Surgical periodontal treatment in the radiotherapy-treated head and neck cancer patient

Authors

  • J.B. Epstein DMD, MSD,

    1. Medical/Dental Staff of the BC Cancer Agency; Head, Division of Oral Medicine, Clinical Dentistry, Vancouver General Hospital and Health Sciences Centre; Clinical Professor, University of British Columbia, Vancouver; and Research Associate Professor, University of Washington, Seattle
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  • T. Corbett DDS,

    1. former General Practice Resident currently in private practice in Vancouver, BC
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  • C. Galler DDS, MSD,

    1. former Consultant, BC Cancer Agency, Vancouver, BC, currently in the private practice of periodontology in North York, Ontario
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  • P. Stevenson-Moore BDS MSD

    1. Chairman, Division of Dentistry, and Head, Department of Dentistry, BC Cancer Agency, and Clinical Associate Professor, University of British Columbia, Vancouver, BC
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Abstract

A series of clinical cases is presented in which surgical periodontal therapy was conducted within the high-dose volume of prior radiation therapy. Close oral supervision is required in patients following head and neck radiation therapy. Non-surgical periodontal management is crucial in the care of these patients following radiation therapy. Careful selection of patients for possible surgical therapy and care in performing the procedure may allow successful periodontal management, as is demonstrated in the cases reviewed.

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