• AMA with Certified Student Loan Professional

    Join SDN on December 7th at 6:00 PM Eastern as we host Andrew Paulson of StudentLoanAdvice.com for an AMA webinar. He'll be answering your questions about how to best manage your student loans. Register now!

prophylactic tx of radiation pts.


Be a DDS or die trying
10+ Year Member
7+ Year Member
Oct 28, 2005
The great state of a epiphany
  1. Dental Student
    Hello every1,

    I was referred a pt to have a dental clearance before having radiation to the area of the brain just above the cribiform plate. I understand that any teeth that have a questionable px or advanced perio should be prophylacticly ext'ed. That said, is there any literature/publications, or existing protocol on what teeth to ext that appear within normal limits before radiation, that take in consideration the dosage and directions of the beams/fields of radiation?




    Senior Member
    10+ Year Member
    5+ Year Member
    Jun 7, 2006
    1. Pre-Health (Field Undecided)
      We get referrals for these at least two times a week . Usually the patient has no idea why they are there. We explain the risks of ORN, etc. and then request a dose and field from rad onc.

      As an example we may get a form from the radiation guys that says this:

      Post mand 7000
      Post Max 7000
      Ant max 4500
      Ant mand 4500


      Marx's book has a great few pages of osteoradionecrosis that I would read. Depending on your patient population and the condition of their teeth, sometimes it is prudent to slick them all.

      Usually anything in the way of 6000+ gets slicked at our place. If the dose is 4500 and the teeth are in bad shape = slicked.

      I always tell the patient they can still develop ORN even though the teeth are gone so they have no suprises when we have to go back in later for debridement and/or resection.
      About the Ads
      This thread is more than 11 years old.

      Your message may be considered spam for the following reasons:

      1. Your new thread title is very short, and likely is unhelpful.
      2. Your reply is very short and likely does not add anything to the thread.
      3. Your reply is very long and likely does not add anything to the thread.
      4. It is very likely that it does not need any further discussion and thus bumping it serves no purpose.
      5. Your message is mostly quotes or spoilers.
      6. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread.
      7. This thread is locked.