[Prophylaxis of oral complications of irradiation of cervico-facial tumors by topical fluoride].
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Biomedical subjects
Publications and source records attributed to R Piade.
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The authors review the studies describing dental changes after radiotherapy or curietherapy of the cervicofacial region published over the last 50 years. They discuss more particularly: --direct and indirect effects on the teeth,--lesions of the salivary glands,--dental lesions,--fluoride prophylaxis for dental lesions after irradiation.
Before antitumoral facial irradiation, those teeth that cannot be conserved for a sufficiently long post-irradiation period of at least two years should be extracted. Teeth that are less affected, in patients given palliative treatment and in whom the prognosis is better, can be conserved. The conserved teeth are protected from destruction by the application of a fluoride gel. Dental reconstruction is ensured by the conventional methods, including the fixed prosthesis. The arches can be restored with atraumatic fixed prostheses but prudence is required. If extraction is necessary, a strict procedure must be employed and sufficient antibiotic treatment prescribed.