham Kuriakose, 2017-07-24 This is the last of four volumes that together offer an authoritative, in-depth reference guide covering all aspects of the management of oral cancer from a multidisciplinary perspective and on the basis of a strong scientific foundation. This volume focuses on the topic of comprehensive rehabilitation and supportive care in oral cancer. The coverage includes the role of maxillofacial prosthodontics, advances in anaplastology techniques, and management of oral mucositis during radiation and chemotherapy. Holistic and supportive care approaches are discussed, and advice is provided on post-therapy surveillance and the use of different measures to assess quality of life. Nutritional evaluation and management and issues relating to healthcare economics are also considered. This volume will be of interest both to practicing specialists and to ancillary service staff involved in the care of oral cancer patients. Overview on all volumes: Volume 1: Biology, Epidemiology, Etiology, and Prevention Volume 2: Diagnosis and Management Volume 3: Oral and Maxillofacial Reconstructive Surgery Volume 4: Rehabilitation and Supportive Care |
| dental treatment after radiation therapy: Carranza's Clinical Periodontology Michael G. Newman, Henry Takei, Perry R. Klokkevold, Fermin A. Carranza, 2011-02-14 The most widely used periodontics text, Carranza's Clinical Periodontology provides both print and online access to basic procedures as well as the latest in advanced procedures and techniques in reconstructive, esthetic, and implant therapy. Not only does this book show how to do periodontal procedures, it describes how to best manage the outcomes and explains the evidence supporting each treatment. Written by leading experts Michael Newman, Henry Takei, Perry Klokkevold, and Fermin Carranza, along with a pool of international contributors, this edition also discusses the close connection between oral health and systemic disease. A new Expert Consult website includes the entire, fully searchable contents of the book, and takes learning to a whole new level with content updates, videos, a drug database, and much more. Comprehensive coverage describes all aspects of periodontics in a single volume, including periodontal pathology, the etiology of periodontal diseases, the relationship between periodontal disease and systemic health, treatment of periodontal diseases, oral implantology, supportive treatment, and ethics, legal, and practical matters. Problem-solving, scenario-based learning opportunities use well-documented case reports to help you learn both basic and advanced procedures and techniques. 'Speed to competence' is enhanced with access to print, online, and mobile platforms. A unique approach combines evidence-based decision-making, science transfer, and classification/nomenclature throughout every chapter. A one-of-a-kind Genetic Factors and Periodontal Disease chapter examines the role of genetic factors in gum disease. In-depth information serves as an excellent foundation in preparing for the National Board Dental Exam. Expert Consult website offers fast, reliable online access to advanced material, videos, an image collection, a drug database, interactive flash cards, multiple-choice test questions, interactive references, and Pathology Consult -- plus, the entire contents of the book are fully searchable. Find core information in the book; additional, advanced information is provided online. Consult your book from any computer, anywhere in the world, for the entire life of this edition. Keep current with regular updates of the latest periodontal news and information. Follow links from biographical citations to the corresponding MEDLINE abstracts. See a comprehensive library of pathology photos. Coverage of the latest advances includes the emerging link between periodontal disease and systemic health. Full-color illustrations depict the newest developments in surgical technology. A new Multidisciplinary Approach to Dental and Periodontal Problems chapter discusses the importance of collaborative care in the practice of periodontics. Etiology of Periodontal Diseases (Part 4) provides a more comprehensive background in periodontal anatomy, physiology, and pathogenesis. |
| dental treatment after radiation therapy: Dental Secrets Stephen T. Sonis, 2014-08-16 Offering practical tips and expert answers to topics in dentistry and oral medicine, Dental Secrets, 4th Edition provides an ideal preparation tool for exams, clinical rotations, and board certification. A concise, illustrated Q&A format covers key areas such as oral pathology and radiology, periodontology, endodontics, restorative dentistry, prosthodontics, orthodontics, infection control, and oral and maxillofacial surgery. Written by Stephen Sonis and a team of expert contributors, this mini-reference makes it easier to prepare for real-world clinical scenarios and review for the NBDE and other certification exams. - Over 2,000 questions include concise answers for core topics in dentistry and oral medicine, providing