NUMERO: #20250571

Título: A Case Series on the Prevention of Osteoradionecrosis with a multidisciplinary protocol in Head and Neck Cancer Patients

Nome do Apresentador: Wilfredo Alejandro GONZALEZ-ARRIAGADA

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Odontologia hospitalar

Resumo: Objectives: To evaluate the effectiveness of a multidisciplinary protocol in preventing osteoradionecrosis (ORN) in head and neck cancer (HNC) patients following dental extractions in a high-radiation-dose area. The primary goal was to minimize the incidence of ORN and early bone exposure (EBE) post-extraction.
Methods: This single-institution case series included 18 HNC patients who had undergone external beam radiotherapy (RT). The protocol involved a combination of antibiotics, leukocyte- and platelet-rich fibrin (L-PRF), and pentoxifylline. Dental extractions were performed and patients were followed for a median of 26 months. Descriptive statistics was used to analyze data.
Results: A total of 93 dental extractions were performed. Early bone exposure (EBE) occurred in 9 extractions (9.7%). None of the patients developed ORN.
Conclusions: The protocol was successful in preventing ORN following dental extractions in HNC patients.

Autor 1:  Wilfredo Alejandro GONZALEZ-ARRIAGADA

E-mail 1:  [email protected]

Autor 2:   Cristóbal ARAYA-SALAS

E-mail 2:  [email protected]

Autor 3 :  María Inés González AGURTO

E-mail 3:  [email protected]

Autor 4:  Felipe CARVAJAL

E-mail 4:  [email protected]

Autor 5:  Loreto VÁSQUEZ

E-mail 5:  [email protected]

Autor 6:  Fredy ALARCÓN

E-mail 6:  [email protected]

Autor 7:  Paz MARTÍNEZ-GARCÍA

E-mail 7:  [email protected]