Lockhart P B, Clark J
Department of Dentistry, Carolinas Medical Center, Charlotte, NC 28232-2861.
Oral Surg Oral Med Oral Pathol. 1994 Mar;77(3):236-41. doi: 10.1016/0030-4220(94)90291-7.
Maxillofacial problems after radiotherapy to this region are common and have at least a temporal relationship to preexisting odontogenic disease. This study was undertaken to determine the dental status of patients before multimodality therapy for head and neck cancer. One hundred thirty-one patients were examined during their initial visit to a head and neck tumor clinic. The majority of dentulous patients were noncompliant with routine dental care (76%) and oral hygiene (65%). There was a high incidence of alveolar bone loss (66%), clinical caries (71%), and failing restorations (91%). Overall, 73 (97%) of the dentulous patients needed dental care before radiotherapy; however, follow-up visits revealed that 59 (81%) of these patients did not seek the indicated treatment. These data suggest that thorough oral examinations should be performed on all patients before radiotherapy that involves the oral cavity.
该区域放疗后的颌面问题很常见，且至少与既往存在的牙源性疾病存在时间上的关联。本研究旨在确定头颈癌多模态治疗前患者的牙齿状况。131名患者在初次就诊头颈肿瘤诊所时接受了检查。大多数有牙患者不遵守常规牙科护理（76%）和口腔卫生（65%）。牙槽骨丧失（66%）、临床龋齿（71%）和修复体失败（91%）的发生率很高。总体而言，73名（97%）有牙患者在放疗前需要牙科护理；然而，随访显示这些患者中有59名（81%）未寻求指定治疗。这些数据表明，对涉及口腔的所有放疗患者都应进行全面口腔检查。
