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放射治疗患者的全口义齿修复学

Complete denture prosthodontics for the radiation patient.

作者信息

Curtis T A, Griffith M R, Firtell D N

出版信息

J Prosthet Dent. 1976 Jul;36(1):66-76. doi: 10.1016/0022-3913(76)90235-3.

Abstract

The increased use of radiation therapy for the control of oral cancer necessitates that all dentists concerned with the rehabilitation of oral cancer patients be familiar with this treatment modality. Radiologic equipment, the rationale for their use, and the sequelae to oral treatment are discussed. Misconceptions have developed concerning the advisability of prescribing complete dentures following radiation therapy. However, clinical experience in the Maxillofacial Unit at the University of California, San Francisco, indicates that most radiation patients can wear complete dentures. The need to follow sound prosthodontic techniques is advocated, along with a few modifications related specifically to the radiation patient. Patient cooperation and meticulous care during and following the placement of dentures are stressed to minimize the risk of tissue necrosis and to preserve the well-being of the patient.

摘要

放射治疗在口腔癌控制中的应用日益增加,这就要求所有参与口腔癌患者康复治疗的牙医都要熟悉这种治疗方式。本文讨论了放射设备、其使用原理以及口腔治疗的后遗症。关于放疗后佩戴全口义齿的适宜性,已经出现了一些误解。然而,加利福尼亚大学旧金山分校颌面科的临床经验表明,大多数接受放疗的患者都可以佩戴全口义齿。提倡遵循完善的修复技术,并针对放疗患者进行一些特殊的调整。强调患者在义齿佩戴期间及之后的配合和精心护理,以尽量减少组织坏死的风险,并维护患者的健康。

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