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Presented By, Dr. Jomi Porinchu, M. S. Ramaiah Dental College, Bangalore

This document discusses the dentist's role in treating patients undergoing radiotherapy. It covers the effects of radiation on biological molecules and tissues, including both early and late reactions. It also outlines different modes of radiotherapy and various radiation-induced complications like changes in saliva, infections, taste loss, and osteonecrosis. The document recommends conducting a pre-radiation dental evaluation and treatment to establish a treatment plan. It provides guidance on dental considerations during and after radiotherapy, and emphasizes maintaining good oral hygiene. In conclusion, it frames dentists as helping orchestrate relief for patients through proper dental care before, during, and after radiotherapy.

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Jomi Porinchu
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110 views24 pages

Presented By, Dr. Jomi Porinchu, M. S. Ramaiah Dental College, Bangalore

This document discusses the dentist's role in treating patients undergoing radiotherapy. It covers the effects of radiation on biological molecules and tissues, including both early and late reactions. It also outlines different modes of radiotherapy and various radiation-induced complications like changes in saliva, infections, taste loss, and osteonecrosis. The document recommends conducting a pre-radiation dental evaluation and treatment to establish a treatment plan. It provides guidance on dental considerations during and after radiotherapy, and emphasizes maintaining good oral hygiene. In conclusion, it frames dentists as helping orchestrate relief for patients through proper dental care before, during, and after radiotherapy.

Uploaded by

Jomi Porinchu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Prophylactic and

Therapeutic Approaches

in Patient Undergoing

Radiotherapy

- A Dentists Perspective

Presented by,
Dr. Jomi Porinchu,
M. S. Ramaiah Dental College, Bangalore
The Dentists Role
Effects of Radiation
Changes in Biological Molecules
Tissue Reactions to
Radiotherapy

[Link] Reactions within 3 to 9


weeks

[Link] Reactions beyond 12


weeks
Modes of Radiotherapy

[Link] Beam Radiotherapy

[Link] Irradiation /
Brachytherapy

[Link] External Beam


and Brachytherapy
Radiation Induced
Complications

ChangeComplications
Infections
Disguesia
Oral
Acute in Saliva Composition
Chronic
Complications
Pre-radiation Dental
Evaluation and Treatment
Evaluation
a. Patient history
b. Extra and Intraoral Clinical Examination
c. Radiographs
d. Salivary Gland Function
e. Other considerations:
i. Mode of therapy
ii. Radiation fields and
dose
[Link] of treatment

Treatment Plan:
a. Oral hygiene maintenance.
b. Periodontal Prophylactic therapy
c. Extraction of non salvageable teeth
d. Restoration of teeth with dental caries
Dental Consideration During
Radiotherapy
Radiation Mucositis
Dysgeusia / Taste Loss
Infections and Role of Antiviral and Antifungal Drugs
Xerostomia/Hyposalivation
Radiation Caries
Postradiation
Osteonecrosis
Hyperbaric Oxygen Therapy Chamber
TMJ Disorders / Trismus
Postradiation Dental
Prophylaxis
Oral Hygiene and Treatment
Conclusion

Dentist another
musician
orchestrating relief
References
White and Pharaoh - Oral Radiology Principles and
Interpretation. 5th Ed
John Glaholm - Radiation and Chemotherapy
A. Vissink, F. R. Burlage, F. K. L. Spijkervet, J. Jansma and
R. P. Coppes - Prevention and Treatment of the Consequen
Of Head and Neck Radiotherapy, Crit. Rev. Oral Bio. Med.
2003; 14; 213
R. Atri, AK Dhull, V Nair, R Dhankhar, V Kaushal - Orodenta
Care related to Radiotherapy for Head and Neck Cancer.
JOHCD 2007;1(3):59-62
Nectarios Andrews, Chris Griffiths - Dental Complications
Head and Neck Radiotherapy : Part 2. Australian Dental
Journal 2001;46(3):174-182
Dr. T. W. Chow, Dr. K. C. Tse, Dr. Gordon F. C. Ho. - Dental
Care of Irradiated Patients
References contd
Shenoy VK, Shenoy KK, Rodrigues S, Shetty P Manageme
of Oral Health in Patients Irradiated for Head and Neck
Cancer : A review. Kathmandu University Medical Journal
(2007), Vol 5, No. 1, Issue 17, 117-120
DH Koga, JV Salvajoli, FA Alves Dental Extractions and
Radiotherapy in Head and Neck Oncology: Review of the
Literature. Oral Diseases (2008) 14, 40-44
Hlya, ankaya and Pelin Gneri Importance of a
Dental Approach in Head and Neck Cancer Therapy
APJOH 2010; 2(1). February 2010
Acknowledgements
Dr. Yashoda Devi, Head of Department,
Department of Oral Medicine and
Radiology, MSRDC

Dr. Pushpanjali, Head of Department ,


Department of Public Health Dentistry,
MSRDC

Dr. Sujata, Professor, Department of Oral


Medicine and Radiology, MSRDC

Family and Friends


Thank You

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