Beumer J, Curtis T, Harrison R E
Head Neck Surg. 1979 May-Jun;1(5):392-408. doi: 10.1002/hed.2890010504.
This is the concluding portion of a two-part series dealing with the effects and manifestations in the oral cavity of radiation therapy of head and neck tumors. Preradiation and postradiation extractions in dentulous patients, as well as dental maintenance of such patients (including fluoride treatments follow-up, and restorative care), are discussed. Guidelines for the dental management of edentulous patients are also presented at length (this section covers risk of bone necrosis, soft liners, timing of denture placement, dentures and preexisting bone necrosis, soft-tissue necrosis and dentures, morbidity, and prosthodontic procedures). The article concludes with a brief discussion of osteoradionecrosis and soft-tissue necrosis.
这是一个分为两部分的系列文章的结尾部分,该系列文章探讨了头颈部肿瘤放射治疗在口腔中的影响和表现。文中讨论了无牙患者放疗前和放疗后的拔牙情况,以及此类患者的牙齿维护(包括氟化物治疗随访和修复治疗)。还详细介绍了无牙患者的牙科管理指南(本节涵盖骨坏死风险、软衬、义齿佩戴时机、义齿与既往骨坏死、软组织坏死与义齿、发病率以及修复程序)。文章最后简要讨论了放射性骨坏死和软组织坏死。