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Oral Hygiene Associated with Radiation Therapy

Preparation

Patients to be treated with radiation toward the head/neck region should have the following assessed and/or treated before treatment starts.

  • Cavities in the teeth (number/severity)
  • Teeth which require endodontal therapy 
  • Periodontal disease
  • Periapical infection and other pathology in the jaw
  • Disease status related to wisdom teeth (pericoronitis)
  • Number of teeth which should be extracted 
  • Oral hygiene (instruction and follow-up)
  • Salivary gland dysfunction (information/measures)
  • Mucous membrane symptoms
  • Edges of teeth or fillings that may cause trauma to the mucosa
  • Temporomandibular dysfunction, measure of mouth opening

At least two week interval is necessary between tooth extraction and start of radiation treatment.

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