valuable pearls, tips, memory aids, and 'secrets.' - Question-and-answer format makes this the perfect review tool for certification exams, a clinical refresher, or a quick reference guide. - Over 100 illustrations, tables, and bulleted lists highlight key information. - Expert contributors share practical tips, answers, and secrets on safe and effective dentistry practice. - UPDATED content includes the latest advances in the science and practice of dentistry, including CBCT, CAMBRA, new methods for diagnosing caries, mini dental implants, platform switching, early childhood caries (ECC), and more. - NEW illustrations provide high-quality dental images. - NEW two-color design highlights questions and other features such as tables, boxes, and bulleted lists, making it easier to find information. - Three NEW contributors — Nathaniel Treister, Jennifer Frustino, and David Kim — provide fresh insight in the chapters on treatment planning and oral diagnosis, periodontology, restorative dentistry, and prosthodontics. |
| dental treatment after radiation therapy: Radiation Pathology Luis Felipe Fajardo, Morgan Berthrong, Robert E. Anderson, 2001-01-25 Radiation Pathology is an up-to-date compendium of the effects of ionizing radiation on human tissues. It will be of great value to radiation oncologists, pathologists, and other professionals. The early chapters deal with basic science: physics, radiobiology, genetics, etc. The circumstances of human exposures (therapeutic, accidental, warfare) are then considered in the light of extensive epidemiological data. Acute radiation syndromes and radiation cardiogenesis are described in detail, including recent information on mechanisms of oncogenesis. For the benefit of readers who are not radiation oncologists, two chapters outline the current uses of radiation in therapy and in diagnosis, including the various applications of radionuclides. The bulk of the text deals with radiopathology and its morphologic expression. An overview orients the reader and classifies the main types of lesions. The chapters on specific organs or organ systems are consistently divided into sections to facilitate rapid retrieval of information on: normal structure, tolerance doses, experimental studies, morphology and pathogenesis, and clinical manifestations. The authors' lucid, well-organized descriptions will inform radiation oncologists about the types of injury to be expected, and will guide pathologists in making differential diagnoses. |
| dental treatment after radiation therapy: Rehabilitation and Treatment of Head and Neck Cancer Eugene N. Myers, Ivan Barofsky, Jerome William Yates, 1986 This monograph is the result of a workshop entitled Head and Neck Cancer : Integration of Treatment and Rehabilitation, which was held in January 1984 and sponsored by the National Cancer Institute. The purpose of the workshop was to review past research directions focused on head and neck cancer and set new goals where appropriate. As discussed at the meeting, the goal of integrating treatment and rehabilitation is to prevent or minimize the physical (cosmetic or functional) disability and the emotional sequelae commonly associated with head and neck cancer and its treatment. The meeting afforded an opportunity for a diverse group of professionals to exchange ideas and information on effective and desirable methods of treatment and rehabilitation for head and neck cancer patients. Papers were presented and discussions were held with the aim of identifying and resolving some of the problems faced by those who make treatment decisions and provide care for these patients. This workshop highlighted the need for an integration of multi-disciplinary rehabilitation planning at the time of initial treatment for head and neck cancer. It also demonstrated major deficiencies in objective outcome measures used to assess physiological and social function over and above the usual measures of patient survival. Centers which provide multidisciplinary patient management programs and follow adequate patient populations, thus assuring management proficiency, provide the best means of avoiding many of the pitfalls that threaten patients who are managed by a single physician and exposed sequentially to other disciplines only when problems develop. Few other cancers demonstrate the need for anticipatory treatment and rehabilitation to the magnitude required in the management of head and neck cancer. |
| dental treatment after radiation therapy: Practical Head and Neck Oncology Guy J. Petruzzelli, 2008-09-01 |
| dental treatment after radiation therapy: Oncology Alfred E. Chang, Patricia A. Ganz, Daniel F. Hayes, Timothy Kinsella, Harvey I. Pass, Joan H. Schiller, Richard M. Stone, Victor Strecher, 2007-12-08 Title consistently uses the evidence-based approach Evidence-based tables make documentation of care plan easy Interdisciplinary orientation – all aspects of patient care are covered Only book that involves experts from the entire range of cancer treatment in the fields of medical, surgical and radiation oncology Includes hot topics such as prevention and breast cancer Offers ground-breaking sections on the latest research and clinical applications in cancer survivorship Chapter on PET addresses imaging issues and how to get the best results Most comprehensive sections on the biology and epidemiology of cancer as compared to competitors |
