Beruflich Dokumente
Kultur Dokumente
OF IRRADIATED HEAD
AND NECK CANCER
PATIENTS
Leanne Sykes
Medical University of South Africa
Ionizing
radiation
Tumour eradication
or palliative therapy
Transient / permanent
tissue damage
RADIOTHERAPY
Poor oral hygiene Local trauma
AGGRAVATING
FACTORS
Infection Debilitation
Region Total amount
of radiation
irradiated
absorbed
MORBIDITY
Patient’s individual
biologic response
EFFECTS MAY INCLUDE:
Mucositis
Xerostomia
Altered oral flora
Taste loss
Sensitivity – tooth, mucosa
Osteoradionecrosis (ORN)
Post radiation caries (PRC)
Periodontal disease
Trismus
EFFECTS MAY INCLUDE:
Mucositis
Xerostomia
Altered oral flora
Taste loss
Sensitivity – tooth, mucosa
Osteoradionecrosis (ORN)
Post radiation caries (PRC)
Periodontal disease
Trismus
EFFECTS MAY INCLUDE:
Mucositis
Xerostomia
Altered oral flora
Taste loss
Sensitivity – tooth, mucosa
Osteoradionecrosis (ORN)
Post radiation caries (PRC)
Periodontal disease
Trismus
Taste Buffering
FUNCTIONS OF SALIVA
Antimicrobial
Acinar cell loss + Connective tissue
replacement
XEROSTOMIA
-scant
-thick
-ropy
-viscous
EFFECTS MAY INCLUDE:
Mucositis
Xerostomia
Altered oral flora
Taste loss
Sensitivity – tooth, mucosa
Osteoradionecrosis (ORN)
Post radiation caries (PRC)
Periodontal disease
Trismus
CA DA
ND I
IC FL ORA
I OG E N
CAR
EFFECTS MAY INCLUDE:
Mucositis
Xerostomia
Altered oral flora
Taste loss
Sensitivity – tooth, mucosa
Osteoradionecrosis (ORN)
Post radiation caries (PRC)
Periodontal disease
Trismus
Zinc Sulphate
EFFECTS MAY INCLUDE:
Mucositis
Xerostomia
Altered oral flora
Taste loss
Sensitivity – tooth,
mucosa
Osteoradionecrosis (ORN)
Post radiation caries (PRC)
Periodontal disease
Trismus
Cold Heat
CUSP TIPS
NEUTRAL
EFFECTS MAY INCLUDE:
Mucositis
Xerostomia
Altered oral flora
Taste loss
Sensitivity – tooth, mucosa
Osteoradionecrosis (ORN)
Post radiation caries (PRC)
Periodontal disease
Trismus
EFFECTS MAY INCLUDE:
Mucositis
Xerostomia
Altered oral flora
Taste loss
Sensitivity – tooth, mucosa
Osteoradionecrosis (ORN)
Post radiation caries (PRC)
Periodontal disease
Trismus
PREVENTIVE STRATEGIES
Necessary extractions
Restorative treatment
PREVENTIVE STRATEGIES
Oral hygiene instruction and treatment
Impressions for fluoride trays
Necessary extractions
Restorative treatment
Necessary extractions
Restorative treatment
Patient counselling
PREVENTIVE STRATEGIES
Oral hygiene instruction and treatment
Necessary extractions
Restorative treatment
Patient counseling
TEAMWORK