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Osteoradionecrosis (ORN) is a serious complication of radiation therapy in cancer treatment where radiated bone becomes necrotic and exposed. [1] ORN occurs most commonly in the mouth during the treatment of head and neck cancer, and can arise over 5 years after radiation. [2]
Dental radiographs, commonly known as X-rays, are radiographs used to diagnose hidden dental structures, malignant or benign masses, bone loss, and cavities.. A radiographic image is formed by a controlled burst of X-ray radiation which penetrates oral structures at different levels, depending on varying anatomical densities, before striking the film or sensor.
The Wall Street Journal ran a story (in 1989 or after) titled "The Radium Water Worked Fine until His Jaw Came Off". [7] Stories such as that of the Radium Girls and Eben Byers's death went public and due to public pressure and outrage, the Food and Drug Administration banned most radiation-based patent medicines in 1932. [8]
Among patients undergoing head and neck radiotherapy, pain and decreased oral function may persist long after the conclusion of therapy. Fractionated radiation dosage increases the risk of mucositis to > 70% of patients in most trials. Oral mucositis is particularly profound and prolonged among HSCT recipients who receive total-body irradiation ...
Prosthetics; teeth detrimental to the fit or appearance of dentures. [12] Head and neck radiation therapy, to treat and/or manage tumors, may require extraction of teeth, either before or after radiation treatments. Lower cost, compared to other treatments. [13]: 98 Medically unnecessary extraction as a form of physical torture. [14]
If rampant caries is a result of previous radiation to the head and neck, it may be described as radiation-induced caries. Problems can also be caused by the self-destruction of roots and whole tooth resorption when new teeth erupt or later from unknown causes. Children at 6–12 months are at increased risk of developing dental caries. [99]
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A panoramic radiograph is a panoramic scanning dental X-ray of the upper and lower jaw.It shows a two-dimensional view of a half-circle from ear to ear. Panoramic radiography is a form of focal plane tomography; thus, images of multiple planes are taken to make up the composite panoramic image, where the maxilla and mandible are in the focal trough and the structures that are superficial and ...