| dental treatment after radiation therapy: Current Therapy In Oral and Maxillofacial Surgery Shahrokh C. Bagheri, Bryan Bell, Husain Ali Khan, 2011-09-19 Written by expert surgeons and educators, Current Therapy in Oral and Maxillofacial Surgery covers the latest treatment strategies, surgical techniques, and potential complications in OMS. Emphasizing an evidence-based approach, it covers all 12 subspecialties of OMS, addressing topics from surgical principles to oral surgery, anesthesia, cranio-maxillofacial trauma surgery, head and neck surgery, maxillofacial reconstructive surgery, orthognathic surgery, pediatric craniofacial surgery including cleft lip and palate, temporomandibular joint disorders, facial plastic surgery including rhinoplasty and facelifts, obstructive sleep apnea, and oral and maxillofacial infections. At the end of each chapter, Pearls and Pitfalls summarize the authors' insight, recommendations, and experience on that topic. Editor Dr. Shahrokh Bagheri is a noted professor, researcher, and speaker on OMS, and he leads an expert author team including Dr. R. Bryan Bell and Dr. Husain Ali Khan to help you master and apply the latest advances in OMS. More than 1,200 full-color photos and 200 color line drawings illustrate concepts and provide visual guidance in clinical areas. Comprehensive sections and chapters represent essential topics, the newest advances, and controversial topics. Clinical coverage brings together the latest knowledge in OMS in a concise, easy-to-apply way. Resident-specific coverage describes the wide array of subspecialties and treatments available in the armamentarium of the modern OMS. A focus on complications ensures that you are knowledgeable in this important part of any therapy or surgical discipline. Expert contributors include the best of the best, featuring leading, well-established, and respected surgeons and educators writing on their areas of specialty and providing current treatment strategies. |
| dental treatment after radiation therapy: Manual of Minor Oral Surgery for the General Dentist Pushkar Mehra, Richard D'Innocenzo, 2015-08-03 The Manual of Minor Oral Surgery for the General Dentist, Second Edition continues the aim of providing clear and practical guidance to common surgical procedures encountered in general practice. Fully revised and updated with three additional chapters, the book approaches each procedure through detailed, step-by-step description and illustration. Ideal for general dental practitioners and students, the book is an indispensible tool for planning, performing, and evaluating a range of surgical procedures in day-to-day practice. The Manual of Minor Oral Surgery for the General Dentist begins with an expanded chapter on patient evaluation and history taking and a new chapter on managing the patient with medical comorbidities. It also address infections and sedation besides procedural chapters on such topics as third molar extractions, preprosthetic surgery, surgical implantology, crown-lengthening, and biopsy of oral lesions. |
| dental treatment after radiation therapy: Clinical Decisions in Medically Complex Dental Patients, Part I, An Issue of Dental Clinics of North America, E-Book Mel Mupparapu, Andres Pinto, 2023-05-29 In this issue, guest editors bring their considerable expertise to this important topic. - Contains 42 patient scenarios including a patient with a pacemaker, history of stroke, and stent placement presenting for extraction of the lower molar; a patient with a history of COPD, ischemic heart disease, and cardiac arrhythmia presenting for restorative treatment; an adolescent with poorly managed asthma referred for pulp therapy in a permanent tooth; a patient with severe dental anxiety and episodes of fainting in need of dental restoration; and more. - Provides in-depth clinical reviews on clinical decisions in medically complex dental patients, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews. |
