Chopra Aakanksha, Monga Nitika, Sharma Sidhartha, Kumar Vijay, Chawla Amrita, Logani Ajay
Division of Conservative Dentistry and Endodontics, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
Non- Communicable Disease Division, Indian Council of Medical Research, New Delhi, India.
J Conserv Dent. 2022 Sep-Oct;25(5):481-486. doi: 10.4103/jcd.jcd_237_22. Epub 2022 Sep 12.
Radiation therapy, either used alone or in combination with surgery and or chemotherapy, is the most commonly utilized modality for treating head and neck cancers. Patients undergoing radiation therapy usually experience significant early and late-onset toxicities/adverse effects. Radiation-related caries (RRC) is a common complication that detrimentally affects patients' quality of life (QoL). A clearer understanding and more uniform approach to scoring systems help provide a more accurate diagnosis, form treatment protocols, plan, and evaluate outcomes of preventive initiatives and create scientific databases. Many indices have been used to assess and quantify the dental caries experience after radiotherapy. Considering the need for uniform standards for measuring radiation caries, indices specific to radiation caries have been proposed in the literature to capture postradiation damage to the dentition accurately. This narrative review aims to consolidate the evolution of different indices used for scoring RRC to improve the understanding of radiation caries assessment.
放射治疗，无论是单独使用还是与手术和/或化疗联合使用，都是治疗头颈癌最常用的方式。接受放射治疗的患者通常会经历显著的早期和晚期毒性/不良反应。放射性龋齿（RRC）是一种常见的并发症，会对患者的生活质量（QoL）产生不利影响。更清晰地理解评分系统并采用更统一的方法，有助于提供更准确的诊断、制定治疗方案、规划和评估预防措施的结果以及创建科学数据库。许多指数已被用于评估和量化放疗后的龋齿情况。考虑到需要统一的标准来测量放射性龋齿，文献中已提出了专门针对放射性龋齿的指数，以准确反映放疗后牙列的损伤情况。本叙述性综述旨在整合用于RRC评分的不同指数的演变，以增进对放射性龋齿评估的理解。
