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Periodontal therapy for patients before and after radiotherapy : a review of the literature and topics of interest for clinicians

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Periodontal therapy for patients before and after radiotherapy : a review of the literature and topics of interest for clinicians

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dc.contributor.author Irie, Milena-Suemi es
dc.contributor.author Mendes, Eduardo-Moura es
dc.contributor.author Borges, Juliana-Simeão es
dc.contributor.author Osuna, Luis-Gustavo-Gonzalez es
dc.contributor.author Rabelo, Gustavo-Davi es
dc.contributor.author Soares, Priscilla-Barbosa-Ferreira es
dc.date.accessioned 2018-11-27T08:34:53Z
dc.date.available 2018-11-27T08:34:53Z
dc.date.issued 2018 es
dc.identifier.citation Irie, Milena-Suemi ; Mendes, Eduardo-Moura ; Borges, Juliana-Simeão ; Osuna, Luis-Gustavo-Gonzalez ; Rabelo, Gustavo-Davi ; Soares, Priscilla-Barbosa-Ferreira. Periodontal therapy for patients before and after radiotherapy : a review of the literature and topics of interest for clinicians. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 23 5 2018: 3- es
dc.identifier.uri http://hdl.handle.net/10550/68055
dc.description.abstract To review and discuss important topics regarding periodontal treatment pre- and post-radiotherapy for head and neck cancer in human patients; to discuss the references for adequate techniques, the appropriate moment for tooth extractions and periodontal management; and to discuss the prevention of osteoradionecrosis. Thirty-nine studies including original studies, randomized clinical trials (RCTs) and reviews were searched in online databases MEDLINE (PubMed) and the Cochrane library. No year of publication restriction was applied. Language was restricted to English, and the following Medical Subject Heading terms were used: radiotherapy, radiation therapy and periodontal treatment. Studies regarding periodontal treatment and tooth extraction that involved clinical management of irradiated patients were selected. The treatment of periodontal diseases before radiotherapy is mainly required to avoid future dental extraction and to reduce the development of osteoradionecrosis. Periodontal treatment in irradiated patients mostly includes scaling and root planing, extraction of condemned teeth and topical and systemic antimicrobial therapy. Tooth removal should be planned at least 14 days before the first day of radiation treatment. Particular care and mouthwashes should be taken during and after radiation. The management of irradiated patients represents a challenge for health professionals, including dentists. It is important to establish recommendations for clinicians concerning dental and periodontal management in irradiated patients before, during and after treatment. es
dc.title Periodontal therapy for patients before and after radiotherapy : a review of the literature and topics of interest for clinicians es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.22474 es
dc.type.hasVersion VoR es_ES

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