| dental treatment after radiation therapy: Mini Dental Implants Victor Dr. Sendax, 2012-10-03 Covering the latest advances in mini dental implant technology, Mini Dental Implants: Principles and Practice makes it easy to incorporate MDIs into your practice. An illustrated, evidence-based approach shows how MDIs can provide successful outcomes in long-term use and also in shorter-term transitional applications. This success is proven by 20 years of clinical trials and research, showing that the Sendax Mini Dental Implant System can benefit your patients with faster surgery, reduced pain, faster healing, and less risk of infection. Written by noted implant dentistry expert Dr. Victor I. Sendax, this text allows you to offer patients a minimally invasive, immediately functional, and lower-cost alternative to traditional dental implants. - Easy-to-understand coverage from different perspectives allows you to access information most applicable to your own practice, and to learn more about the other roles involved in achieving successful outcomes, including the general practitioner, periodontist, oral & maxillofacial surgeon, maxillofacial prosthodontist, orthodontist, and laboratory technician. - An advanced approach with evidence-based outcomes clearly demonstrates the success of mini dental implant technology and keeps you on the cutting edge of the science of implantology. - Well-known author Dr. Victor I. Sendax is a diplomate, past president of The American Board of Oral Implantology/Implant Dentistry and The American Academy of Implant Dentistry, and winner of the 2012 AAID Research Foundation Award. - Step-by-step instructions show the basic protocol for Sendax MDI insertion and reconstruction. - Highly regarded contributors add their expertise to discussions of MDI technology and practice. - A discussion of Engineering Assisted SurgeryTM (EASTM) enhances your care by improving diagnosis and 3-D planning, reducing intervention trauma, and improving the standardization of quality and outcomes. - Clinician's MDI Forum includes Q & A sections allowing you to quickly find answers to commonly asked questions. |
| dental treatment after radiation therapy: Leibel and Phillips Textbook of Radiation Oncology - E-Book Richard Hoppe, Theodore L. Phillips, Mack Roach, 2010-09-09 Stay on top of the latest scientific and therapeutic advances with the new edition of Leibel and Phillips Textbook of Radiation Oncology. Dr. Theodore L. Phillips, in collaboration with two new authors, Drs. Richard Hoppe and Mack Roach, offers a multidisciplinary look at the presentation of uniform treatment philosophies for cancer patients emphasizing the treat for cure philosophy. You can also explore the implementation of new imaging techniques to locate and treat tumors, new molecularly targeted therapies, and new types of treatment delivery. Supplement your reading with online access to the complete contents of the book, a downloadable image library, and more at expertconsult.com. Gather step-by-step techniques for assessing and implementing radiotherapeutic options with this comprehensive, full-color, clinically oriented text. Review the basic principles behind the selection and application of radiation as a treatment modality, including radiobiology, radiation physics, immobilization and simulation, high dose rate, and more. Use new imaging techniques to anatomically locate tumors before and during treatment. Apply multidisciplinary treatments with advice from experts in medical, surgical, and radiation oncology. Explore new treatment options such as proton therapy, which can facilitate precise tumor-targeting and reduce damage to healthy tissue and organs. Stay on the edge of technology with new chapters on IGRT, DNA damage and repair, and molecularly targeted therapies. |
| dental treatment after radiation therapy: Newman and Carranza's Clinical Periodontology E-Book Michael G. Newman, Henry Takei, Perry R. Klokkevold, Fermin A. Carranza, 2018-05-29 From basic science and fundamental procedures to the latest advanced techniques in reconstructive, esthetic, and implant therapy, Newman and Carranza's Clinical Periodontology, 13th Edition is the resource you can count on to help master the most current information and techniques in periodontology. Full color photos, illustrations, and radiographs show you how to perform periodontal procedures, while renowned experts from across the globe explain the evidence supporting each treatment and lend their knowledge on how to best manage the outcomes. - UNIQUE! Periodontal Pathology Atlas contains the most comprehensive collection of cases found anywhere. - Full-color photos and anatomical drawings clearly demonstrate core concepts and reinforce important principles. - UNIQUE! Chapter opener boxes in the print book alert readers when more comprehensive coverage of topics is available in the online version of the text. - NEW! Chapters updated to meet the current exam requirements for the essentials in periodontal education. - NEW! Case-based clinical scenarios incorporated throughout the book mimic the new patient case format used in credentialing exams. - NEW! Additional tables, boxes, and graphics highlight need-to-know information. - NEW! Virtual microscope on Expert Consult offers easy access to high-resolution views of select pathology images. - NEW! Two new chapters cover periimplantitis and resolving inflammation. - NEW! Section on evidence-based practice consists of two chapters covering evidence-based decision making and critical thinking. |
