[Dental and oral care of cancer patients treated with irradiation and chemotherapy].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to W Carl.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
In the management of head and neck cancer, dentistry has an important supportive role. Many anatomical and functional changes caused by surgery for the removal of intraoral tumors can be corrected or improved upon by prosthetic dentistry. The control of dental pathology contributes to the immediate and long-term success of tumor treatment and facilitates rehabilitation. Radiotherapy and loss of teeth do not go hand in hand. Many oral complications associated with radiotherapy can now be avoided or controlled with early preventive and restorative measures. Patients receiving systemic chemotherapy often develop oral complications that require particular attention by the primary physician and the dentist. Control of dental pathology is important in patients receiving chemotherapy because of reduced immune mechanism and increased bleeding tendencies.
Underdevelopment of teeth after exposure to radiation has been observed since the early experiments with X rays. Two patients had been irradiated at young ages for embryonal rhabdomyosarcomas. For the patient treated with radiation at age 4 for a lesion in the submandibular area, root development of the mandibular teeth stopped, but the teeth nevertheless erupted. In the patient treated with radiation at age 9 for a tumor in the left cheek, bone apposition in the left side of the mandible failed to continue at the same rate as on the right side. Although new megavoltage radiation machines have reduced the chances of bone complications in adults, developing bone and structures are still significantly affected by radiation.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
One technical approach for the treatment of a patient after complete removal of the hard palate and other supportive structures has been presented. This technique offers a means of obtaining a detailed impression of the defect and promptly provides the patient with a lightweight and flexible tissue-tolerant obturator. The patient can ultimately be provided with a hollow dental prosthesis attached to a removable hollow obturator.
Explore the source record for details and available documents.
The prostheses described evolve from preoperative to immediate to transitional, and the distinction between them is not clearly defined. How long the temporary stage should be maintained depends upon the rapidity of healing of the defect and the judgment of the prosthodontist. Usually, healing is complete 3 to 6 months following surgery, and a definitive obturator may then be constructed. Construction, modification, and insertion of preoperative and immediate postoperative obturators for patients after partial and total maxillectomies were discussed. The purpose of an immediate obturator is to shorten the recovery period of the patient and restore speech, deglutition, and appearance as soon as possible after surgery.