Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제37권3호
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  • Pages.169-175
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  • 2011
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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두경부 악성종양 환자에서 조기 방사선치료를 위한 구강관리법에 대한 실험적 연구

The experimental study of oral care for early radiation therapy in the head and neck cancer patients

  • 문원규 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 차인호 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 김형준 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 정영수 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 이천의 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 이종영 (연세대학교 원주의과대학 방사선종양학교실) ;
  • 유미현 (부산대학교 치의학전문대학원 전문대학원 구강병리학교실) ;
  • 유재하 (연세대학교 치과대학 구강악안면외과학교실)
  • Moon, Won-Kyu (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Cha, In-Ho (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Hyung-Jun (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Jung, Young-Soo (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Lee, Chun-Ui (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Lee, Jong-Young (Department of Radiation Oncology, Wonju College of Medicine, Yonsei University) ;
  • Ryu, Mi-Heon (Department of Oral Pathology, School of Dentistry, Yangsan Campus of Pusan National University) ;
  • Yoo, Jae-Ha (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 투고 : 2011.01.09
  • 심사 : 2011.06.07
  • Published : 2011.06.30
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Abstract

Background: Teeth requiring extraction before radiotherapy in head & neck cancer patients should be removed as long as possible before the initiation of radiation therapy. Conventionally, a minimum 2-week waiting primary healing period is recommended. Although the above 2-week period is ideal, it was not uncommon for the radiotherapist and cancer patient to feel an urgent need to process with radiotherapy despite the need for dental care. Therefore, alternative approaches for early radiotherapy, including conservative endodontic treatment and a 1-week waiting primary healing period after dental extraction at the time of radiotherapy, were considered and applied based on the experimental study Materials and Methods: Eighteen dogs were processed for histopathologic wound healing. The effect of the primary endodontic treatment and extraction before early radiotherapy was examined. Results: No specific complication, such as, post-extraction wound infection, radiation osteitis and osteoradionecrosis, were encountered despite the early radiotherapy. Conclusion: Based on the experimental study, a minimum 1-week waiting primary healing period for oral care before radiotherapy is suitable for the early radiotherapy in head and neck cancer patients.

Keywords

References

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