| dental treatment after radiation therapy: Oral, Head and Neck Oncology and Reconstructive Surgery - E-Book R. Bryan Bell, Peter A. Andersen, Rui P. Fernandes, 2017-08-25 Oral, Head and Neck Oncology and Reconstructive Surgery is the first multidisciplinary text to provide readers with a system for managing adult head and neck cancers based upon stage. Using an evidence-based approach to the management and treatment of a wide variety of clinical conditions, the extensive experience of the author and contributors in head and neck surgery and oncology are highlighted throughout the text. This includes computer aided surgical simulation, intraoperative navigation, robotic surgery, endoscopic surgery, microvascular reconstructive surgery, molecular science, and tumor immunology. In addition, high quality photos and illustrations are included, which are easily accessible on mobile devices. - Management protocols and outcomes assessment provide clear guidelines for managing problems related to adult head and neck oncology and reconstructive surgery. - State-of-the art guidance by recognized experts details current techniques as well as technological advances in head and neck/cranio-maxillofacial surgery and oncology. - Evidence-based content details the latest diagnostic and therapeutic options for treating a wide-variety of clinical problems with an emphasis on surgical technique and outcomes. - Multidisciplinary approach reflects best practices in managing head and neck oncology and cranio-maxillofacial surgery. - 900 highly detailed images clearly demonstrate pathologies and procedures. - Designed for the modern classroom which lets you access important information anywhere through mobile tablets and smart phones. |
| dental treatment after radiation therapy: Perez and Brady's Principles and Practice of Radiation Oncology Edward C. Halperin, Carlos A. Perez, Luther W. Brady, 2008 The thoroughly updated fifth edition of this landmark work has been extensively revised to better represent the rapidly changing field of radiation oncology and to provide an understanding of the many aspects of radiation oncology. This edition places greater emphasis on use of radiation treatment in palliative and supportive care as well as therapy. |
| dental treatment after radiation therapy: Basics of Planning and Management of Patients during Radiation Therapy Ashutosh Mukherji, 2018-03-01 This book summarizes the do’s and don’ts of managing a patient receiving radiotherapy or chemotherapy as well as how to manage common day to day situations that one comes across in radiation oncology practice. It aims to serve as a useful guide for students of radiation oncology for their practical exams and provides useful answers mostly to the why’s of the various steps of radiotherapy planning, prescribing, evaluation and treatment delivery. The intent of this book is to cover the various indications and techniques for taking a decision on the various practical aspects of radiotherapy planning and delivery and hopes to offer assistance to young radiation oncologists in handling cancer patients. This is a more practice oriented book and does not aim to cover the various sites, types and indications of radiotherapy as a whole. |
| dental treatment after radiation therapy: The Encyclopedia of Elder Care Joseph Kandel, Christine A. Adamec, 2009 A comprehensive guide to emotional, legal, medical, psychological and other issues relating to elderly care. |
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Navdeep Kumar
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Radiation Treatment: Side Effects to the Mouth and Swallowing – Page 2 Fibrosis Radiation may cause fibrosis, or hardening of tissues, in your head and neck. This can affect your movement, …
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Appendix 4 All cancer patients after cancer treatment finishes (general advice) Information to help when providing dental treatment For information that can help when making decisions about …
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ADA.org: For the Dental Patient: Dental radiographs: …
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The Dental Safety Profile of High-Dose Radioiodine Therapy for Thyroid Cancer: Long-Term Results of a Longitudinal Cohort Study Martin A. Walter*1,2, Christian P. Turtschi*1,2, …
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Clinical guideline on dental management of 5 CCA 1.G pediatric patients receiving cancer therapy 151 Dental and Oral Care Before the Initiation of Cancer Therapy 152 Objectives: The …
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The aim of the study was to review the outcome of implant-prosthetic treatment after radiation therapy. ... Key words: head and neck cancer; radiation therapy; dental implants; implant …
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tients must be evaluated before radiation therapy and at that time all unrestorable teeth and/or teeth with peri-odontal problems must be extracted to reduce the post-radiotherapy exodontias …
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Feb 9, 2024 · These symptoms usually start 1 to 2 weeks after you start radiation therapy. They may get worse during treatment. Most symptoms will start to get better about 2 to 4 weeks …
